【作者】 张雄文； 黄强民； 王建龙； 纳强； 王俊；

【Author】 Xiong - Wen Zhang, Qiang - Min Huang, Jian - Long Wang, et al.. Department of Orthopedics, People Hospital of Yuxi City, Yuxi(653100) Yunnan Province.

【机构】 云南省玉溪市人民医院骨科；

【摘要】 目的:肩周肌筋膜炎的触发点治疗效果的临床观察。方法:本组30例肩周肌筋膜炎的病人,肩关节前屈、外展受限,应用1%利多卡因对肩周的三角肌、肱二头肌进行针刺治疗,并进行三角肌、肱二头肌的牵张锻炼。结果:治疗前肩关节活动外展角度平均46.3度,前屈平均33.5度。治疗后外展角度平均113.4度,前屈角度平均98.4度。治疗前后疼痛评分为5.9(±0.99)和1.40 (±O.67),p<0.001有非常显著的差异。更多还原

【Abstract】 Object: To observe and study periarthritis of shoulder treated with myofascial trigger points around shoulder muscles and clinical effects. Methods: 30 cases were suffering from shoulder periathritis with the motion restriction of abduction and anterior flexion of shoulder, we used the needling method, rapidly puncturing trigger points in bicep brachii and deltoid muscle. Results: Before treatment, abduction and anterior flexion for the patients averaged only 46. 3 and 33.50, respectively. Mean grade of pain was 5.9 ±0. 99. After treatment, all of above situations were changed to 113.4 and 98.40, respectively. The mean grade of pain reduced to 1.4±0. 67,p<0.01. the total efficiency was 100% . Conclusion: Periarthritis of shoulder actually is a kind of myofascial trigger point at the muscles a-round shoulder, especially for bicep brachii and deltoid muscles. Therefore, needling method is effective for the treatment.更多还原