文章摘要
孙天宝,张儒志,方璐,王季,柳芳.综合康复治疗肩周炎的疗效观察[J].中国康复,2013,(1):43-45
综合康复治疗肩周炎的疗效观察
Curative effectiveness of oral pregabalin combined with transcutaneous electric nerve stimulation in the treatment of abdominal postherpetic neuralgia
  
DOI:
中文关键词: 推拿  关节松动术  肌肉牵拉技术  肩周炎
英文关键词: pregabalin transcutaneous electric nerve stimulation  postherpetie neuralgia
基金项目:湖南省教育厅基金(11C1105);湖南省卫生厅基金(B2011-055);衡阳市科技局基金(2011KS12)
作者单位
孙天宝 广东省工伤康复医院康复科广东 广州 510970 
张儒志 广东省工伤康复医院康复科广东 广州 510970 
方璐 广东省工伤康复医院康复科广东 广州 510970 
王季 广东省工伤康复医院康复科广东 广州 510970 
柳芳 广东省工伤康复医院康复科广东 广州 510970 
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中文摘要:
      目的:观察推拿、关节松动术、肌肉牵拉和肩关节体操相结合治疗肩周炎的临床疗效。方法:肩周炎患者71例,依据不同的病理特点分期给予不同的治疗方法。其中冻结前期33例,以推拿治疗为主,松动术和肌肉牵拉为辅;冻结期38例,以关节松动术、肌肉牵拉技术为主,推拿治疗为辅;前2期均配合肩关节体操的锻炼,恢复期以肩关节体操的锻炼为主。结果:治疗后,71例患者肩关节疼痛VAS评分明显低于治疗前(P<0.05),肩关节活动范围、肌力评分均较治疗前明显增加(均P<0.05)。患者治愈率为54.93%,总有效率100%。结论:推拿、关节松动术、肌肉牵拉技术和肩关节体操相结合,分不同病期协调运用,对肩周炎有显著疗效。
英文摘要:
      Objective.. To observe the effectiveness of oral pregabalin combined with transcutaneous electric nerve stimulation in the treatment of postherpetic neuralgia. Methods:Fifty-two cases of postherpetic neuralgia were randomly divided into control group and observation group. Both groups were given oral pregabalin 300 rag,twice daily for 4 weeks,and observation group was given transcutaneous electric nerve stimulation in the pain spot additionally, Visual analogue scale (VAS) and sleep quality score (QS) were used to assess the effects,and adverse reactions were observed. Results : After treatment for 1,2,3,4 weeks, VAS and QS scores were significantly decreased in both groups as compared with pretreatment(all P〈0.05), more significantly in observation group than in control group (all P〈0.05). The adverse effects between the two groups had no significant difference. Conclusion:Pregabalin plus transcutaneous electric nerve stimulation can effectively relieve postherpetic neuralgia and improve sleep quality,with no obvious adverse effects.
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