王玉舫　柳尧花　王英杰

[摘要] 目的 观察手法松解配合超短波治疗冻结肩的护理效果。 方法 选取2014年3月～2017年3月期间于本院就诊及治疗的60例冻结肩患者为研究对象，按照随机数字表法分为两组，每组各30例，对两组患者均进行手法松解配合超短波治疗，对照组患者给予常规护理，观察组患者给予综合护理，对比并分析两组患者的效果。 结果 观察组患者的治疗优良率（96.67%）与对照组患者（80.00%）相比，组间差异明显（P<0.05），观察组患者治疗及护理后的肩部疼痛VAS评分、肩关节功能活动评分分别为（3.30±0.56）分、（155.06±20.15）分，与对照组患者的（5.01±0.80）分、（95.60±15.34）分相比，组间差异明显（P<0.05），观察组患者的护理满意度（96.67%）与对照组患者（73.33%）相比，组间差异明显（P<0.05）。 结论 对接受手法松解配合超短波治疗的冻结肩患者实施有效的护理干预效果较好。

[关键词] 手法松解；超短波；治疗；冻结肩；护理

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）22-0143-03

[Abstract] Objective To observe the efficacy of nursing via manipulation release combined with ultrashort wave in the treatment of frozen shoulder. Methods A total of 60 patients with frozen shoulder who were diagnosed and treated in our hospital from March 2014 to March 2017 were selected as the subjects. According to the random number table method， the patients were divided into two groups， with 30 patients in each group. The two groups of patients were both given manipulation release combined with ultrashort wave treatment. Patients in the control group were given routine care， and patients in the observation group were given comprehensive care. The effects of the two groups were compared and analyzed. Results The excellent and good rate of treatment in the observation group（96.67%） was compared with that in the control group（80.00%）， and the difference between groups was significant（P<0.05）. The VAS scores of shoulder pain and the scores of shoulder joint function were （3.30±0.56） and （155.06±20.15） respectively in the observation group after the treatment and nursing， and （5.01±0.80） and （95.60±15.34） in the control group. The difference between the two groups was significant （P<0.05）. The nursing satisfaction was （96.67%） in the observation group， which was significantly higher than that in the control group （73.33%）， and the difference between the two groups was significant （P<0.05）. Conclusion The effect of implementing effective nursing intervention for the patients with frozen shoulder receiving manipulation release and ultrashort wave therapy is favorable.

[Key words] Manipulation release； Ultrashort wave； Treatment； Frozen shoulder； Nursing care

凍结肩属于中老年人群中比较常见的疾病，因为冻结肩患者可出现一定的疼痛和肩功能的障碍情况，致使患者的日常生活自理能力降低，对其日常生活带来严重的不良影响[1-2]。本文选取2014年3月～2017年3月本院收治的60例冻结肩患者作为研究对象，探讨手法松解配合超短波治疗冻结肩的护理效果，现报道如下。

1资料与方法

1.1 临床资料

选择2014年3月～2017年3月在本院接受治疗的60例冻结肩患者进行研究，根据随机数字表法分为两组，每组各30例。对照组中，男16例，女14例，年龄24～63岁，平均（45.26±1.37）岁，其中，左肩17例，右肩13例；按肩关节功能进行分级，严重受限19例，极度受限11例。观察组中，男17例，女13例，年龄23～61岁，平均（45.28±1.40）岁，其中，左肩18例，右肩12例；按肩关节功能进行分级，严重受限20例，极度受限10例。本次研究通过伦理委员会审核，所有纳入的冻结肩患者和患者家属对本次研究的内容均知情并同意，均自愿参与本研究，且签署了知情同意书。……