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目的探讨麻醉下手法松解联合中西医综合法治疗重症冻结期肩周炎的临床疗效。方法将95例重症冻结期肩周炎患者随机分为试验组48例和对照组47例,试验组给予麻醉下手法松解中西医综合方法治疗,对照组给予麻醉下手法松解治疗,比较2组患者的治疗效果及不良反应发生情况。结果试验组治疗有效率为93.75%高于对照组的72.34%,差异有统计学意义(P<0.05)。2组患者治疗前疼痛、力量、运动范围以及日常活动等指标水平均相近(P>0.05),治疗后上述指标水平均有所改善,且试验组改善程度大于对照组,差异均存在统计学意义(P<0.05)。试验组治疗后生活质量评分高于对照组,差异有统计学意义(P<0.05)。试验组治疗后不良反应发生率为12.50%低于对照组的25.53%,差异有统计学意义(P<0.05)。结论麻醉下手法松解联合中西医综合法治疗重症冻结期肩周炎具有较好的临床疗效,值得临床推广应用。
Objective To explore the clinical efficacy of anesthesia combined with manipulation and integrative Chinese and Western medicine in the treatment of frozen shoulder periodontitis. Methods A total of 95 patients with severe frozen shoulder periarthritis were randomly divided into experimental group (n = 48) and control group (n = 47). The experimental group was given anesthesia with manipulation of traditional Chinese medicine and western medicine, while the control group was treated by anesthesia, Group of patients with treatment and adverse reactions occurred. Results The effective rate of the experimental group was 93.75% higher than that of the control group (72.34%), the difference was statistically significant (P <0.05). Before treatment, the two groups of patients had similar levels of pain, strength, exercise range and daily activities (P> 0.05). The levels of these indexes improved after treatment, and the degree of improvement in the experimental group was greater than that in the control group, with statistical significance (P <0.05). The quality of life of the experimental group after treatment was higher than that of the control group, the difference was statistically significant (P <0.05). The incidence of adverse reactions in the experimental group was 12.50% lower than that in the control group (25.53%), the difference was statistically significant (P <0.05). Conclusion Under the anesthesia combined with manipulation of integrated traditional Chinese and Western medicine in the treatment of frozen shoulder period has a good clinical curative effect, worthy of clinical application.