硬膜外穿刺针松解联合封闭疗法治疗初发冻结肩的临床疗效

Clinical Efficacy of Extradural Puncture Needling Combined with Sealing Therapy for the Treatment of Initial Frozen Shoulder

摘要: 目的：探讨采用硬膜外穿刺针松解联合封闭疗法治疗初发冻结肩的临床疗效。方法：随机将符合纳入标准的70例初发冻结肩患者分为2组，各35例，观察组运用硬膜外穿刺针松解联合封闭疗法治疗，对照组予以麻醉下手法松解治疗。观察2组治疗前、治疗后1月、6月VAS评分、肩关节Constant评分对患侧肩关节进行疗效评估。结果：治疗后6月2组患者肩部疼痛及功能活动明显好转；且治疗后2组患者同时期VAS评分及Constant评分比较，观察组均优于对照组，差异有统计学意义(P < 0.05)。结论：硬膜外穿刺针松解联合封闭疗法治疗初发冻结肩近期临床疗效显著，具有操作简单安全，创伤小，恢复快等优点。

Abstract: Objective: To explore the clinical effect of extradural puncture needle release combined with closed therapy for the treatment of the initial frozen shoulder. Methods: 70 cases of frozen shoulder patients who met the inclusion criteria were randomly divided into 2 groups, 35 cases in each group. The observation group was treated with epidural puncture needle loosening combined with blocking therapy, while the control group was treated with manipulation relaxation under anaesthesia. The effect of 2 groups before and after 1-month, 6-month treatment, VAS score and shoulder joint constant score were evaluated. Results: After treatment for 6 months, shoulder pain and functional activities in 2 groups improved significantly. After treatment, the VAS score and constant score of the 2 groups in the same period were significantly better than those in the control group, the difference was statistically significant (P < 0.05). Conclusion: Epidural puncture needle release combined with blocking therapy is effective in the treatment of newly frozen shoulder. It has the advantages of simple operation, safety, small trauma and quick recovery.