摘要
目的:比较热敏灸结合等速肌力训练与常规运动疗法对肱骨外科颈骨折术后肩关节功能康复的疗效。方法:将62例单侧肱骨外科颈骨折术后患者随机分为对照组(32例)和治疗组(30例)。对照组采取基础药物与常规运动物理疗法,进行先被动、后主动的肩关节训练模式;治疗组对患肢处阿是穴、颈夹脊穴、风门、手三里、肩髃、肩髎、肩贞、肩前等进行腧穴热敏定性探测,后对热敏部位施以温和灸,同时进行等速肌力训练。2组治疗周期均为4周。分别于治疗前、治疗中(2周)及治疗后评价患者VAS评分、Constant评分,并在整个治疗过程中统计术后并发症发生率。结果:与治疗前相比,2组在治疗中及治疗后,VAS评分均降低、Constant评分均升高,治疗组的改善程度优于对照组,差异均有统计学意义;治疗后与治疗中比较,温针灸组VAS评分降低、Constant评分升高,对照组VAS评分降低,差异均有统计学意义。结论:热敏灸疗法有助于进一步提高肱骨外科颈骨折术后肩关节功能康复效果。
Objective:To compare the effects of heat-sensitive moxibustion combined with isokinetic muscle training and conventional exercise therapy on the rehabilitation of shoulder joint function after surgical neck fracture of the humerus.Methods:62 patients with unilateral humeral surgical neck fractures were randomly divided into a control group(32 cases)and a treatment group(30 cases).The control group took basic medicine and conventional sports physical therapy,and performed passive and then active shoulder joint training mode;the treatment group treated the affected limbs at Ashi,Cervical Jiaji,Fengmen,Shousanli,Shoulder Li,Shoulder Li,Shoulder Perform qualitative detection of heat sensitivity at acupoints such as Zhen,Jianqian,etc.,and then apply gentle moxibustion to the heat sensitive parts,and perform isokinetic muscle strength training at the same time.The treatment period of both groups was 4 weeks.The patient’s VAS score and Constant score were evaluated before treatment,during treatment(2 weeks)and after treatment,and the incidence of postoperative complications was counted during the entire treatment process.Results:Compared with before treatment,during and after treatment,the VAS scores of the two groups decreased and the Constant scores increased.The improvement of the treatment group was better than that of the control group,and the difference was statistically significant;after treatment and during treatment In comparison,the VAS score of the warm acupuncture moxibustion group decreased,the Constant score increased,and the VAS score of the control group decreased,and the difference was statistically significant.Conclusion:Heat-sensitive moxibustion is helpful to further improve the recovery effect of shoulder joint function after surgical neck fracture of humerus.
作者
赵莹莹
王家琪
栾海燕
翟宏颖
张雨薇
ZHAO Yingying;WANG Jiaqi;LUAN Haiyan;ZHAI Hongying;ZHANG Yuwei(The First Affiliated Traditional Chinese Medicine Hospital of Jinzhou Medical University,Liaoning Jinzhou 121000,China)
出处
《中医药临床杂志》
2021年第4期761-764,共4页
Clinical Journal of Traditional Chinese Medicine
关键词
肱骨外科颈骨折
热敏灸
等速肌力训练
运动疗法
术后功能康复
随机对照试验
Humeral Surgical neck fracture
Thermal moxibustion
Isokinetic training
Exercise therapy
Postoperative functional rehabilitation
Randomized controlled trial
