论文部分内容阅读
目的:探讨肩关节周围炎的综合康复治疗方法及其治疗效果。方法:采用非甾体抗炎药、激素、关节粘连松解、肌力训练配合电疗、蜡疗、超声波等物理方法综合治疗肩关节周围炎患者50例,观察其治疗效果和并发症情况,治疗前后采用Constant-Murley评分进行评价。结果:本组50例患者中治愈30例(60%)、显效12例(24%)、有效6例(12%)、无效2例(4%),总有效率96%(48/50)。出现并发症8例(16%),大多数症状轻微且可自行或经处理后缓解消失。治疗后Constant-Murley疼痛、日常活动、关节活动、肌力评分均高于治疗前(P<0.01);Constant-Murley总分较治疗前提高超过100%(P<0.01)。结论:综合康复法治疗肩关节周围炎的疗效较好,不良反应少且轻微,能显著缓解疼痛,提高患者关节活动能力,改善日常生活能力。
Objective: To investigate the comprehensive rehabilitation of shoulder inflammation and its therapeutic effect. Methods: A total of 50 patients with periarthritis of shoulder were treated with non-steroidal anti-inflammatory drugs (NSAIDs), hormones, the release of joint adhesions, muscle strength training combined with electrotherapy, wax therapy, ultrasound and other physical methods. The therapeutic effects and complications were observed. Before and after the use of Constant-Murley score for evaluation. Results: 50 cases were cured in 30 cases (60%), effective in 12 cases (24%), effective in 6 cases (12%), invalid in 2 cases (4%), the total effective rate was 96% (48/50) . Complications occurred in 8 cases (16%), most of the symptoms can be relieved or disappeared by themselves or after treatment. Constant-Murley pain, daily activities, joint activity and muscle strength were significantly higher than those before treatment (P <0.01). The total score of Constant-Murley was over 100% (P <0.01) after treatment. Conclusion: Comprehensive rehabilitation of the treatment of periarthritis of the shoulder better curative effect, less adverse reactions and minor, can significantly relieve pain, improve patients with joint activity, improve daily living ability.