[1]赵明宇,杨超凡,赵启,等.“筋滞骨错”理论指导下手法治疗黏连期肩凝症[J].中医正骨,2016,28(04):57-58.
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“筋滞骨错”理论指导下手法治疗黏连期肩凝症()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年04期
页码:
57-58
栏目:
临床报道
出版日期:
2016-04-20

文章信息/Info

作者:
赵明宇杨超凡赵启廉杰王秋生黄祯峰张向东鲍铁周
河南省洛阳正骨医院/河南省骨科医院,河南 郑州 450016
关键词:
肩凝症 肩周炎 筋滞骨错 肩关节 肌肉骨骼手法
摘要:
目的:探讨“筋滞骨错”理论指导下手法治疗黏连期肩凝症的临床疗效。方法:2014年5月至2015年5月收治73例黏连期肩凝症患者。男31例,女42例。年龄38~60岁,中位数50岁。病程5~15个月,中位数9个月。均采用基于“筋滞骨错”理论的手法治疗,同时辅以肩部中药薰洗、中药塌渍治疗及功能锻炼。手法治疗每天1次,连续治疗30 d。治疗后采用李海燕等制定的肩关节功能评定量表,从疼痛、肩关节活动度、肌力、日常生活能力、局部形态5个方面对患者的肩部功能进行评定,同时采用《中医病证诊断疗效标准》中肩周炎的疗效标准评定疗效。结果:治疗后本组患者的肩关节疼痛均明显减轻,关节功能明显改善,按照《中医病证诊断疗效标准》中肩周炎的疗效标准评定,治愈33例、好转38例、未愈2例。所有患者均获得3个月以上随访。与治疗前相比,治疗后3个月本组患者的肩关节功能评分总分、肩部疼痛、关节活动度、肌力、日常生活能力及局部形态评分均提高[(60.03±9.44)分,(84.82±5.70)分,t=-19.216,P=0.000;(14.45±7.15)分,(25.21±3.17)分,t=-11.753,P=0.000;(16.89±4.16)分,(21.00±2.75)分,t=-7.032,P=0.004;(3.99±0.86)分,(4.67±0.50)分,t=-5.889,P=0.005;(20.67±5.49)分,(29.27±2.77)分,t=-11.957,P=0.000;(4.03±1.11)分,(4.67±0.75)分,t=-4.125,P=0.000]。结论:在“筋滞骨错”理论指导下手法治疗黏连期肩凝症,可有效减轻患者的疼痛症状,增大肩关节活动度,改善患者的日常生活能力。

参考文献/References:

[1] 张红安.针刺对肩周炎患者三角肌表面肌电信号的影响[J].中国针灸,2014,34(2):152-154.
[2] 彭程.推拿配合运动疗法治疗粘连期肩关节周围炎的临床研究[D].济南:山东中医药大学,2011.
[3] 张金成.推拿配合肩臂操治疗肩关节周围炎临床观察[J].按摩与康复医学:上旬刊,2010,1(7):15-16.
[4] 赵明宇,赵启.平乐正骨“筋滞骨错”理论探析[J].中医正骨,2014,26(8):68-70.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186-187.
[6] 刘鹏.活血舒筋手法治疗肩凝症30例对照研究[J].吉林医学,2011,32(25):5292-5293.
[7] 赵明宇,廉杰,鲍铁周,等.平乐正骨“筋滞骨错”理论再析[J].中医正骨,2015,27(4):74-75.
[8] 李海燕,靳兵,吴辉.肩关节功能评价量表及可靠性研究[J].中国康复医学杂志,1993,8(5):223-224.
[9] Tamai K,Akutsu M,Yano Y.Primary frozen shoulder: brief review of pathology and imaging abnormalities[J].J Orthop Sci,2014,19(1):1-5.
[10] Sunil S.Management of frozen shoulder-conservative vs surgical?[J].Annals of the Royal College of Surgeons of England,2011,93(5):343-346.
[11] 王勇.推拿手法治疗肩关节周围炎与肩部解剖结构的关系[J].河北中医,2011,33(2):252-253.
[12] Murphy FX,Hall MW,D'amico L,et al.Chiropractic management of frozen shoulder syndrome using a novel technique: a retrospective case series of 50 patients[J].J Chiropr Med,2012,11(4):267-272.
[13] 廉杰,赵明宇,吴丹.应用平乐正骨“筋滞骨错”理论治疗骶髂关节紊乱症的临床疗效研究[J].中医药临床杂志,2015,27(6):820-822.

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备注/Memo

备注/Memo:
基金项目:2015河南省中医药科学研究专项项目(2015ZY02007)
通讯作者:鲍铁周 E-mail:baotzll@126.com
更新日期/Last Update: 2016-08-30