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title_diff: "[{\"diffs\":[[1,\"天冷肩周炎高发，不同阶段有不同治疗方法（附功能锻炼图解）\"]],\"start1\":0,\"start2\":0,\"length1\":0,\"length2\":28}]"
body_diff: "[{\"diffs\":[[1,\"<html>\\\r\\\n<head>\\\r\\\n  <title>天冷肩周炎高发，不同阶段有不同治疗方法（附功能锻炼图解）</title>\\\r\\\n  <basefont face=\\\"微软雅黑\\\" size=\\\"2\\\" />\\\r\\\n  <meta http-equiv=\\\"Content-Type\\\" content=\\\"text/html;charset=utf-8\\\" />\\\r\\\n  <meta name=\\\"exporter-version\\\" content=\\\"YXBJ Windows/608924 (zh-CN, DDL); Windows/10.0.0 (Win64); EDAMVersion=V2;\\\"/>\\\r\\\n  <meta name=\\\"application-data:ANDROID_CLIP_TYPE\\\" content=\\\"full_and_local\\\"/>\\\r\\\n  <style>\\\r\\\n\\tbody, td {\\\r\\\n\\t  font-family: 微软雅黑;\\\r\\\n\\t  font-size: 12pt;\\\r\\\n\\t}\\\r\\\n  </style>\\\r\\\n</head>\\\r\\\n<body>\\\r\\\n<a name=\\\"17034\\\"></a>\\\r\\\n<h1>天冷肩周炎高发，不同阶段有不同治疗方法（附功能锻炼图解）</h1>\\\r\\\n\\\r\\\n<div><span style=\\\"word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;\\\"><div style=\\\"font-size: 16px\\\"><div style=\\\"background-color:rgb(255, 255, 255);color:rgb(63, 72, 79);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:14px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;\\\"><div style=\\\"background-color:rgb(255, 255, 255);color:rgb(63, 72, 79);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:14px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;\\\"><div style=\\\"font-size:17px;\\\"><h2 style=\\\"margin:0px;padding:0px;font-weight:700;font-size:26px;color:rgb(34, 34, 34);margin-bottom:16px;\\\">天冷肩周炎高发，不同阶段有不同治疗方法（附功能锻炼图解）</h2><div style=\\\"margin:0px;padding:0px;width:100%;font-size:14px;display:inline-block;color:rgb(153, 153, 153);\\\"><a href=\\\"http://mb.yidianzixun.com/channel/m112567\\\" style=\\\"margin:0px;padding:0px;color:rgb(153, 153, 153);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:14px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;display:inline-block;margin-right:20px;\\\">骨伤的杨张张扬</a><span style=\\\"margin:0px;padding:0px;display:inline-block;color:rgb(153, 153, 153);margin-right:20px;\\\">昨天</span><span style=\\\"margin:0px;padding:0px;font-size:45px;font-style:normal;-webkit-font-smoothing:antialiased;font-family:iconfont;color:rgb(18, 154, 238);display:inline-block;margin-right:20px;vertical-align:-11px;margin-left:-5px;\\\"><span style=\\\"font-size:45px;font-style:normal;font-family:iconfont;color:rgb(18, 154, 238);\\\"></span></span><div style=\\\"margin:0px;padding:0px;position:relative;padding-right:20px;cursor:pointer;height:30px;float:right;\\\">我要分享<span style=\\\"margin:0px;padding:0px;font-size:12px;font-style:normal;-webkit-font-smoothing:antialiased;font-family:iconfont;color:rgb(153, 153, 153);font-weight:700;display:inline-block;margin-right:20px;position:absolute;right:-20px;top:0px;\\\"><span style=\\\"font-size:12px;font-style:normal;font-family:iconfont;color:rgb(153, 153, 153);font-weight:700;\\\"></span></span></div></div><div style=\\\"margin:0px;padding:0px;text-align:justify;padding-top:10px;\\\"><div style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><a href=\\\"http://mb.yidianzixun.com/channel/w/%E8%82%A9%E5%91%A8%E7%82%8E\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">肩周炎</a><span style=\\\"color: rgb(29, 29, 29);\\\">是</span><a href=\\\"http://mb.yidianzixun.com/channel/w/%E8%82%A9%E5%85%B3%E8%8A%82\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">肩关节</a><span style=\\\"color: rgb(29, 29, 29);\\\">疼痛及运动功能障碍的一种综合征，按病程进展可分为炎症期、粘连期、恢复期。根据</span><a href=\\\"http://mb.yidianzixun.com/channel/w/%E8%82%A9%E5%91%A8%E7%82%8E\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">肩周炎</a><span style=\\\"color: rgb(29, 29, 29);\\\">的不同阶段，我们可以采用不同的</span><a href=\\\"http://mb.yidianzixun.com/channel/w/%E6%B2%BB%E7%96%97%E6%96%B9%E6%B3%95\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">治疗方法</a><span style=\\\"color: rgb(29, 29, 29);\\\">。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><em style=\\\"margin:0px;padding:0px;\\\">1、</em></strong></span><span style=\\\"margin:0px;padding:0px;\\\">炎症期 </span></span></p><div><span style=\\\"color: rgb(29, 29, 29);\\\"><br/></span></div><div style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><ol><li><span style=\\\"color: rgb(29, 29, 29);\\\">以肩关节疼痛为主要表现。炎症初期，肩部疼痛难忍，常有日轻夜重的特点。在急性期应减少运动，充分休息。剧烈活动不利于炎症吸收，反而会加重炎症渗出，造成日后更广泛的关节粘连。</span></li></ol></div><ol><li><br/></li></ol><div style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><ol><li><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><em style=\\\"margin:0px;padding:0px;\\\">2、</em></strong></span><span style=\\\"margin:0px;padding:0px;\\\">急性期</span></span></li></ol></div><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">治疗以消炎止痛为主。通过辨证，采用内服外用不同中草药与膏药的配合；也可结合</span><a href=\\\"http://mb.yidianzixun.com/channel/w/%E7%90%86%E7%96%97\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">理疗</a><span style=\\\"color: rgb(29, 29, 29);\\\">如中医定向透药、中低频、电针等进行治疗。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><em style=\\\"margin:0px;padding:0px;\\\">3、</em></strong></span><span style=\\\"margin:0px;padding:0px;\\\">粘连期</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">粘连期以疼痛减轻而出现肩关节活动受限为主要表现，如不能上举，常影响日常生活。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><em style=\\\"margin:0px;padding:0px;\\\">4、</em></strong></span><span style=\\\"margin:0px;padding:0px;\\\">恢复期</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">恢复期是肩关节疼痛基本消失，关节功能开始逐渐恢复至完全恢复的阶段。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">粘连期与恢复期的治疗可在急性期的基础上，进一步辨证，必要时调整内服外用的中草药，</span><a href=\\\"http://mb.yidianzixun.com/channel/w/%E7%90%86%E7%96%97\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">理疗</a><span style=\\\"color: rgb(29, 29, 29);\\\">加以手法推拿按摩，并配合指导功能锻练。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><strong style=\\\"margin:0px;padding:0px;\\\">手法治疗与功能锻炼</strong></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">粘连期积极的治疗直接关系关节功能的恢复。主要是液压扩张+整肩三步九法，此法可有效缓解疼痛，加快炎症吸收，大大促进粘连期与恢复期的关节功能恢复。而功能锻炼方法有以下几种——</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><img src=\\\":/f79d888d9a214922a8f96fbaee65fbb4\\\" type=\\\"image/jpeg\\\" data-filename=\\\"27ca25d04b8d19b9ba9f66ecbf4f109d.jpg\\\"/></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\">蚂蚁爬墙</strong></strong></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">面对墙壁站立，用患侧手指沿墙缓缓向上爬动，上肢尽量高举到最大限度。在墙上作一记号，然后再徐徐向下回原处，反复进行，逐渐增加高度。</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><img src=\\\":/03527d951776448a96ee62af528da29e\\\" type=\\\"image/jpeg\\\" data-filename=\\\"9bdb1c8cd8208d489ec0bfb8e9a18f4d.jpg\\\"/></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\">钟摆</strong></strong></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">躯体前屈（即弯腰），上肢下垂，尽量放松肩关节周围的肌肉和韧带，然后做前后摆动练习。可在加持重物（0.5～2公斤）下做同样的前后摆动，以不产生疼痛或不诱发肌肉<a href=\\\"http://mb.yidianzixun.com/channel/w/%E7%97%89%E6%8C%9B\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">痉挛</a>为宜。</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><img src=\\\":/a83d4a0f16e04cf095a3b6dc388fb9b7\\\" type=\\\"image/jpeg\\\" data-filename=\\\"fb6d99d716869c41c2e17610929f7c7f.jpg\\\"/></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\">大小云手</strong></strong></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">患者弯腰垂臂，甩动患臂。以肩为中心，做由里向外，或由外向里的画圈运动，用臂的甩动带动<a href=\\\"http://mb.yidianzixun.com/channel/w/%E8%82%A9%E5%85%B3%E8%8A%82\\\" style=\\\"margin:0px;padding:0px;color:rgb(18, 154, 238);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:17px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial Narrow&quot;;-webkit-font-smoothing:antialiased;border:none;cursor:pointer;transition:all 0.3s;text-decoration:none;outline:none;\\\">肩关节</a>活动。幅度由小到大。</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><img src=\\\":/640120299e214945a3908374f8a8627a\\\" type=\\\"image/jpeg\\\" data-filename=\\\"e5e5d8d4055b538f31e6b0eb84464cc7.jpg\\\"/></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\">金猴抓耳</strong></strong></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">患者屈肘，手指从患侧耳朵向上，越过头顶去摸健侧耳朵，或从前额经头顶摸脑后部，反复进行。 </span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:center;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><img src=\\\":/39ea77305b0f4a9b953f269f16ad559c\\\" type=\\\"image/jpeg\\\" data-filename=\\\"32fe81e00415ab45716de18f84dbf339.jpg\\\"/></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\"><strong style=\\\"margin:0px;padding:0px;\\\">背持金棒</strong></strong></span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\"><span style=\\\"margin:0px;padding:0px;\\\">患者自然站立，背身，在患侧上肢内旋并向后伸的姿势下，健侧手持棍或毛巾上端，患侧手持下端，逐步向健侧并向上牵拉。</span></span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:justify;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">需要提醒的是，具体治疗方案及锻炼方法请在医师指导下进行。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:start;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">声明：文章转载仅作分享，如有涉及侵权烦请联系，我们将在第一时间进行删除。</span></p><p style=\\\"margin:20px 0px;padding:0px;text-indent:2em;text-align:start;\\\"><span style=\\\"color: rgb(29, 29, 29);\\\">诚邀稿件，欢迎投稿：yangzhanggk@foxmail.com。</span></p></div></div><div style=\\\"margin:0px;padding:0px;width:100%;text-align:right;\\\"><a href=\\\"#\\\" style=\\\"margin:0px;padding:0px;color:rgb(153, 153, 153);font-style:normal;font-variant:normal;font-weight:normal;font-stretch:normal;font-size:14px;font-family:&quot;Microsoft YaHei&quot;, Arial, &quot;\\\\\\\\5B8B体&quot;, &quot;Arial 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updated_time: 2025-11-28T16:20:22.911Z
created_time: 2025-11-28T16:20:22.911Z
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