强筋健骨胶囊联合双氯芬酸钠肠溶片治疗肩周炎的临床观察  

Clinical observation on treatment effect of Qiangjin Jiangu capsule com-bined with diclofenac sodium enteric-coated tablet to treat periarthritis humeroscapularis

作　　者：王仰国 李文华 邹寻 

机构地区：[1]江西康宁医院药剂科,江西宜春331211

出　　处：《中国当代医药》2016年第17期132-135,共4页China Modern Medicine

摘　　要：目的探讨强筋健骨胶囊联合双氯芬酸钠肠溶片治疗肩周炎的临床疗效。方法选择2012年1月~2013年9月于我院门诊或住院的100位肩周炎患者,采取随机对照的方法将其分成治疗组（A组）和对照组（B组）,每组50例,药剂科专人设盲。A组采用强筋健骨胶囊联合双氯芬酸钠肠溶片治疗,口服双氯芬酸钠肠溶片50 mg/次,3次/d,联用黄酒送服强筋健骨胶囊,6粒/次（年长或体弱者选择4粒）,2次/d。B组单用双氯芬酸钠肠溶片治疗,口服双氯芬酸钠肠溶片50 mg/次,3次/d。两组均10 d为一个疗程,3个疗程后随访观察肩周炎治疗情况并由药剂科专人揭盲。结果治疗后两组患者的疼痛均明显缓解,VAS评分均显著下降（P〈0.05）;治疗后,A组患者的VAS评分低于B组,差异有统计学意义（P〈0.05）。A组治疗总有效率为94%,高于B组的66%,差异有统计学意义（P〈0.05）。两组患者治疗后均能改善肩关节各方向活动度,且A组在恢复肩关节上举、外展、后伸、内外旋方面优于B组,差异有统计学意义（P〈0.05）。结论强筋健骨胶囊联合双氯芬酸钠肠溶片治疗肩周炎优于单用双氯芬酸钠肠溶片治疗,不良反应较小,是一种安全有效的方法。同时也显示中西医结合治疗肩周炎的临床疗效更好。Objective To investigate the clinical treatment effect of Qiangjin Jiangu capsule combined with diclofenac sodium enteric-coated tablet in the treatment periarthritis humeroscapularis.Methods 100 patients with scapulohumeral periarthritis in our hospital outpatient or hospitalization from January 2012 to September 2013 were selected and devided into treatment group（group A） and control group（group B） in random control method,each group had 50 cases.Patients in group A were treated with diclofenac sodium enteric-coated tablet combined with Qiangjin Jiangu capsule,took diclofenac sodium enteric-coated tablet by oral therapy for 50 mg per time and 3 times per day,took Qiangjin Jiangu capsule with yellow wine for 6 pills per time（elderly or infirm patients took 4 pills） and 2 times per day.Patients in group B were only treated with diclofenac sodium enteric-coated tablet,took diclofenac sodium enteric-coated tablet by oral therapy for 50 mg per time and 3 times per day.Both group A and group B were treated for 10 days as a treatment process,then made follow-up observation on the situation of periarthritis humeroscapularis after 3 treatment processes.Results After treatment,the pain of two groups patients with was significantly relieved respectively,VAS scores was significantly decreased respectively（P〈0.05）;The VAS score of group A was lower than that of group B,and the difference was statistically significant（P〈0.05）.The total effective rate of group A was 94%,higher than that of B group（66%）,and the difference was statistically significant（P〈0.05）.After treatment,the degree of activity of the shoulder joint in the two groups of patients were improved,and the recovery of shoulder abduction,internal and external rotation and upper lift in the group A was better than that of the group B respectively,the difference was statistically significant（P〈0.05）.Conclusion Treatment on periarthritis humeroscapularis with Qiangjin Jiangu capsule combined with diclofenac sodium enter-ic-coat

关 键 词：肩周炎 强筋健骨胶囊 双氯芬酸钠肠溶片 

分 类 号：R684.3[医药卫生—骨科学]