关节镜下松解与中医针灸治疗冻结肩的比较
苏孟迪;郑勇;史法见;田纪伟;
摘要(Abstract):
[目的]比较关节镜手术与中医针灸治疗冻结肩的疗效。[方法]回顾性收集本院2017年9月~2018年8月诊治的36例冻结肩的患者,根据治疗方法不同分为2组:关节镜组13例,采用关节镜手术;针灸组23例,采用中医针灸治疗,对比两组患者治疗前、治疗后6周、治疗后3个月患者的Constant-Murley肩关节评分、VAS疼痛视觉模拟评分、肩关节活动度(ROM)及恢复时间的变化。[结果]两组患者随访12~24个月,治疗前、治疗后6周、治疗后3个月Constant-Murley评分、VAS评分差异有统计学意义(P<0.01),两组患者经治疗肩关节疼痛及功能均改善;关节镜组活动度优于针灸组,经治疗两组Constant-Murley评分、VAS评分比较差异有统计学意义(P<0.05),关节镜组较针灸组花费多,差异有统计学意义(P<0.05);关节镜组较针灸组恢复时间短,差异有统计学意义(P<0.05)。[结论]关节镜下松解和针灸疗法均是治疗冻结肩的有效方法,短期疗效显著。针灸相对便宜,而关节腔清理术可以更好、更快地改善肩关节疼痛及功能。
关键词(KeyWords): 肩关节镜;针灸;冻结肩
基金项目(Foundation):
作者(Author): 苏孟迪;郑勇;史法见;田纪伟;
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DOI:
参考文献(References):
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