摘要
目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。
Objective:To investigate the effects of small needle-knife combined with stretching therapy on shoulder function,range of motion and pain in patients with scapulohumeral periarthritis.Method:A total of 102 patients with scapulohumeral periarthritis treated in Jingzhou Fifth People's Hospital from June 2019 to June 2022 were selected as the study objects,according to random number table method,they were divided into control group and observation group,with 51 cases in each group.The control group was treated with stretching therapy,while the observation group was treated with small needle-knife combined with stretching therapy,both groups maintained treatment for 2 weeks.The clinical curative effect,pain degree,joint mobility,shoulder function and quality of life were compared between the two groups.Result:The total clinical effective rate of the observation group was 94.12%(48/51),which was higher than 78.43%(40/51)of the control group,the difference was statistically significant(P<0.05).The visual analogue scale(VAS)score,the functional problem score,the pain problem score and the total score of shoulder pain and disability index(SPADI)in the observation group were lower than those in the control group,posterior extension range,anterior flexion range,abduction range of motion(ROM),the scores of psychological function,physical function,material life status and social function in the generic quality of life inventory-74(GQOLI-74)were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Small needle-knife combined with stretching therapy in the treatment of patients with scapulohumeral periarthritis can significantly improve the clinical effect,relieve the symptoms of shoulder joint pain,improve the range of motion of the joint,thereby improving the function of the shoulder joint and further improving the quality of life of patients.
作者
蔡伟
彭涛
CAI Wei;PENG Tao(Physical Examination Center,Jingzhou Fifth People's Hospital,Jingzhou 434202,China;不详)
出处
《中国医学创新》
CAS
2024年第5期84-88,共5页
Medical Innovation of China
关键词
肩关节周围炎
小针刀
拉伸疗法
肩关节功能
活动度
疼痛
生活质量
Scapulohumeral periarthritis
Small needle-knife
Stretching therapy
Shoulder joint function
Activity level
Pain
Quality of Life
