扶阳罐疗法联合常规镇痛措施对肩关节镜下肩袖修补术后肩关节疼痛及肩关节功能的影响
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R686

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浙江省中医药科技计划项目(2021ZA067)


Effect of Yang- Reinforcing Cupping Therapy Combined with Routine Analgesic Mea⁃ sures on Joint Pain and Joint Function After Rotator Cuff Repair Under Shoulder Arthroscopy
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    摘要:

    目的:观察扶阳罐疗法联合常规镇痛措施对肩关节镜下肩袖修补术后肩关节疼痛及肩关节功能的 影响。方法:回顾性分析84 例行肩关节镜下肩袖修补术治疗的气滞血瘀型肩袖损伤患者,根据患者的治疗意 愿分为对照组44 例和观察组40 例。2 组均采用术后常规镇痛措施,观察组加用扶阳罐疗法治疗。2 组均 治疗2 周。治疗前后评定患者的肩关节疼痛视觉模拟评分法(VAS) 评分、美国加州大学(UCLA) 肩关节评 分系统评分及美国肩与肘协会评分系统(ASES) 评分。结果:2 组治疗1 周及治疗2 周的肩关节疼痛VAS 评 分均较治疗前降低(P<0.05),ASES 评分均较治疗前升高(P<0.05)。2 组治疗2 周的肩关节疼痛VAS 评分 均较治疗1 周降低(P<0.05),ASES 评分均较治疗1 周升高(P<0.05)。观察组治疗1 周及治疗2 周的肩关 节疼痛VAS 评分均低于对照组(P<0.05),ASES 评分均高于对照组(P<0.05)。2 组治疗1 周及治疗2 周 UCLA 肩关节评分系统的疼痛、功能、向前侧屈曲活动、前屈曲力量及患者满意度评分均较治疗前升高(P< 0.05),治疗2 周的各项评分均较治疗1 周升高(P<0.05);观察组治疗1 周及治疗2 周的各项评分均高于对 照组(P<0.05)。治疗过程中,2 组患者均未出现与手术及扶阳罐治疗相关的并发症。结论:扶阳罐疗法联合 常规镇痛措施可有效缓解肩关节镜下肩袖修补术后患者的早期肩关节疼痛,有助患者在术后尽早开展功能锻 炼,更好地恢复肩关节功能,提高日常生活活动能力。

    Abstract:

    Abstract:Objective:To observe the effect of yang-reinforcing cupping therapy combined with routine analgesic measures on joint pain and joint function after rotator cuff repair under shoulder arthroscopy. Methods: A total of 84 cases of patients with rotator cuff injury of qi stagnation and blood stasis type underwent rotator cuff repair under shoulder arthroscopy were given retrospective analysis and divided into the control group and the observation group according to their treatment preferences , with 44 and 40 cases in each group respectively. Both groups were given routine analgesic measures after operation, and the observation group was additionally treated with yang- reinforcing cupping therapy based on the treatment of the control group. Both groups were treated for 2 weeks. The scores of Visual Analogue Scale (VAS) in shoulder joint pain,University of California,Los Angeles (UCLA) Shoulder Score,and American Shoulder and Elbow Surgeons' Form (ASES) were evaluated before and after treatment. Results: The scores of VAS in shoulder joint pain after 1 and 2 weeks of treatment in the two groups were decreased when compared with those before treatment (P<0.05),the ASES scores after 1 and 2 weeks of treatment in the two groups were increased when compared with those before treatment (P<0.05). The scores of VAS in shoulder joint pain after 2 weeks of treatment were decreased when compared with those after 1 week of treatment (P<0.05), the ASES scores after 2 weeks of treatment were increased when compared with those after 1 week of treatment (P<0.05). The scores of VAS in shoulder joint pain after 1 and 2 weeks of treatment in the observation group were lower than those in the control group (P<0.05), the ASES scores after 1 and 2 weeks of treatment in the observation group were higher than those in the control group (P<0.05). After 1 and 2 weeks of treatment,the scores of pain,function,forward buckling activity,and pre-buckling strength in UCLA Shoulder Score and the patient satisfaction in the two groups were increased when compared with those before treatment (P<0.05),and the scores after 2 weeks of treatment were increased when compared with those after 1 week of treatment (P<0.05);the scores after 1 and 2 weeks of treatment in the observation group were higher than those in the control group (P<0.05). During treatment, there was no complication related to operation or yang- reinforcing cupping therapy in the two groups. Conclusion:yang-reinforcing cupping therapy combined with routine analgesic measures can effectively alleviate early shoulder joint pain in patients undergoing rotator cuff repair under shoulder arthroscopy,help patients engage in functional exercise as soon as possible after operation,better restore joint function,and improve their activities of daily living.

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胡莉丽,安忠诚,陈晨,董黎强,张晓平.扶阳罐疗法联合常规镇痛措施对肩关节镜下肩袖修补术后肩关节疼痛及肩关节功能的影响[J].新中医,2023,55(16):169-174

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  • 在线发布日期: 2023-08-31
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