浮针疗法联合常规治疗对冻结肩患者手法松解术后早期康复的影响
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R684

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国家自然科学基金青年科学基金项目(82004387)


Effect of Fu's Subcutaneous Needling Combined with Conventional Therapy on Early Rehabilitation After Manipulation for Frozen Shoulder
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    摘要:

    目的:观察浮针疗法联合常规治疗对改善冻结肩(FS) 患者麻醉下手法松解术(MUA) 后疼痛、 肩关节活动度(ROM) 及肩关节功能康复的影响。方法:选取2023年5月—2025年5月广东省中医院大学城医 院运动创伤科收治的经MUA治疗的FS患者58例,按随机数字表法分为对照组30例和试验组28例。对照组术 后采用常规治疗,试验组在对照组基础上加用浮针治疗。比较2组手术前后以及浮针治疗前后疼痛视觉模拟评 分法(VAS) 评分、ROM及肩关节功能评分(CMS) 变化。结果:每次浮针治疗后,试验组疼痛VAS评分均较 治疗前降低(P<0.05);第2、3次浮针治疗前VAS评分均较前一次治疗后分值轻微升高,但治疗期间VAS评 分评分总体呈下降趋势。术后第1天,2组前屈上举、后伸、外展、外旋ROM比较,差异无统计学意义(P> 0.05);试验组内旋ROM小于对照组(P<0.05)。术后2周,试验组前屈上举、外展、外旋ROM均优于对照组 (P<0.05)。每次浮针治疗后,试验组前屈上举、外展、外旋、内旋(除外第2次浮针治疗) ROM均较治疗前增 大,差异均有统计学意义(P<0.05)。第2、3次浮针治疗前各方向ROM较前一次浮针治疗后或增大、或缩小, 但治疗期间ROM总体呈增加趋势。术后2周,试验组CMS评分高于对照组(P<0.05)。结论:浮针疗法联合 常规治疗能够即时缓解FS患者MUA术后疼痛,改善即时ROM,并能改善患者术后2周时的ROM和肩关节功 能,但对术后2周时的肩部疼痛改善不明显。

    Abstract:

    Abstract: Objective:To observe the effects of Fu's subcutaneous needling combined with conventional therapy on pain relief,shoulder range of motion(ROM),and functional recovery after manipulation under anesthesia(MUA) for frozen shoulder(FS).Methods: A total of 58 FS patients treated with MUA at the Sports Injury Center of Higher Education Mega Center Hospital of Guangdong Provincial Hospital of Chinese Medicine from may 2023 to may 2025 were divided into the control group(n=30)and the trial group(n=28)using the random number table method.The control group received postoperative conventional therapy,while the trial group received additional Fu's subcutaneous needling treatment. Visual Analogue Scale(VAS)scores,shoulder ROM,and Constant-Murley Score(CMS)were compared between the two groups.Results:After each Fu's subcutaneous needling treatment,the pain VAS score in the trial group decreased significantly compared to pre-treatment values (P<0.05). Before the second and third Fu's subcutaneous needling sessions, the VAS scores showed a slight increase compared to post-treatment values from the previous session,but the overall trend during the treatment period was a decline in pain scores. On postoperative day one, there was no statistically significant difference in shoulder ROM (including forward-flexion, abductionextension, and external rotation)between the two groups(P>0.05). However, the trial group exhibited less internal rotation ROM than the control group(P<0.05). At two weeks after surgery,the trial group demonstrated significantly better ROM in forward-flexion,abduction, and external rotation compared to the control group(P<0.05). After each Fu's subcutaneous needling session, the trial group showed increased ROM in forward - flexion, abduction, and external rotation(except after the second session) compared to pre-treatment values, with statistically significant differences(P<0.05). Between the second and third sessions,ROM changes varied (some directions improved while others slightly declined), but the overall trend was an increase in shoulder ROM during the treatment period.At two weeks after surgery, the trial group had a higher CMS than the control group (P<0.05). Conclusion: Fu's subcutaneous needling combined with conventional treatment provides immediate pain relief for FS patients after MUA, improves short-term ROM, and enhances shoulder function at two weeks after surgery. However, it does not significantly alleviate shoulder pain at the two-week follow-up.

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赖心怡,江涛.浮针疗法联合常规治疗对冻结肩患者手法松解术后早期康复的影响[J].新中医,2025,57(18):104-109

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  • 在线发布日期: 2025-09-25
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