發(fā)布時(shí)間：2018-06-16 06:26

  本文選題：針刀 + 封閉　； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本課題通過針刀松解肩袖軟組織治療肩袖損傷血瘀型,并與傳統(tǒng)封閉療法進(jìn)行臨床對(duì)照,找出并建立一種操作簡單、療效突出、安全可靠、易于推廣的治療新方案,為臨床醫(yī)師提供新的思路,為本病的針刀治療提供更加確切的規(guī)范。方法:本課題篩選符合血瘀型的72例肩袖損傷患者,按照隨機(jī)、對(duì)照、單盲原則進(jìn)行分類,針刀治療組36例,封閉注射組36例。5天治療1次,15天為1個(gè)療程。根據(jù)美國加州大學(xué)洛杉磯分校(UCLA)肩關(guān)節(jié)功能評(píng)分的要求,分別觀察治療前、后的疼痛、功能、前屈活動(dòng)度、前屈肌力、患者滿意度各項(xiàng)評(píng)分變化,并對(duì)其進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:(1)治療組、對(duì)照組有效率分別為91.7%、77.8%。(2)治療結(jié)束后,兩組分別進(jìn)行疼痛、功能、前屈活動(dòng)度、前屈肌力、患者滿意度的組內(nèi)比較(P0.05),差異顯著,提示兩組均能改善疼痛、功能、前屈活動(dòng)度、前屈肌力、患者滿意度。(3)治療結(jié)束后,兩組分別進(jìn)行各項(xiàng)評(píng)分的組間比較(P0.05),差異明顯,提示針刀治療組臨床療效較封閉注射組更優(yōu)。結(jié)論:針刀松解與封閉注射均能改善肩袖損傷患者的臨床癥狀和體征,且針刀療法優(yōu)于傳統(tǒng)封閉療法。針刀療法療效確切,且操作簡單,副作用少,容易掌握,具有一定臨床價(jià)值,值得進(jìn)一步應(yīng)用推廣。
[Abstract]:Objective: in order to find out and establish a new treatment scheme which is simple, effective, safe, reliable and easy to be popularized, the treatment of rotator cuff soft tissue was treated with needle knife in the treatment of blood stasis of rotator cuff injury, and compared with traditional blocking therapy. To provide new ideas for clinicians, and provide a more accurate standard for the treatment of this disease. Methods: 72 patients with rotator cuff injury according to blood stasis type were selected. According to random, control and single blind principle, 36 patients in acupuncture knife group and 36 patients in block injection group were treated once for 15 days as a course of treatment. According to the requirements of UCLAs shoulder function score, the changes of pain, function, flexion activity, flexor muscle strength and patient satisfaction before and after treatment were observed and analyzed statistically. Results in the treatment group, the effective rate of the control group was 91.7% and 77.8% respectively. After the treatment, the two groups were treated with pain, function, flexion activity, flexor muscle strength and patient satisfaction respectively. The difference was significant, indicating that both groups could improve pain and function. After the treatment, there were significant differences between the two groups (P 0.05), which indicated that the clinical effect of acupuncture knife group was better than that of closed injection group. Conclusion: both needle knife release and closed injection can improve the clinical symptoms and signs of patients with rotator cuff injury, and acupuncture therapy is superior to traditional block therapy. Needle knife therapy is effective, simple, less side effect, easy to grasp, has certain clinical value, and is worthy of further application.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李良軍;丑克;何志勇;沈楓;鄧儉良;雷光華;;肩關(guān)節(jié)鏡下治療巨大肩袖撕裂的療效觀察[J];中國內(nèi)鏡雜志;2015年10期

2 王亮;王予彬;湯華林;;肩袖損傷和創(chuàng)傷性肩關(guān)節(jié)前方不穩(wěn)定患者肩部疼痛與肩峰下滑囊組織中炎癥反應(yīng)的關(guān)系研究[J];中醫(yī)正骨;2015年10期

3 李晶;黃志雄;;復(fù)方倍他米松+臭氧注射治療肩袖損傷的療效觀察[J];海峽藥學(xué);2015年10期

4 孫崢;王勝杰;呂明超;;肩袖損傷診療的研究進(jìn)展[J];中國醫(yī)刊;2014年12期

5 畢建超;劉煥彩;吳曉林;梁答;姜曉明;戴志剛;;關(guān)節(jié)鏡探查清理術(shù)聯(lián)合小切口肩袖修補(bǔ)術(shù)治療肩袖損傷[J];山東醫(yī)藥;2014年11期

6 黃星球;;關(guān)節(jié)鏡輔助治療肩袖損傷的方法和療效觀察[J];現(xiàn)代診斷與治療;2013年20期

7 陳浩;張余;;肩袖損傷臨床診斷體會(huì)與治療方法選擇[J];四川醫(yī)學(xué);2013年09期

8 陳裔英;喬晉琳;沈紅星;王宇;馬彬;朱旭;劉四喜;;物理療法配合運(yùn)動(dòng)康復(fù)治療急性肩袖損傷效果觀察[J];人民軍醫(yī);2013年08期

9 方文;眭杰;劉紅書;員春奇;周長城;;射頻熱凝治療輕中度肩袖損傷[J];中國骨與關(guān)節(jié)損傷雜志;2013年07期

10 汪光勝;;從解剖學(xué)角度分析高校羽毛球運(yùn)動(dòng)員肩袖損傷[J];大理學(xué)院學(xué)報(bào);2013年06期

，

本文編號(hào)：2025710