【摘要】 目的:观察离筋刀联合拨利手法治疗肩胛提肌损伤的临床疗效。方法:选取90例肩胛提肌损伤患者,随机分为观察组、针刀组、按摩组,每组30例。观察组采用离筋刀联合拨利手法治疗,针刀组采用常规针刀治疗,先拿揉松解颈项肌肉,再施以传统按摩手法治疗。3组均每周治疗1次,1月为1个疗程,随访时间为3个月。比较3组疼痛缓解情况、临床疗效及复发率。结果:VAS评分治疗后3组均较治疗前明显下降,(P<0.05);治疗后观察组与针刀组、按摩组比较,差异有统计学意义(P<0.05);治疗后针刀组与按摩组比较,差异无统计学意义(P>0.05)。总有效率观察组为90.0%(27/30),针刀组为73.3%(22/30),按摩组为73.3%(22/30),观察组与针刀组、按摩组比较,差异有统计学意义(P<0.05);针刀组与按摩组比较,差异无统计学意义(P>0.05)。3个月随访时复发率观察组为16.7%(5/30),针刀组为40.0%(12/30),按摩组为46.7%(14/30)。复发率观察组与针刀组、按摩组比较,差异有统计学意义(P<0.05);针刀组与按摩组比较,差异无统计学意义(P>0.05)。结论:离筋刀联合拨利手法治疗肩胛提肌损伤临床疗效优于单纯采用针刀或传统按摩手法。更多还原

【Abstract】 Objective: To observe clinical effects of tendon-separating knife and Boli manipulation in the treatment of Levator scapula injury. Methods: Ninety patients were selected and randomized into the observation group, needle-knife group and massage group, 30 cases each group. The observation group adopted tendonseparating knife and Boli manipulation, needle-knife group used conventional needle-knife, first massage and release the neck muscle, and then apply traditional massage technique. Three groups were treated once each week,one month was one course, and they were followed for three months. To compare clinical effects, pain relief condition and relapse rate of three groups. Results: VAS scores lowered after treating than before treating, and the difference showed statistical meaning(P<0.05); after treating, the differences were statistically significant when the observation group was compared with needle-knife group and massage group(P<0.05); the difference had no statistical meaning when the needle-knife group was compared with massage group after treating(P>0.05). Total effective rate of the observation group was 90.0%(27/30), the needle-knife group 73.3%(22/30), and massage group 73.3%(22/30), the difference was statistically significant when the observation group was compared with the needle-knife group and massage group(P<0.05); the difference had no statistical meaning when needle-knife group was compared with massage group(P>0.05). After three-month follow-ups, the relapse rate of the observation group was 16.7%(5/30), needle-knife group 40.0%(12/30) and massage group 46.7%(14/30). The difference had statistical meaning in relapse rates when the observation group was compared with needle-knife group and massage group(P<0.05); the difference had no statistical meaning when needle-knife group was compared with massage group(P>0.05). Conclusion: Clinical effects of tendon-separating knife and Boli manipulation in the treatment of Levator scapula injury are superior to these of only needle-knife or traditional massage technique.更多还原