来源：风湿病与关节炎,2019,8（1）:28-31.

针刀整体松解联合肌内效贴贴扎治疗肩周炎33例临床观察（临床研究）

邢海清，岳瑞卿，叶少奇，苏　寅

　　【摘　要】目的：观察针刀整体松解联合肌内效贴贴扎治疗肩周炎的临床疗效。方法：将63例肩周炎患者随机分为治疗组33例和对照组30例。治疗组采用针刀整体松解术配合肌内效贴贴扎治疗，对照组采用传统温针+推拿手法治疗。观察2组临床疗效，以及治疗前后Constant-Murley肩关节功能评分。结果：治疗组优25例，良6例，中1例，差1例，总有效率为96.93%；对照组优17例，良8例，中1例，差4例，总有效率为86.67%。2组比较，差异有统计学意义（P < 0.05）。治疗后，2组Constant-Murley各项评分和总评分较治疗前均有显著改善（P < 0.01），且治疗组优于对照组（P < 0.05）。结论：针刀整体松解术联合肌内效贴贴扎治疗肩周炎，不仅有效缓解肩周炎患者的疼痛，消除肌肉异常紧张，而且有利于肩关节周围组织的修复，使肩关节结构形成一种新的动态力学平衡。

　　【关键词】　肩周炎；针刀疗法；肌内效贴；Constant-Murley肩关节功能评分；临床疗效

Clinical Observation on 33 Cases of Scapulohumeral Periarthritis Treated by Needle-knife Holistic Release Combined with Kinesio Taping

XING Hai-qing,YUE Rui-qing,YE Shao-qi,SU Yin

　　【ABSTRACT】Objective:To observe the clinical efficacy and mechanism of needle-knife holistic release combined with kinesio taping in the treatment of scapulohumeral periarthritis.Methods:Sixty-three patients with scapulohumeral periarthritis were randomly divided into a treatment group（33 cases）and a control group（30 cases）.The treatment group was treated with needle-knife holistic release combined with kinesio taping,while the control group was treated with traditional warm needle and massage.The clinical efficacy and Constant-Murley scores of the two groups were observed before and after treatment.Results:In the treatment group,25 cases were excellent,6 cases were good,1 case was middle,1 case was difference,and the total effective rate was 96.93%;while in the control group,17 cases were excellent,8 cases were good,1 case was middle,4 cases were difference,and the total effective rate was 86.67%.There was a significant difference between the two groups（P < 0.05）.After treatment,the Constant-Murley scores and total scores of the two groups were significantly improved compared with those before treatment（P < 0.01）,and the treatment group was better than the control group（P < 0.05）.Conclusion:Needle-knife holistic release combined with kinesio taping can effectively alleviate the pain of patients with scapulohumeral periarthritis,eliminate abnormal muscle tension,help to repair the tissue around the shoulder joint,and make the structure of the shoulder joint develop a new dynamic mechanical balance.

　　【Keywords】 scapulohumeral periarthritis;needle-knife therapy;kinesio taping;Constant-Murley score;clinical efficacy