| 浮针疗法促进肱骨外科颈骨折患者术后功能康复:随机对照研究 |
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| 引用本文： | 葛鸿庆,白有翼,唐彬彬,管华.浮针疗法促进肱骨外科颈骨折患者术后功能康复:随机对照研究[J].中国针灸,2019(5):473-476. |
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| 作者姓名： | 葛鸿庆 白有翼 唐彬彬 管华 |
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| 作者单位： | 广州中医药大学第二临床医学院芳村骨科;广东省高州市中医院骨伤五科 |
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| 摘 要： | 目的:在药物及康复训练治疗基础上,比较浮针疗法刺激肌筋膜激痛点(myofascial trigger point,MTrP)与常规电针对肱骨外科颈骨折术后肩关节功能康复的疗效。方法:将72例单侧肱骨外科颈骨折术后患者随机分为浮针组(35例)和电针组(37例)。在基础治疗的同时,两组患者均在术后第2天予以干预,浮针组于患肢处触及MTrP,并用浮针在其周围进行扫散;电针组取患侧合谷、曲池、外关穴,予以电针治疗,选用疏密波(4 Hz/20 Hz)。每天治疗1次,共治疗2周。采用疼痛视觉模拟评分(visual analogue scales,VAS)、Constant肩关节评分、MTrP数量变化,分别于治疗前、治疗后及治疗结束后3个月评价患侧肩关节疼痛及功能状态。结果:与治疗前相比,两组在治疗后及治疗后3个月,VAS评分均降低、Constant评分均升高、MTrP数量均减少(均P<0.05),但浮针组的改善程度优于电针组(均P<0.05);治疗后3个月与治疗后比较,浮针组VAS评分降低、Constant评分升高(P<0.05),电针组VAS评分降低(P<0.05)。结论:浮针疗法有助于肱骨外科颈骨折术后肩关节功能康复,其疗效优于常规电针疗法。
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| 关 键 词： | 肱骨外科颈骨折 浮针疗法 肌筋膜激痛点 术后功能康复 随机对照试验 |
Floating needle therapy for postoperative functional rehabilitation in patients with surgical neck fracture of humerus: a randomized controlled trial |
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| GE Hong-qing,BAI You-yi,TANG Bin-bin,GUAN Hua.Floating needle therapy for postoperative functional rehabilitation in patients with surgical neck fracture of humerus: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2019(5):473-476. |
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| Authors: | GE Hong-qing BAI You-yi TANG Bin-bin GUAN Hua |
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| Institution: | (Department of Orthopaedics,the Second Clinical Medical College,Guangzhou University of CM,Guangzhou 510120,Guangdong Province,China;Department of Orthopaedics,Gaozhou Hospital of TCM) |
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| Abstract: | GE Hong-qing;BAI You-yi;TANG Bin-bin;GUAN Hua(Department of Orthopaedics,the Second Clinical Medical College,Guangzhou University of CM,Guangzhou 510120,Guangdong Province,China;Department of Orthopaedics,Gaozhou Hospital of TCM) |
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| Keywords: | surgical neck fracture of the humerus floating needle therapy myofascial trigger point(MTrp) postoperative functional rehabilitation(MTrp) randomized controlled trial(RCT) |
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