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针刀松解配合中药内服治疗冻结肩60例临床疗效的分析
引用本文:孙海威,廖军,卢勇. 针刀松解配合中药内服治疗冻结肩60例临床疗效的分析[J]. 新疆医科大学学报, 2011, 34(6): 650-653
作者姓名:孙海威  廖军  卢勇
作者单位:1. 新疆医科大学,新疆,乌鲁木齐,830011
2. 新疆医科大学附属中医院骨二科,新疆,乌鲁木齐,830000
基金项目:十一五国家科技支撑计划项目项目
摘    要:目的 观察针刀松解配合中药内服治疗冻结肩的临床疗效,并探讨针刀松解治疗冻结肩理论依据。方法 60例患者行小针刀粘连松解术,术后给予桃红四物汤加减治疗,并指导患者进行主动和被动的功能锻炼。随访6~12个月,平均7.3个月,对治疗前后的肩关节分别以ASES评分、VAS疼痛评分法、Constant肩关节功能及活动度(ROM)评分法进行对比分析。结果 (1)术后3个月,本组患肩活动明显改善,外展(90.66±14.34)°,前屈(124.21±16.44)°,内收(75±12.31)°;(2)术后3个月VAS疼痛评分(1.81±1.02)分较术前(7.86±1.35)分显著降低;(3)术后未出现肩关节不稳症状;(4)术后3个月Constant评分(52.2±13.2)分较术前(22.4±19.4)分明显改善。结论针刀松解配合中药内服治疗冻结肩,可显著改善患者的疼痛与功能障碍程度,创伤小,疗程短,见效快,疗效可靠,且中远期随访显示疗效稳定。

关 键 词:冻结肩  小针刀  桃红四物汤

Research of clinical curative effect on Acupotomology loose solution with Chinese medicine orally in treating frozen shoulder
SUN Hai-wei,LIAO Jun,LU Yong. Research of clinical curative effect on Acupotomology loose solution with Chinese medicine orally in treating frozen shoulder[J]. Journal of Xinjiang Medical University, 2011, 34(6): 650-653
Authors:SUN Hai-wei  LIAO Jun  LU Yong
Affiliation:SUN Hai-wei,LIAO Jun,LU Yong(Xinjiang Medical Universitym Xinjiang medical uniersity hospital Bone two families,Urumqi 830000,China)
Abstract:Objective To observe the clinical efficacy of acupotomology loose solution with Chinese medicine orally in treating frozen shoulder and provide the basis for its theory.Methods 60 patients underwent a small needle knife adhesion loose solution technique and were give pink siwu tonga reduction treatment postoperatively,patients with postoperative guidance,passive and active function exercise.Follow-up of 6 to 12 months,the average of 7.3 months,before and after the treatment respectively by ASES ratings,VAS ...
Keywords:frozen shoulder  small surgeries  peach siwu soup  
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