点压按摩第二掌骨全息穴点联合冲击波治疗慢性肩袖损伤的临床研究

摘要 目的：探究点压按摩第二掌骨全息穴点联合冲击波治疗慢性肩袖损伤患者的临床疗效。方法：选取2019年1月-2019年12月本院接诊的122例慢性肩袖损伤患者展开研究，使用随机数字表法将两组患者随机分为研究组和常规组，每组患者均61例。给予常规组患者体外冲击波治疗，在常规组治疗的基础上给予研究组患者第二掌骨全息穴点点压按摩治疗。观察两组患者的临床疗效、美国加州大学肩关节评分量表(UCLA)评分、视觉疼痛模拟评分（VAS）、肩关节活动度(ROM)以及并发症的发生率。结果：研究组患者的总有效率显著高于常规组（P＜0.05）；治疗后，两组患者的UCLA评分均得到显著改善，且研究组患者改善优于常规组（P＜0.05）；两组患者的VAS评分显著降低，且研究组患者VAS评分显著低于常规组（P＜0.05）；两组患者的前屈、外展、体侧外旋ROM均优于治疗前，研究组患者ROM显著优于常规组（P＜0.05）。治疗后随访1年，研究组患者并发症发生率显著低于常规组（P＜0.05）。结论：第二掌骨全息穴点点压按摩结合冲击波治疗慢性肩袖损伤患者，可以提升患者的临床疗效，改善患者的肩关节功能，减轻疼痛，降低患者的并发症，具有较高的临床意义，值得在临床推广使用。

Clinical Study on the Treatment of Chronic Rotator Cuff Injury by Point Pressing and Massage of Second Metacarpal Holographic Point Combined with Shock Wave

ABSTRACT Objective: To explore the clinical effect of point pressing and massage of second metacarpal holographic point combined with shock wave in the treatment of patients with chronic rotator cuff injury. Methods: 122 patients with chronic rotator cuff injury who were admitted to our hospital from December 2019 to January 2019 were selected for the study, Two groups of patients were randomly divided into study group and conventional group by random number table method, with 61 patients in each group. The patients in the conventional group were given extracorporeal shock wave therapy, and the patients in the study group were given the second metacarpal holographic pressing and massage therapy on the basis of the conventional group. The clinical efficacy, University of California at Los Angeles (UCLA) score, Visual analougue Scale (VAS), range of motion (ROM) and the incidence of complications in the two groups were observed. Results: The total effective rate in the study group was significantly higher than that in the conventional group (P<0.05). After treatment, the UCLA scores in two groups were significantly improved, and the improvement in the study group was better than that in the conventional group (P<0.05). VAS score in two groups was significantly decreased, and VAS score in the study group was significantly lower than that in the conventional group(P<0.05). ROM of flexion, abduction and lateral external rotation in two groups were better than those before treatment, and ROM in study group was significantly better than that in conventional group (P<0.05). Followed up for 1 year after treatment, the incidence of complications in the study group was significantly lower than that in the conventional group (P<0.05). Conclusion: The second metacarpal holographic point pressing and massage combined with shock wave treatment of patients with chronic rotator cuff injury can improve the clinical efficacy of patients, improve the function of patients'' shoulder joint, relieve pain, reduce the complications of patients, has a high clinical significance, worthy of clinical application.