关节松动结合醋热疗法治疗肩周炎80例

目的观察关节松动结合醋热疗法治疗肩周炎的临床疗效。方法回顾性分析160例肩周炎患者的临床资料,按性别、年龄、病程、治法相匹配的原则将其分为治疗组和对照组各80例。治疗组患者接受关节松动和醋热疗法,对照组患者接受关节松动和特定电滋波治疗仪理疗,10d为1个疗程,治疗1~3个疗程。采用视觉模拟评分法(visual analogue scale,VAS)评价肩关节疼痛程度,采用美国Michaelfeese量表评价肩关节功能。结果与治疗前比较,治疗后两组VAS评分均显著降低(P0.05),肩关节功能评分均显著升高(P0.05);治疗组治疗后VAS评分下降值和肩关节功能评分升高值均显著大于对照组(P0.05)。两组临床疗效分布比较,差异具有统计学意义(P0.05)。结论关节松动结合醋热疗法可明显减轻肩周炎患者的疼痛症状,改善肩关节功能。

Clinical Effect of Joint Mobilization Combined with Vinegar Thermotherapy for Frozen Shoulder: A Study of 80 Patients

Objective To observe the clinical efficacy of joint mobilization combined with vinegar thermotherapy in the treatment of scapulohumeral periarthritis. Methods The clinical data of 160 patients with scapulohumeral periarthritis were retrospectively analyzed. All patients were equally divided into treatment group and control group based on comparability of sex, age, course of disease, and therapy. The treatment group received joint mobilization combined with vinegar thermotherapy, while the control group received joint mobilization and physiotherapy with a specific electromagnetic wave radiator. The treatment lasted for 1-3 cycles with 10 days per cycle. The intensity of shoulder pain was evaluated using the visual analogue scale (VAS), and shoulder function was assessed using the American Michaelfeese scale. Results Both groups had a significantly reduced VAS score and a significantly increased score for shoulder function after treatment (all P<0.05). The decrease in VAS score and increase in the score for shoulder function after treatment were both significantly larger in the treatment group than in the control group (P<0.05). There was a significant difference in distribution of clinical outcomes between the two groups (P<0.05). Conclusion Joint mobilization combined with vinegar thermotherapy can substantially alleviate shoulder pain and improve shoulder function in patients with scapulohumeral periarthritis.