关节镜下三联松解术联合中药熏蒸治疗肩袖损伤合并肩周炎临床研
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Clinical Study on Arthroscopic Triple Release Combined with Chinese Herbal Fumigation for Rotator Cuff Injury Complicated with Scapulohumeral Periarthritis
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    摘要:

    目的:观察关节镜下三联松解术联合中药熏蒸治疗肩袖损伤(RCI) 合并肩周炎(SP) 的临床疗效。方法:将214 例风寒痹阻型RCI 合并SP 患者按随机数字表法分为对照组与研究组各107 例,其中对照组剔除1 例。对照组接受关节镜下三联松解术治疗,研究组在对照组基础上于术后4~12 周给予中药熏蒸治疗。比较2 组术前、术后第13 周肩关节功能评价量表(CMS) 评分及肩关节活动度,比较2 组临床疗效。结果:术后第13 周,2 组疼痛、生活能力、关节活动度、肌力评分及总分均较术前升高(P<0.05),研究组CMS 各维度评分及总分均高于对照组(P<0.05);2 组外展、前屈、内旋、外旋角度均较术前增大(P<0.05),研究组外展、前屈、内旋、外旋角度均大于对照组(P<0.05)。研究组总有效率98.13%, 高于对照组90.57%(P<0.05)。结论:RCI 合并SP 患者行关节镜下三联松解术后给予中药熏蒸治疗,可促进其肩关节功能恢复,临床疗效较好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of arthroscopic triple release combined with Chinese herbal fumigation for rotator cuff injury(RCI) complicated with scapulohumeral periarthritis(SP). Methods:A total of 214 cases of patients with RCI complicated with SP of wind-cold obstruction type were divided into the control group and the study group according to the random number table method, with 107 cases in each group, one case was excluded from the control group. The control group was treated with arthroscopic triple release, and the study group was additionally treated with Chinese herbal fumigation on the fourth to twelfth weeks after operation based on the treatment of the control group. Before operation and the 13th week after operation,the Constant-Murley Score(CMS) and shoulder range of motion in the two groups were compared. The clinical effects in the two groups were compared. Results: On the 13th week after operation, the scores of pain, activities of living, shoulder range of motion and muscle strength,as well as the total scores in the two groups were increased when compared with those before operation(P<0.05),and the scores of each dimension and the total score in CMS in the study group were higher than those in the control group(P<0.05); the angles of abduction, anteflexion, intorsion and extorsion in the two groups were increased when compared with those before operation(P< 0.05), and the angles of abduction, anteflexion, intorsion and extorsion in the study group were larger than those in the control group(P<0.05). The total effective rate was 98.13% in the study group, higher than that of 90.57% in the control group(P<0.05). Conclusion:Arthroscopic triple release combined with Chinese herbal fumigation for patients with RCI complicated with SP can promote their rehabilitation of shoulder joint function with a good clinical effect.

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张志远,吴仁政,张跃正.关节镜下三联松解术联合中药熏蒸治疗肩袖损伤合并肩周炎临床研[J].新中医,2022,54(18):66-69

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  • 在线发布日期: 2022-09-28
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