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中国临床研究英文版:2024,37(1):89-93
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超声引导下针刀联合关节松动术治疗冻结肩的临床疗效
(1. 北京市大兴区中西医结合医院骨伤科,北京 100076;2. 北京市大兴区中西医结合医院超声科,北京 100076;3. 北京市大兴区中西医结合医院康复科,北京 100076;4. 中国中医科学院望京医院骨伤综合科,北京 100102)
Clinical efficacy of ultrasound-guided acupotomy combined with joint mobilization surgery in treatment of frozen shoulder
摘要
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Received:May 27, 2023   Published Online:January 20, 2024
中文摘要: 目的 观察冻结肩治疗中超声引导下针刀联合关节松动术的应用及临床疗效。 方法 纳入2020年9月至2022年4月在北京大兴区中西医结合医院骨伤科就诊的120例患者,按照随机数字表分为试验组和对照组,各60例。试验组采用超声引导下针刀联合关节松动术治疗,对照组采用常规针刀联合关节松动术治疗,在治疗前、治疗后1 d、治疗后1个月进行超声下盂肱关节下方关节囊厚度(ICT)、视觉模拟疼痛评分(VAS评分)及肩关节功能评分(Constant-Murley量表评分)评估,比较两组的临床疗效。 结果 治疗后1 d及治疗后1个月,两组ICT的测值均降至3 mm以下,且试验组明显低于对照组(P<0.05);两组VAS评分均低于4分,试验组为2分左右,试验组明显低于对照组(P<0.05);两组Constant-Murley评分均高于20分,试验组高于30分,试验组明显高于对照组(P<0.05)。 结论 超声引导下针刀联合关节松动术治疗冻结肩具有较明显的临床疗效。
Abstract:Objective To observe the application and clinical efficacy of ultrasound-guided acupotomy combined with joint mobilization surgery in the treatment of frozen shoulder. Methods One hundred and twenty patients who visited the Department of Orthopedics and Traumatology of Beijing Daxing District Hospital of Integrated Chinese and Western Medicine from September 2020 to April 2022 were included.The patients were divided into experimental group (n=60) and control group (n=60) according to a random number scale. The experimental group was treated with ultrasound-guided acupotomy combined with joint mobilization surgery,and the control group was treated with conventional acupotomy combined with joint mobilization surgery. Before treatment, 1 day and 1 month after treatment, inferior glenohumeral joint capsule thickness (ICT) under ultrasound, visual analog pain score (VAS score) and shoulder joint function score (Constant Murley scale score) were evaluated to compare the clinical efficacy of the two groups. Results One day and one month after treatment, the ICT values of both groups decreased to below 3 mm, and the ICT value in experimental group was significantly lower than that in control group (P<0.05); the VAS scores were lower than 4 points in both groups, and the VAS score was about 2 points in the experimental group, with a significantly higher compared to the control group (P<0.05); the Constant-Murley scores were higher than 20 points in both groups, and the Constant-Murley score was higher than 30 points in experimental group, with a significantly higher compared to the control group (P<0.05). Conclusion Ultrasound-guided acupotomy combined with joint mobilization for the treatment of frozen shoulder has obvious clinical efficacy.
文章编号:     中图分类号:R274.31    文献标志码:A
基金项目:北京市大兴区中西医结合医院院级科研课题(DXZXYZ202003)
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