|本期目录/Table of Contents|

[1]王璐璐,吕客,宋一平.放散式冲击波辩证循经取穴治疗肩周炎的临床疗效观察[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):374-377,381.[doi:10.3969/j.issn.1672-271X.2016.04.011]
 WANG Lu-lu,LV Ke,SONG Yi-ping..The effects of radial shock wave therapy on acupoints along the channel in the therapy of periarthritis humeroscapularis[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(04):374-377,381.[doi:10.3969/j.issn.1672-271X.2016.04.011]
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放散式冲击波辩证循经取穴治疗肩周炎的临床疗效观察()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年04期
页码:
374-377,381
栏目:
出版日期:
2016-08-20

文章信息/Info

Title:
The effects of radial shock wave therapy on acupoints along the channel in the therapy of periarthritis humeroscapularis
作者:
王璐璐1吕客2宋一平1
1. 221004江苏徐州,解放军97医院疼痛康复科;2. 221000江苏徐州,徐州市中医院呼吸科
Author(s):
WANG Lu-lu1 LV Ke2 SONG Yi-ping1.
1.Central Department of Pain and Rehabilitation,97 Hospital of PLA, Xuzhou, Jiangsu 221004,China; 2.Department of Respiratory, Traditional Chinese Medicine Hospital of Xuzhou City, Xuzhou, Jiangsu 221000,China
关键词:
放散式冲击波辩证循经取穴肩周炎
Keywords:
radial shock wave therapy acupoint along channel periarthritis humeroscapularis
分类号:
R686
DOI:
10.3969/j.issn.1672-271X.2016.04.011
文献标志码:
A
摘要:
目的 探讨放散式冲击波(radial shock wave therapy, RSWT)辩证循经取穴方法治疗肩周炎的疗效。方法 将96例病例分为松动手法组(32例)、放散式冲击波组(31例)和辩证循经取穴 治疗组(33例)。松动手法组应用松动手法治疗肩周炎,放散式冲击波组应用放散式冲击波治疗;辩证循经取穴组在放散式冲击波组治疗方法的基础上,配合辩证循经取穴治疗。比较3组治疗前后的疼 痛视觉模拟评分法(VAS)、关节活动度(ROM)、康复功能评分及临床疗效。结果 3组患者治疗后VAS明显减轻、肩关节活动度明显改善,康复功能明显提高(P值均为<0.01),治疗后不同时期放散式 冲击波组、辩证循经取穴组较松动手法组改善更明显(P<0.05),且辩证循经取穴组较放散式冲击波组效果更优(P<0.05)。放散式冲击波组、辩证循经取穴组较松动手法组显效率高(P<0.01),且辩 证循经取穴组更优于放散式冲击波组(P<0.05)。结论 放散式冲击波加辩证循经取穴疗法提高单纯冲击波治疗肩周炎的临床疗效,值得临床研究及推广。
Abstract:
Objective To evaluate the curative effects of radial shock wave therapy (RSWT) on acupoints along the channel in the therapy of periarthritis humeroscapularis. Methods 96 patients were divided into A, B and C group. A group used manipulation loose approach treating treat pain place, B group used RSWT treating pain place, and C group used RSWT and treated the acupoints along the related channel. The pain, ability of motion(ROM), rehabilitation rating and clinical efficacy were recorded. Results Compared to pre-treatment, the pain score, ROM, function and clinical efficacy were better in the post-treatment (P<0.01), and the efficacy of group C was better than group A and group B. Conclusion RSWT on acupoints along the channel with shoulder is better than the RSWT alone, and RSWT is worth clinical application and popularization.

参考文献/References:

[1]胥少汀,葛宝丰,徐印坎,等.实用骨科学[M]. 3版.北京:人民军医出版社,2006:1614-1618.
[2]Loew M,Daecke W,Kusnierczak D,et al.shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder Bone Joint Surg[J].J Bone Joint Surg Br,1999,81 :863-867. [3]Markus Dietmar Schofer,Frank Hinrichs,et al.High-versus low-energy extracorporeal shock wave therapy of rotator cuff tendinopathy:A prospective,randomised,controlled study[J].Acta Orthopaedica Belgica,2009,75:452-458.
[4]陈庆梅,杨卫新. 放散状体外冲击波治疗肩周炎的作用[J]. 中国康复.2012, 27(1):29-30.
[5]陈勇,彭轩,汤智伟,等. 关节松动术结合体外冲击波治疗肩周炎的疗效观察[J]. 中国康复, 2014, 29(3):192-194.
[6]张盘德,彭小文,容小川,等. 体外冲击波治疗肩周炎治疗次数与镇痛效果的关系研究[J]. 中国运动医学杂志,2014,33(6):519-523.
[7]Hsu CJ,Wang DY,Tseng KF,et al.Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder[J].J Shoulder Elbow Surg,2008,17(1):55-59.
[8]戈允申,陈世益,李云霞. 体外冲击波治疗肩关节肌腱软组织损伤35例报道[J]. 中国运动医学杂志,2011,30(11):1026-1029.
[9]曹芳莉,郭晓丽,王伍超,等. 体外冲击波联合痛点注射治疗肩周炎的临床评价[J]. 中国疼痛医学杂志,2014,35(10):722-724.
[10]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186-187.
[11]石学敏.针灸学[M].北京:中国中医药出版社2004:212-220.
[12]谭冠先.疼痛诊疗学[M].3版.北京:人民卫生出版社,2012:108-109.
[13]登昆,黄晓琳.实用康复医学[M].北京:人民卫生出版社,2009:169-169.
[14]魏秀红.体外冲击波与中医推拿[J].实用中医内科杂志,2013,27(1):125-127.
[15]吕客,宋一平,童迅,等. 经络理论在放散式冲击波疗法中的治疗近况[J]. 颈腰痛杂志,2014,35(4):309-311.
[16]海因里希·埃佛尔克,李钊.体外冲击波针灸——对一种新方法的首次总结[J].中国针灸,2006,26(12):893-895.
[17]吕客,刘芳,宋一平,等. 放散式冲击波配合运动练习及穴位冲击治疗冻结肩疗效观察[J]. 颈腰痛杂志,2015,36(1):42-46.
[18]刘西纺,孙银绨,于晓彤.发散式冲击波循经取穴治疗腰椎间盘突出症疗效观察[J].中国疼痛医学杂志,2013,19(10):592-595.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-07-20