余红超　郭中华　董　博　李小群　孙　菊　袁普卫　康武林

陕西中医药大学附属医院骨病科，陕西咸阳712000

针刀整体松解术结合卧位平衡手法治疗肩关节周围炎90例临床观察

余红超郭中华董博李小群孙菊袁普卫康武林

陕西中医药大学附属医院骨病科，陕西咸阳712000

目的观察应用针刀整体松解术结合卧位平衡手法治疗肩关节周围炎的效果。方法应用随机数字表法将2014年6月～2015年12月陕西中医药大学附属医院门诊和住院部收治的90例肩关节周围炎患者分为两组，治疗组45例应用针刀整体松解术结合卧位平衡手法治疗，对照组45例应用传统推拿手法，7～10 d为1个疗程，2个疗程后观察两组治疗效果。结果2个疗程后，治疗组总有效率为93.3%，对照组总有效率为82.2%，差异有统计学意义（P<0.05）；治疗3个月后，治疗组总有效率为97.8%，对照组总有效率为88.9%，差异亦有统计学意义（P<0.05）。结论针刀整体松解术结合卧位平衡手法治疗肩关节周围炎较传统推拿手法效果明显，且远期效果好，值得临床应用。

针刀整体松解术；卧位平衡手法；传统推拿手法；肩关节周围炎

［Abstract］Objective To observe the curative effect of acupotome lysis combined with supine balance manipulations in the treatment of periarthritis of shoulder.Methods According to the method of random number table，90 cases with periarthritis of shoulder admitted to the Outpatient and Inpatient Department of the Affiliated Hospital of Shaanxi University of Chinese Medicine from June 2014 to December 2015 were randomly divided into two groups.45 cases of the treatment group were treated with acupotome lysis combined with supine balance manipulations，45 cases of the control group were given traditional massage.7-10 d was as a course，the curative effect was observed after treatment for 2 courses.Results After 2 courses of treatment，the total effective rate of the treatment group was 93.3%，which of the control group was 82.2%，the difference was statistically significant（P<0.05）；after treatment for three months，the total effective rate of the treatment group was 97.8%，which of the control group was 88.9%，the difference was also statistically significant（P<0.05）.Conclusion Acupotome lysis combined with supine balance manipulations in the treatment of periarthritis of shoulder has more significant effects than traditional massage，and the long-term effect is good，which is worthy of clinical application.

［Key words］Acupotome lysis；Supine balance manipulations；Traditional massage；Periarthritis of shoulder

肩关节周围炎发病率较高，临床中多以肩关节周围疼痛、肩关节功能障碍为主要临床表现，又称为“五十肩”“冻结肩”“肩凝症”等。该病早期临床主要症状为疼痛，多以喙突、结节间沟、肩峰下、三角肌、肩胛骨外缘压痛比较明显，并且以夜间疼痛最为多见；后期多出现患肩功能障碍，肩关节功能活动范围逐渐缩小，大多以外展、后伸、上举、外旋和内旋等活动受限为主［1］，给患者生活带来诸多痛苦。虽然目前推拿治疗该病在临床上已被广泛应用［2］。但治疗后好转率高，治愈率低的现象一直存在。本研究采用针刀整体松解术结合卧位平衡……