[1]管亦坚,程朝晖,梁一民.水针刀联合玻璃酸钠关节腔注射治疗肩周炎的临床研究[J].中医正骨,2016,28(11):13-16.
　GUAN Yijian,CHENG Zhaohui,LIANG Yimin.Clinical study on hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(11):13-16.
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水针刀联合玻璃酸钠关节腔注射治疗肩周炎的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年11期
页码:
13-16
栏目:
临床研究
出版日期:
2016-11-20

文章信息/Info

Title:
Clinical study on hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis
作者:
管亦坚; 程朝晖; 梁一民
浙江省台州市第一人民医院,浙江 台州 318020
Author(s):
GUAN Yijian; CHENG Zhaohui; LIANG Yimin
The First People's Hospital of Taizhou,Taizhou 318020,Zhejiang,China
关键词:
肩凝症;  肩周炎;  小刀针;  透明质酸;  注射; 关节内;  临床试验
Keywords:
frozen shoulder;  periarthritis humeroscapularis;  small knife needle;  hyaluronic acid;  injections; intra-articular;  clinical trial
摘要:
目的:观察水针刀联合玻璃酸钠关节腔注射治疗肩周炎的临床疗效。方法:将符合要求的100例肩周炎患者随机分为2组,每组50例,分别采用水针刀联合玻璃酸钠关节腔注射和单纯水针刀治疗。每周治疗1次,连续4次为1个疗程,共治疗2个疗程。比较治疗前及治疗开始后6个月2组患者的肩部疼痛视觉模拟量表(visual analogue scale,VAS)评分、Constant-Murley肩关节功能评分、焦虑自评量表(self-rating anxiety scale,SAS)评分,并比较2组患者的综合疗效。结果:所有患者均获6个月的随访。治疗前2组患者的肩部疼痛VAS评分、Constant-Murley肩关节功能评分、SAS评分比较,组间差异均无统计学意义[(5.34±1.46)分,(5.42±1.53)分,t=0.284,P=0.784;(41.89±7.84)分,(42.12±8.48)分,t=0.564,P=0.784;(45.43±8.10)分,(46.43±9.10)分,t=0.312,P=0.643]。治疗开始后6个月,水针刀玻璃酸钠组的肩部疼痛VAS评分及SAS评分均低于水针刀组[(1.47±0.45)分,(2.45±0.56)分,t=3.586,P=0.008;(31.87±8.90)分,(38.07±9.32)分,t=4.983,P=0.000],Constant-Murley肩关节功能评分高于水针刀组[(61.57±11.58)分,(52.55±9.32)分,t=5.349,P=0.000]; 2组患者的肩部疼痛VAS评分及SAS评分均较治疗前降低(t=10.568,P=0.000; t=8.586,P=0.000; t=9.732,P=0.000; t=5.652,P=0.000),Constant-Murley肩关节功能评分较治疗前增高(t=9.859,P=0.000; t=6.746,P=0.000)。治疗开始后6个月,采用《常见疾病的诊断与疗效判定(标准)》中肩周炎的疗效标准评定综合疗效,水针刀玻璃酸钠组治愈38例、有效10例、无效2例,水针刀组治愈28例、有效14例、无效8例,水针刀玻璃酸钠组的综合疗效优于水针刀组(Z=-2.278,P=0.023)。结论:水针刀联合玻璃酸钠关节腔注射治疗肩周炎,可以有效缓解肩部疼痛、改善肩关节功能、降低患者的焦虑程度,综合疗效优于单纯水针刀治疗,值得临床推广应用。
Abstract:
Objective:To observe the clinical curative effect of hydro-acupuncture knife therapy combined with intra-articular injection of sodium hyaluronate in the treatment of periarthritis humeroscapularis.Methods:One hundred patients with periarthritis humeroscapularis enrolled in the study were randomly divided into 2 groups,50 cases in each group.The patients were treated with combination therapy of hydro-acupuncture knife and intra-articular injection of sodium hyaluronate(group A)and monotherapy of hydro-acupuncture knife(group B)respectively,once a week for consecutive 2 course of treatment,4 times for each course.The shoulder pain visual analogue scale(VAS)scores,Constant-Murley shoulder function scores and self-rating anxiety scale(SAS)scores were compared between the 2 groups before the treatment and at 6 months after the beginning of treatment respectively,and the total clinical curative effects were also compared between the 2 groups.Results:All patients were followed up for 6 months.There was no statistical difference in the shoulder pain VAS scores,Constant-Murley shoulder function scores and SAS scores between the 2 groups before the treatment(5.34+/-1.46 vs 5.42+/-1.53 points,t=0.284,P=0.784; 41.89+/-7.84 vs 42.12+/-8.48 points,t=0.564,P=0.784; 45.43+/-8.10 vs 46.43+/-9.10 points,t=0.312,P=0.643).The shoulder pain VAS scores and SAS scores were lower in group A compared to group B at 6 months after the beginning of treatment(1.47+/-0.45 vs 2.45+/-0.56 points,t=3.586,P=0.008; 31.87+/-8.90 vs 38.07+/-9.32 points,t=4.983,P=0.000),and the Constant-Murley shoulder function scores were higher in group A compared to group B(61.57+/-11.58 vs 52.55+/-9.32 points,t=5.349,P=0.000).The shoulder pain VAS scores and SAS scores decreased(t=10.568,P=0.000; t=8.586,P=0.000; t=9.732,P=0.000; t=5.652,P=0.000)while the Constant-Murley shoulder function scores increased(t=9.859,P=0.000; t=6.746,P=0.000)in the 2 groups at 6 months after the beginning of treatment compared to pre-treatment.At 6 months after the beginning of treatment,the total clinical curative effects were evaluated according to the therapeutic effect standard of periarthritis humeroscapularis extracted from Standard for diagnosis and curative effect evaluation of common diseases.Thirty-eight patients were cured,10 fair and 2 poor in group A; while 28 patients were cured,14 fair and 8 poor in group B.The group A surpassed the group B in the total clinical curative effect(Z=-2.278,P=0.023).Conclusion:The combination therapy of hydro-acupuncture knife and intra-articular injection of sodium hyaluronate can effectively relieve the shoulder pain and improve the shoulder function and reduce the degree of anxiety of patients with periarthritis humeroscapularis,and its clinical curative effects is better than that of monotherapy of hydro-acupuncture knife therapy,so it is worthy of popularizing in clinic.

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更新日期/Last Update: 2016-11-30