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Received:December 03, 2022 Published Online:August 20, 2023
Received:December 03, 2022 Published Online:August 20, 2023
中文摘要: 目的探讨子午流注纳子法择时腕踝针治疗肩袖损伤术后康复期疼痛的临床疗效。方法2022年1月至2022年6月于广州中医药大学第一附属医院运动医学科招募肩袖损伤术后4~6周返院康复的住院患者68例为研究对象,随机分为对照组(常规腕踝针组)和观察组(择时腕踝针组),对照组34例,观察组32例(剔除2例)。在骨科和术后常规康复治疗基础上,对照组(10:30前后)行常规腕踝针治疗,针刺点取患侧上4区、上5区、上6区,每次留针30 min,每天1次,共7次;观察组于未时(14:00前后)行腕踝针治疗,治疗时长同对照组。比较两组患者治疗前后的疼痛视觉模拟评分(VAS)、肩关节活动度(被动)、匹兹堡睡眠质量指数(PSQI)、美国加州大学(UCLA)肩关节评分。结果与治疗前相比,两组患者治疗后VAS、PSQI评分均降低,肩关节活动度、UCLA肩关节评分均提高(P<0.05);且观察组VAS评分低于对照组,肩关节活动度、UCLA肩关节评分高于对照组(P<0.05)。结论基于子午流注纳子法择时行腕踝针,可有效减轻肩袖损伤术后康复期疼痛,改善关节活动度,促进肩关节功能快速康复。
Abstract:ObjectiveTo explore the clinical effect of wrist-ankle acupuncture (WAA) with midnight-noon ebb-flow at selection time on postoperative pain and rehabilitation after rotator cuff injury repair. MethodsA total of 68 inpatients for rehabilitation at 4-6 weeks after rotator cuff repair in the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2022 to June 2022 were selected. They were randomly divided into conventional WAA group (n=34, control group) and WAA at selection time group (n=32, observation group, excluding 2 cases). In control group, WAA was conducted around 10:30 on the morning, taking the acupoints in upper 4 region (alone the large intestine meridian of hand-Yangming), in upper 5 region (along the meridian of Hand-Shaoyang) and in upper 6 region (along meridian of Hand-Taiyang), with 30 minutes for needle retention, once a day for 7 days. In observation group, WAA was performed at around 14:00 with the same acupoints and treatment duration as control group. The Visual Analogue Scale (VAS), shoulder passive range of motion (ROM), Pittsburgh Sleep Quality Index (PSQI) and University of California-Los Angeles (UCLA) Shoulder Scale were observed and compared between two groups before and after treatment . b>ResultsCompared with those before treatment, VAS and PSQI scores significantly decreased, and ROM and UCLA Shoulder Scale increased after treatment in both groups (P<0.05). In observation group, VAS score was lower than that in control group, and shoulder ROM and UCLA Shoulder Scale were significantly higher than those in control group (P<0.05). ConclusionWAA at selection time based on midnight-noon ebb-flow can effectively alleviate postoperative pain of rotator cuff injury, improve joint mobility and promote rapid recovery of shoulder joint function.
keywords: Nazi-method of midnight-noon ebb-flow Wrist-ankle acupuncture Rotator cuff injury Postoperative rehabilitation Range of motion
文章编号: 中图分类号:R242 文献标志码:B
基金项目:广东省基础与应用基础研究基金(2021A1515110647)
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