| 肌内效贴联合电针治疗Ⅰ型肩峰撞击综合征 |
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投稿时间：2022-05-16
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| 作者 | Author | 单位 | Address | E-Mail |
| 唐浩琛 |
TANG Hao-chen |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
13881963953@163.com |
| 胡锐 |
HU Rui |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
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| 唐流刚 |
TANG Liu-gang |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
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| 王标 |
WANG Biao |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
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| 程远东 |
CHENG Yuan-dong |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
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| 康慧敏 |
KANG Hui-min |
四川省骨科医院筋伤科, 四川 成都 610041 |
Department of Muscle Traumatology Sichuan Orthopedics Hospital,Chengdu 610041,Sichuan,China |
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| 期刊信息：《中国骨伤》2022年，第35卷，第10期，第957-962页 |
| DOI：10.12200/j.issn.1003-0034.2022.10.009 |
| 基金项目:四川省中医药管理局中医药科研专项基金(编号:2021MS358) |
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中文摘要:
目的:探讨肌内效贴联合电针治疗Ⅰ型肩峰撞击综合征的临床疗效。
方法:2019年1月至2021年6月,选取收治的82例Ⅰ型肩峰撞击综合征患者,分成治疗组和对照组。治疗组41例,女18例,男23例;年龄20~52(39.31±5.80)岁;左侧12例,右侧29例;病程3.2~35.4个月;采用肌内效贴配合电针治疗。对照组41例,男22例,女19例;年龄19~53(40.67±6.13)岁;左侧11例,右侧30例;病程3.0~36.0个月;采用单纯电针治疗。两组患者均采用电针治疗,3次/周,连续性治疗3周。治疗组每次电针治疗后,立即贴扎肌贴并保留2 d,分别于治疗前,治疗后即刻,以及治疗后1、3、8周后采用肩关节 Constant-Murley 评分,疼痛视觉模拟评分(visual analogue scale,VAS),以及肩关节活动度对治疗效果进行评估。
结果:治疗组1例在治疗1周后因对肌贴胶布过敏拒绝治疗,对照组1例在治疗1周后因对金属针过敏而拒绝治疗,其余80例完成全部治疗及随访。治疗后即刻,以及治疗后1、3、8周后治疗组VAS评分分别为(2.06±1.03)、(2.74±1.66)、(3.28±1.04)、(3.90±0.12)分,肩关节Constant-Murley 评分分别为(86.41±3.52)、(82.44±3.14)、(80.46±2.54)、(76.97±2.01)分;对照组的VAS评分分别为(3.35±0.41)、(3.08±0.92)、(3.77±0.67)、(3.96±1.04)分,肩关节Constant-Murley 评分分别为(75.82±2.73)、(74.72±1.53)、(73.66±1.53)、(70.68±1.95)分;两组治疗后即刻VAS、Constant-Murley 评分,以及肩关节活动度均优于治疗前(P<0.05),治疗后即刻两组间比较差异有统计学意义(P<0.05)。两组治疗后1周VAS、Constant-Murley 评分,以及肩关节活动度均优于治疗前(P<0.05),但VAS两组间比较差异无统计学意义(P>0.05),Constant-Murley 评分以及肩关节活动度两组间比较差异有统计学意义(P<0.05)。两组治疗后3、8周VAS、Constant-Murley 评分,以及肩关节活动度均优于治疗前(P<0.05),但两组间比较差异无统计学意义(P>0.05)。
结论:对Ⅰ型肩峰撞击综合征采用肌内效贴联合电针治疗,能够减轻局部疼痛,有效改善肩关节功能,患者运动时配合肌贴的保护,运动能力能够得到明显改善,具有良好的即时效应,而且无创伤,患者愿意接受,是一种即时有效的治疗方法。 |
| 【关键词】肩撞击综合征|电针|运动损伤|肩关节|肌内效贴 |
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| Kinesio Taping combined with electroacupuncture for the treatment of Bigliani typeⅠsubacromial impingement syndrome |
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ABSTRACT
Objective: To investigate the clinical effect of Kinesio Taping combined with electroacupuncture in the treatment of Bigliani typeⅠsubacromial impingement syndrome.
Methods: From January 2019 to June 2021,82 cases with Bigliani typeⅠsubacromial impingement syndrome were selected and divided into treatment group and control group. Treatment group included 41 cases,23 males and 18 females,aged from 20 to 52 years old,with an average of (39.31±5.80)years old. There were 12 cases on left shoulder and 29 cases on right shoulder. The course of disease was from 3.2 to 35.4 months. The treatment group was treated with Kinesio Taping and electroacupuncture. In control group,there were 41 cases,including 22 males and 19 females,aged from 19 to 53 years old with an average of (40.67±6.13) years old,30 cases on right shoulder,11 cases on left shoulder. The courses of disease was from 3.0 to 36.0 months. The control group was treated with simple shoulder electroacupuncture. Patients in both groups were treated with electroacupuncture 3 times a week for 3 weeks. After each electroacupuncture treatment in the treatment group,the Kinesio Taping was applied immediately and kept for 2 days. Before treatment,immediately after treatment,and after 1,3,8 weeks,the shoulder joint Constant-Murley score,pain visual analogue scale (VAS),and shoulder joint range of motion were used to evaluate the treatment effect.
Results: After 1 week of treatment,there was 1 patient in treatment group refused treatment due to hypersensitivity to Kinesio Taping,1 patient in control group was allergic to the metal needle and refused treatment. And the other 80 patients completed all treatment. Immediately after treatment,and 1,3,and 8 weeks after treatment,VAS of treatment group were (2.06±1.03),(2.74±1.66),(3.28±1.04),and (3.90±0.12) points,respectively. The Constant-Murley scores of shoulder joint were(86.41±3.52),(82.44±3.14),(80.46±2.54),(76.97±2.01) points. VAS of control group were(3.35±0.41),(3.08±0.92),(3.77±0.67),(3.96±1.04) points,and the Constant-Murley scores of the shoulder joint were(75.82±2.73),(74.72±1.53),(73.66±1.53),(70.68±1.95) points respectively. Immediately after treatment,VAS,Constant-Murley score,and shoulder range of motion between two groups were better than those of before treatment (P<0.05),and the difference was statistically significant between two groups after treatment (P<0.05). One week after treatment,VAS,Constant-Murley score,and shoulder joint range of motion between two groups were better than those of before treatment (P<0.05),but there was no significant difference in VAS between two groups (P>0.05). There were significant differences in the Constant-Murley score and shoulder range of motion between two groups (P<0.05). At 3 and 8 weeks after treatment,VAS,Constant-Murley score,and the range of motion of shoulder joints between two groups were better than those of before treatment (P<0.05),but there was no significant difference between two groups(P>0.05).
Conclusion: The treatment for bigliani typeⅠsubacromial impingement syndrome with Kinesio Taping combined with electroacupuncture can reduce pain,effectively improve the function of shoulder joint. In addition,with Kinesio Taping protection when motion,the patients sports ability can be improved obviously,with good immediate effect,and no trauma. If the patients are willing to accept it,it would be an immediate and effective treatment. |
| KEY WORDS Subacromial impingement syndrome|Electroacupuncture|Sport injuries|Shoulder joint|Kinesio Taping |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 唐浩琛,胡锐,唐流刚,王标,程远东,康慧敏.肌内效贴联合电针治疗Ⅰ型肩峰撞击综合征[J].中国骨伤,2022,35(10):957~962 |
| 英文格式: | TANG Hao-chen,HU Rui,TANG Liu-gang,WANG Biao,CHENG Yuan-dong,KANG Hui-min.Kinesio Taping combined with electroacupuncture for the treatment of Bigliani typeⅠsubacromial impingement syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(10):957~962 |
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