耳穴贴压联合塞来昔布胶囊治疗肩周炎临床研究
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R246

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温州市基础性科研项目(Y2020407)


Clinical Study on Auricular Point Sticking and Pressing Combined with Celecoxib Capsules for Periarthritis of Shoulder
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    摘要:

    目的:观察耳穴贴压联合塞来昔布胶囊治疗肩周炎对患者短期疗效及肩关节功能的影响。方法: 选取64 例肩周炎患者为研究对象,采用随机数字表法分为西药组及中西结合组各32 例。西药组给予塞来昔布 胶囊治疗,中西结合组在西药组基础上联合耳穴贴压治疗,14 d 为1 个疗程。比较2 组临床疗效及不良反应, 比较2 组治疗前、治疗1 d、7 d、14 d 时视觉模拟评分法(VAS) 评分、疼痛递质[β-内啡肽(β-EP)、前列 腺素E2(PGE2)] 水平,并比较2 组治疗前后Constant-Murley 肩关节功能活动量表(CMS) 评分。结果:治 疗14 d 后,中西结合组总有效率93.75%,高于西药组75.00%(P<0.05)。治疗1 d、7 d、14 d,2 组VAS 评 分均逐渐降低(P<0.05),且治疗7 d、14 d,中西结合组VAS 评分低于同期西药组(P<0.05)。治疗1 d、 7 d、14 d,2 组血清β-EP 水平均逐渐升高(P<0.05),PGE2 水平均逐渐降低(P<0.05),且治疗7 d、14 d 时中西结合组β-EP 水平高于同期西药组(P<0.05),PGE2 水平低于同期西药组(P<0.05)。治疗后,2 组关 节活动度、疼痛、日常生活CMS 评分均升高(P<0.05),且中西结合组高于西药组(P<0.05)。2 组不良反应 总发生率比较,差异无统计学意义(P>0.05)。结论:耳穴贴压联合塞来昔布胶囊治疗肩周炎镇痛效果良好, 可促进患者肩关节功能恢复。

    Abstract:

    Abstract: Objective: To observe the influence of the therapy of auricular point sticking and pressing combined with Celecoxib Capsules on the short- term therapeutic effect and shoulder joint function in patients with periarthritis of shoulder. Methods: A total of 64 patients with periarthritis of shoulder were selected as the study objects and divided into the western medicine group and the integrated Chinese and western medicine group by random number table method, with 32 cases in each group. The western medicine group was treated with Celecoxib Capsules, and the integrated Chinese and western medicine group was additionally treated with auricular point sticking and pressing based on the treatment of the western medicine group,with 14 days being one course. The clinical effects and adverse reactions in the two groups were compared. Before treatment and 1 day,7 days,and 14 days after treatment,the scores of Visual Analogue Scale (VAS) and the levels of pain transmitters , including β- endorphin ( β- EP) and prostaglandin E2 (PGE2), were compared between the two groups. Before and after treatment, the Constant- Murley Score (CMS) was compared between the two groups. Results: Fourteen days after treatment, the total effective rate was 93.75% in the integrated Chinese and western medicine group, higher than that of 75.00% in the western medicine group (P<0.05). At 1 day,7 days and 14 days after treatment,the VAS scores in the two groups were gradually decreased (P<0.05);7 days and 14 days after treatment,the VAS score in the integrated Chinese and western medicine group was lower than that in the western medicine group (P<0.05). At 1 day,7 days and 14 days after treatment,the serum β-EP levels in the two groups were gradually increased (P<0.05), and the PGE2 levels were gradually decreased (P< 0.05); At 7 days and 14 days after treatment, the β- EP levels in the integrated Chinese and western medicine group were higher than those in the western medicine group (P<0.05),and the PGE2 levels were lower than those in the western medicine group (P<0.05). After treatment, the joint motion, pain and CMS scores of daily life in the two groups were increased (P<0.05), and the above indexes in the integrated Chinese and western medicine group were higher than those in the western medicine group (P< 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion:The therapy of auricular point sticking and pressing combined with Celecoxib Capsules has a good analgesic effect on periarthritis of shoulder and can promote the recovery of shoulder joint function.

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方芳,蒋越,李灵浙,瞿一新,宋丰军.耳穴贴压联合塞来昔布胶囊治疗肩周炎临床研究[J].新中医,2023,55(23):205-209

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  • 在线发布日期: 2023-12-13
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