针刺疗法在骨折术后肩关节活动功能障碍中的临床应用

目的]观察针刺配合运动疗法治疗骨折术后肩关节活动功能障碍的临床疗效。方法]将93例肱骨外髁颈骨折术后患者随机分为温针群刺加运动组（37例）、恢刺加运动组（30例）和运动疗法组（26例）。温针群刺加运动组与恢刺加运动组取患肩部僵硬软组织进行取穴，配穴取曲池、合谷、阳陵泉，予以针刺治疗，取针后被动活动肩关节。运动疗法组先被动活动肩关节后再行主动运动训练。治疗50d后统计疗效。]结果]治疗前比较，治疗结束后3组患者的视觉拟评分（VAS）、肩关节功能、活动度评分，均有统计学意义（P〈0．05）。治疗后温针群刺加运动组与恢刺加运动组分别与运动组比较，肩关节疼痛、功能、活动度评分，均有统计学意义（P〈0．05）。结论]针刺疗法对骨折术后肩关节活动功能障碍疗效显著。

Clinical application of acupuncture on activity disturbance of the shoulder joint after operation of fracture

Objective] To observe the clinical effect of acupuncture and rehabilitation on activity disturbance of the shoulder joint after operation of fracture. Methods] All 93 patients with shoulder dysfunction induced by fracture of the lateral condylar neck were randomly divided into Warm acupuncture and rehabilitation group （37 cases） and Hui acupuncture and rehabilitation group （30 cases） and a rehabilitation group （26 cases）. The Warm acupuncture, rehabilitation goup, 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 were done. The rehabilitation group did some passive shoulder rehabilitation exercise firstly and then some active shoulder rehabilitation exercise.The curative effect was analyzed after 50 days. Results] Compared with scores before treatment, there was significant difference in the VAS of the shoulder, function, and the score of ROM after treament （P〈0.05）. After treatment, compared with the single rehabilitation, the Warm acupuncture, rehabilitation group, Hui acupuncture and rehabilitation were found with significant difference in the VAS of the shoulder, function, and the score of ROM （P〈0.05）. Conclusion] The acupuncture has obvious therapeutic effect on movement disorders of shoulder joint after operation of fracture.