羌活胜湿汤加味联合关节松动术治疗肩周炎临床研究
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Clinical Study on Modified Qianghuo Shengshi Tang Combined with Joint Loosening on Scapulohumeral Periarthritis
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    摘要:

    目的:观察羌活胜湿汤加味联合关节松动术治疗肩周炎的临床疗效。方法:选取肩周炎患者82 例,按随机数字表法分为对照组和治疗组各41 例。2 组均给予双氯芬酸钠缓释片治疗,对照组给予关节松动术治疗,治疗组在对照组的基础上给予羌活胜湿汤加味内服。2 组均连续治疗4 周,观察比较2 组疼痛视觉模拟评分法(VAS) 评分、美国肩与肘协会评分系统(ASES) 评分及临床疗效。结果:治疗组总有效率为95.12%对照组为75.61%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组VAS、ASES 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组VAS 评分较治疗前降低(P<0.05),ASES 评分较治疗前升高(P<0.05);且治疗组VAS、ASES 评分改善较对照组更显著(P<0.05)。治疗前,2 组前屈、后伸、外展、内收、外旋各方向活动度比较,差异无统计学意义(P>0.05)。治疗后,2 组前屈、后伸、外展、内收、外旋等各方向活动度均较治疗前增加(P<0.05),且治疗组各肩关节活动度明显大于对照组(P<0.05)。结论:羌活胜湿汤加味联合关节松动术治疗肩周炎能有效减轻疼痛,改善肩关节活动度,临床疗效肯定。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of modified Qianghuo Shengshi tang combined with joint loosening on scapulohumeral periarthritis. Methods: A total of 82 patients with scapulohumeral periarthritis were divided into the control group and the treatment group according to the random number table method, with 41 cases in each group. Both groups were treated with diclofenac sodium sustained release tablets. The control group was additionally treated with joint loosening,and the treatment group was additionally treated with modified Qianghuo Shengshi tang orally based on the treatment of the control group. Both groups were treated for four weeks continuously. After treatment,the scores of Visual Analogue Scale(VAS) and American Shoulder and Elbow Surgeons(ASES) and clinical effects in the two groups were observed and compared. Results: The total effective rate was 95.12% in the treatment group and 75.61% in the control group, the difference being significant(P<0.05). Before treatment,there were no significant difference being found in the comparison of scores of VAS and ASES between the two groups(P>0.05). After treatment,the scores of VAS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of ASES were increased(P<0.05); the improvement in the scores of VAS and ASES in the treatment group was more significant than that in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparisons of the ranges of motion of anteflexion, posterior extension, abduction, addiction and external extension between the two groups(P>0.05). After treatment, the ranges of motion of anteflexion, posterior extension, abduction, addiction and external extension in the two groups were improved when compared with those before treatment(P<0.05),and the above five ranges of motion of shoulder joint in the treatment group were wider than those in the control group(P<0.05). Conclusion:The therapy of modified Qianghuo Shengshi tang combined with joint lossening can reduce the pain and improve the range of motion of shoulder joint,with a definite clinical effect.

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劳佳宁,朱荣耀,金建淼.羌活胜湿汤加味联合关节松动术治疗肩周炎临床研究[J].新中医,2022,54(20):18-21

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  • 在线发布日期: 2022-10-28
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