[1]宁源,孙风凡,童培建.电针联合康复锻炼在肩袖损伤术后康复中的应用[J].中医正骨,2018,30(01):29-31.
　NING Yuan,SUN Fengfan,TONG Peijian.Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(01):29-31.
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电针联合康复锻炼在肩袖损伤术后康复中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年01期
页码:
29-31
栏目:
临床研究
出版日期:
2018-01-20

文章信息/Info

Title:
Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries
作者:
宁源1; 孙风凡1; 童培建2
1.浙江中医药大学,浙江 杭州 310053; 2.浙江省中医院,浙江 杭州 310006
Author(s):
NING Yuan1; SUN Fengfan1; TONG Peijian2
1.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China
关键词:
创伤和损伤;  肩关节;  中医康复;  电针;  穴; 肩髃;  穴; 肩髎
Keywords:
Keywords wounds and injuries;  shoulder joint;  rehabilitation(TCM);  electroacupuncture;  Jianyu(LI15);  Jianliao(TE14)
摘要:
目的:探讨电针联合康复锻炼用于肩袖损伤术后康复的临床疗效。方法:2015年3月至2016年9月,共收集肩袖损伤术后患者60例,随机分为电针联合康复锻炼组和康复锻炼组,每组30例。康复锻炼组单纯进行康复锻炼治疗; 电针联合康复锻炼组,从术后第3天开始在康复锻炼的基础上行电针治疗,取穴为肩前、肩髃、肩髎,每次30 min,隔日1次。共治疗12周。分别于治疗前、治疗12周后,采用疼痛视觉模拟量表(visual analogue scale,VAS)评估患肩疼痛情况,采用Constant-Murley肩关节功能评分评价患肩功能。并对2组患者的评分进行比较。结果:2组患者均顺利完成治疗。治疗前2组患者肩关节疼痛VAS评分和Constant-Murley肩关节功能评分比较,组间差异均无统计学意义[(8.00±0.74)分,(7.97±0.67)分,t=-0.183,P=0.856;(48.13±3.35)分,(48.23±4.99)分,t=0.091,P=0.928]; 治疗12周后,电针联合康复锻炼组肩关节疼痛VAS评分低于康复锻炼组[(2.13±0.90)分,(3.20±0.66)分,t=5.224,P=0.000],Constant-Murley肩关节功能评分高于康复锻炼组[(88.27±2.61)分,(82.23±3.54)分,t=-7.512,P=0.000]。结论:在康复锻炼的基础上,将电针用于肩袖损伤术后的康复治疗,与单纯进行康复锻炼相比,更有利于患肩疼痛的缓解和肩关节功能的恢复。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of electroacupuncture combined with rehabilitation exercises in the postoperative rehabilitation of rotator cuff injuries.Methods:Sixty patients with rotator cuff injuries were collected from March 2015 to September 2016,and were randomly divided into combination therapy group and monotherapy group,30 cases in each group.All patients took rehabilitation exercises.Moreover,the patients in combination therapy group were treated with electroacupuncture at Jianqian,Jianyu(LI15)and Jianliao(TE14)from the 3rd day after surgey,30 minutes at a time,one time every other day for consecutive 12 weeks.The shoulder pain were evaluated by using visual analogue scale(VAS)and the affected shoulder function were evaluated by using Constant-Murley shoulder scores before treatment and after 12-week treatment respectively,and the scores were compared between the 2 groups.Results:The treatment were finished successfully in all the patients.There was no statistical difference in shoulder pain VAS scores and Constant-Murley shoulder function scores between the 2 groups before the treatment(8.00+/-0.74 vs 7.97+/-0.67 points,t=-0.183,P=0.856; 48.13+/-3.35 vs 48.23+/-4.99 points,t=0.091,P=0.928).After 12-week treatment,the shoulder pain VAS scores was lower and the Constant-Murley shoulder function scores was higher in combination therapy group compared to monotherapy group(2.13+/-0.90 vs 3.20+/-0.66 points,t=5.224,P=0.000; 88.27+/-2.61 vs 82.23+/-3.54 points,t=-7.512,P=0.000).Conclusion:The combination therapy of electroacupuncture and rehabilitation exercises is more conducive to the shoulder pain relief and shoulder function recovery compared to the monotherapy of rehabilitation exercises for postoperative rehabilitation of rotator cuff injuries.

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备注/Memo

备注/Memo:
通讯作者:童培建 E-mail:tongpeijian@163.com
更新日期/Last Update: 2018-06-02