恢刺法治疗肱骨外科颈骨折术后肩关节活动功能障碍30例临床观察

目的观察恢刺法治疗骨折术后肩关节活动功能障碍的临床疗效。方法将56例肱骨外科颈骨折术后患者随机分为2组,对照组26例予被动活动肩关节后再行主动运动训练;治疗组30例在对照组治疗基础上加恢刺法。2组均15 d为1个疗程,4个疗程后观察治疗前后肩部疼痛视觉模拟评分(VAS)、肩关节功能评分及肩关节主动运动关节活动度(ROM)评分。结果 2组治疗后肩部疼痛VAS评分、肩关节功能评分及肩关节主动运动ROM评分均较本组治疗前改善(P<0.05),治疗组改善优于对照组(P<0.05)。结论恢刺法对骨折术后肩关节活动功能障碍疗效显著。

Observation of Hui acupuncture in the treatment of movement functional impairment of shoulder joint after fracture of surgical neck of humerus

Objective To observe the clinical effect of Hui acupuncture in the treatment of movement functional impairment of shoulder joint after fracture of surgical neck of humerus.Methods All 56 patients with movement functional impairment of shoulder joint induced by fracture of surgical neck of humerus were divided randomly into a combination of Hui acupuncture and rehabilitation group（n=30） and a rehabilitation group（n=26）.The combination of Hui acupuncture and rehabilitation group were acupunctured in the rigid part of the wicked shoulder,assistant acupoints were quchi,hegu,yanglingquan;after acupuncture,some shoulder rehabilitation exercise was done.The rehabilitation group did some passive shoulder rehabilitation exercise firstly and then some active shoulder rehabilitation exercise was done.The course was 15 days in two groups.Shoulder pain visual analogue scale（VAS）,shoulder function score and shoulder joint range of motion（ROM） were observed before and after treatment.Results Compared with scores before treatment,the VAS of the shoulder,shoulder function score,and the score of ROM after treatment were improved in two groups（P0.05）.The improvement in the combination of Hui acupuncture and rehabilitation group was superior to that in a rehabilitation group（P0.05）.Conclusion The Hui acupuncture has definite effect on the treatment of movement functional impairment of shoulder joint after fracture of surgical neck of humerus.