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針灸治療沾粘性肩關節腔炎:一病例報告

Acupuncture treatment of frozen shoulder: A case report

摘要


這是一位58歲女性,105年3月開始左右肩膀活動困難,並伴有痛感,疼痛評估視覺類比量表(visual analogue scale, VAS)為7分,梳頭左肩痛明顯,扣內衣時左肩前方痛感明顯無法扣上,左臂外展90度時會疼痛,晚上睡覺時會痛醒。故於105年5月24日於本院中醫門診就診,105年5月30日復健科確診為沾粘性肩關節腔炎。經每週2至3次針灸治療並持續復健,持續治療一年,106年5月雙手疼痛已大幅改善,疼痛評估視覺類比量表1分,雙手上舉的角度均已回復到150至170度。

並列摘要


This case is a 58-year-old woman who has difficulty moving her left and right shoulders with pain and the visual analogue scale was 7. Left shoulder pain was obvious when she combed her hair. Because of the obvious pain in the front of left shoulder caused her unable to buckle underwear. Pain can occur when the left arm is 90 degrees abducted. Sleep at night will wake up because of pain. The patient visited outpatient service at Chinese Medicine Department on 2016-05-24. Rehabilitation department diagnosed as the frozen shoulder on 2016-05-30. She acupuncture treatment 2-3 times a week and continued to rehabilitation, continuous treatment for one year. Her shoulder pain has been improved, the visual analogue scale was 1, and her shoulder joint activity has returned to 150-170 degrees.

參考文獻


Reeves B: The natural history of the frozen shoulder syndrome, Scand J Rheumatol, 1975, 4(4):193
Grey RG: The natural history of "idiopathic" frozen shoulder, J Bone Joint Surg Am, 1978, 60(4):564
王惠敏、汪薌、鐘亞彬等,平衡針灸治療肩關節周圍炎的療效觀察,頸腰痛雜誌,2015,36(3):229-231
王文遠,平衡針法臨床精要,中國中醫藥出版社,2013:23
張宏喜,針刺加刺絡拔罐治療肩關節周圍炎,中國針灸雜誌,2011,3(31):208-209

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