目的：观察四步推拿手法治疗肩关节周围炎的临床疗效。方法：将120例患者随机分为观察组和对照组各60例。对照组应用醋酸泼尼松注射液1 mL 与利多卡因注射液2 mL，痛点封闭，每周1次。观察组采用四步按摩法治疗，1次/d。2组均以治疗3周为1个疗程。结果：观察组痊愈14例，显效30例，有效12例，无效4例，总有效率93.33%；对照组痊愈8例，显效24例，有效20例，无效8例，总有效率86.67%。观察组痊愈率、总有效率均高于对照组，2组比较差异有统计学意义（P＜0.05）。肩关节上举、外展、内收、前屈、后伸等活动度2组治疗后均明显改善（P＜0.05），观察组改善更明显（P＜0.05）。 VAS 及 C-M 评分2组均较治疗前显著改善(P＜0.05)，观察组改善更明显(P＜0.05)。结论：四步推拿手法治疗肩周炎疗效优于封闭疗法。%Objective: To observe clinical effects of four-step massage manipulation in treating scapulohumer-alperiarthritis. Methods: Altogether 120 patients were randomized into the observation group and the control group, 60 cases each group. The control group were applied to prednisone acetate injection, 1 mL, and lidocaine injection, 2mL, blocked in the pain points, once each week. The observation group were treated with four-step massage manipulation, once each day. Three weeks were one course of the treatment for both groups. Results: There were 14 cases cured, 30 cases markedly effective, 12 cases effective and four cases ineffective, total effective rate of the observation group was 93.33%; there were eight cases cured, 24 cases markedly effective, 20 cases effective, eight cases ineffective, total ef-fective rate of the control group was 86.67%. The observation group was higher than the control group in cure rate and total effective rate, the difference had statistical meaning (P<0.05). The motility of shoulder joint improved including upwards, abduction, adduction, anteflexion, retroflexion and others in both groups after treating (P<0.05), the improve-ments of the observation group were more obvious (P<0.05). VAS and C-M scales of both groups improved more sig-nificantly compared with before treating (P<0.05), the improvements of the observation group were more notable (P<0.05). Conclusion: Four-step massage manipulation is superior to block therapy in treating scapulohumeralperi-arthritis.
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