【摘要】 目的 探讨小针刀精准治疗肩凝症的临床效果。方法 选取龙口市中医医院针灸康复科2016年10月—2021年10月诊疗的100例肩凝症患者作为研究对象，采用随机数表法分为对照组（n=50）和观察组（n=50）。对照组采用针灸理疗配合关节松动的治疗方法，观察组采用小针刀精准治疗配合关节松动的治疗方法。比较两患者治疗前后疼痛评分、肩关节功能评分及临床疗效。结果 治疗前，两组视觉模拟评分（Visual Analog Scoring,VAS）比较，差异无统计学意义（P>0.05）。治疗后，两组VAS评分均下降，差异有统计学意义（P<0.05），观察组VAS评分低于对照组，差异有统计学意义（P<0.05）。治疗前，两组肩关节功能评分比较，差异无统计学意义（P>0.05）。治疗后，两组肩关节功能评分较治疗前提高，差异有统计学意义（P<0.05），观察组肩关节功能评分高于对照组，差异有统计学意义（P<0.05）。观察组有效率为98.0%高于对照组有效率，差异有统计学意义（χ~2=4.396,P<0.05）。结论 与传统治疗方法相比，小针刀精准治疗肩凝症的操作过程是在“盲视”的情况下直达病灶，对病灶组织进行切割、剥离和松解，具有简单、快捷、便利、创口小、恢复快、不影响日常工作及生活的优点，易于为患者接受，且精准治疗可以减少治疗部位，并获得较为显著的治疗效果。更多还原

【Abstract】 Objective To explore the clinical effect of small needle knife in precise treatment of shoulder coagulation.Methods A total of 100 patients with shoulder coagulation who were diagnosed and treated in the acupuncture and rehabilitation Department of Longkou Hospital of Traditional Chinese Medicine from October 2016 to October 2021 were selected as the research objects. They were divided into the control group(n=50) and the observation group(n=50) by random number table method. The control group was treated with acupuncture physiotherapy combined with the treatment of joint loosening, while the observation group received precise treatment with small needle knife combined with the treatment of joint loosening. Comparison of pain scores, shoulder joint function scores before and after treatment and clinical efficacy in the two patient groups.Results There was no statistically significant difference in Visual Analog Scoring(VAS) scores between the two groups before treatment(P>0.05). After treatment, the VAS scores in both groups decreased, the difference was statistically significant(P<0.05), and the VAS scores in the observation group were lower than those in the control group, the difference was statistically significant(P<0.05).There was no statistically significant difference in shoulder joint function scores between the two groups before treatment(P>0.05). After treatment, the shoulder joint function scores of the two groups were improved compared with those before treatment, the difference was statistically significant(P<0.05), and the shoulder joint function scores of the observation group were higher than those of the control group, the difference was statistically significant(P<0.05). The effective rate of the observation group was 98.0% higher than that of the control group, the difference was statistically significant(χ~2=4.396, P<0.05).Conclusion Compared with traditional treatment methods, the operation process of small needle knife in the precise treatment of shoulder coagulation is to directly reach the lesion under the condition of "blind vision", and to cut, peel and release the lesion tissue, which is simple, fast, convenient, and incision. It has the advantages of small size, quick recovery, and does not affect daily work and life. It is easy for patients to accept, and precise treatment can reduce the number of treatment sites and obtain more significant therapeutic effects.更多还原