[1]郑英慧,卢启贵.无痛手法松解联合鸡尾酒疗法和功能锻炼治疗重度肩周炎[J].中医正骨,2016,28(11):66.
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无痛手法松解联合鸡尾酒疗法和功能锻炼治疗重度肩周炎()
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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:
66
栏目:
临床报道
出版日期:
2016-11-20

文章信息/Info

作者:
郑英慧卢启贵
深圳平乐骨伤科医院,广东 深圳 518010
关键词:
肩凝症 肩周炎 肌肉骨骼手法 鸡尾酒疗法 功能锻炼
摘要:
目的:观察无痛手法松解联合鸡尾酒疗法和功能锻炼治疗重度肩周炎的临床疗效和安全性。方法:2015年6月至2016年1月,采用无痛手法松解联合鸡尾酒疗法和功能锻炼治疗重度肩周炎患者35例,男11例、女24 例。年龄49~65岁,中位数52岁。左肩16例,右肩19例。病程6~12个月,中位数8个月。治疗后随访观察肩关节活动度、功能改善及并发症发生情况。结果:所有患者均获随访,随访时间3~6个月,中位数5个月。治疗期间和治疗后无肩关节内出血、明显肿胀等并发症发生; 对于肩关节轻度肿胀者,经冷疗、敷药等治疗后肿胀均消退。末次随访时,肩关节外展上举、内收、前屈上举、后伸活动度均大于治疗前(160.5°±3.6°,75.1°±10.7°,t=18.258,P=0.016; 18.2°±4.8°,8.0°±3.6°,t=14.167,P=0.038; 140.5°±8.0°,55.4°±10.6°,t=13.346,P=0.017; 33.6°±5.2°,15.8°±4.5°,t=12.565,P=0.043); Constant和Murley肩关节功能评分高于治疗前[(53.2±2.4)分,(30.4±6.6)分,t=11.721,P=0.024]。结论:采用无痛手法松解联合鸡尾酒疗法和功能锻炼治疗重度肩周炎,创伤小,能改善肩关节活动度,促进肩关节功能的恢复,并发症少,值得临床推广应用。

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更新日期/Last Update: 2016-11-30