康复训练联合物理因子治疗肩袖损伤临床疗效观察.docVIP

康复训练联合物理因子治疗肩袖损伤临床疗效观察 　　摘 要：目的 观察康复训练联合多种物理因子治疗肩袖损伤的临床效果。方法 选取我院2015年2月～2016年12月肩袖损伤患者60例，随机分为治疗组和对照组，各30例。对照组患者采用物理因子治疗，包括中频电治疗仪及超声治疗仪、超短波治疗仪；治疗组在对照组治疗基础上增加运动康复训练，采用Neer肩关节功能评分评估两组疗程结束后治疗效果。结果 两组治疗后Neer评分与治疗前相比均具有统计学意义（P0.05）；疗程结束后治疗组评分显著高于对照组[（83.20±2.23）分vs（93.26±1.46）分]，组间差异有统计学意义（P0.05）。结论 康复训练联合多种物理因子治疗肩袖损伤，可有效促进患者肩关节功能的恢复，提高临床疗效，值得临床推广使用多手段联合治疗肩袖损伤。 　　关键词：肩袖损伤；康复训练；物理疗法 　　中图分类号：R684；R493 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.04.070 　　文章编号：1006-1959（2018）04-0184-02 　　Abstract：Objective To observe the clinical effect of rehabilitation training combined with various physical factors in the treatment of rotator cuff injury.Methods 60 patients with rotator cuff injury in our hospital from February 2015 to December 2016 were randomly divided into treatment group and control group，with 30 cases in each group.The patients in the control group were treated with physical factors，including medium-frequency electric therapeutic apparatus and ultrasonic therapeutic apparatus and ultrashort wave therapeutic apparatus.The treatment group was given exercise rehabilitation training on the basis of the control group，and the Neer shoulder function score was used to evaluate the therapeutic effect after the end of treatment.Results The Neer score of the two groups after treatment was significantly higher than that before treatment（P0.05）.After the treatment，the score of the treatment group was significantly higher than that of the control grou[（83.20±2.23）vs（93.26±1.46）]，there was significant difference between groups（P0.05）.Conclusion Rehabilitation training combined with a variety of physical factors in the treatment of rotator cuff injury can effectively promote the recovery of shoulder joint function and improve clinical curative effect.It is worth to promote the use of multiple approaches in clinical treatment of rotator cuff injury. 　　Key words：Rotator cuff injury；Rehabilitation training；Physiotherapy 　　肩袖由四块肌肉构成：冈上、下肌，小圆肌及肩胛下肌，肩袖损伤常因四块肌腱出现损伤或无菌性炎症，表现为肩部疼痛、持续压