中医综合疗法治疗风寒湿型肩关节周围炎的疗效观察  

Clinical Observation of Comprehensive Treatment of Chinese Medicine on Periarthritis of Shoulder with Wind Cold Dampness Syndrome

作　　者：王雷[1] 付晓芳[1] 李无阴[2] 王孝辉[2] WANG Lei;FU Xiao-fang;LI Wu-yin;WANG Xiao-hui(Hu＇nan University of Chinese Medicine,Changsha Hu＇nan 410208,China;Luoyang Orthopedic Hospital of He＇nan Province,Luoyang He＇nan 471002,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]河南省洛阳正骨医院,河南洛阳471002

出　　处：《中医药导报》2018年第18期93-96,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2015年度河南省中医药科学研究专项课题(2015ZY01001);2016年度河南省中医药科学研究专项课题(2016ZY1010)

摘　　要：目的:观察中医综合疗法治疗风寒湿型肩关节周围炎的疗效。方法:将70例患者按随机数字表法分为对照组和治疗组,每组35例。对照组患者予局部封闭和塞来昔布胶囊口服治疗,治疗组患者予蠲痹解凝汤口服、中药熏洗和推拿手法综合治疗,所有患者均在治疗基础上配合功能锻炼。比较两组治疗前后VAS评分,Constant-Murley评分及治疗后愈显率。结果:治疗后,两组患者VAS评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05);两组患者疼痛、ROM、ADL、MMT评分以及CMS评分总分均高于治疗前,且治疗组均高于对照组,差异均有统计学意义(P<0.05);治疗组愈显率为91.4%,对照组愈显率为68.6%,两组比较,差异有统计学意义(P<0.05)。结论:中医综合疗法可有效缓解肩关节周围炎患者疼痛症状,且对患者肩关节活动度、日常生活能力、肌力等恢复有明显促进作用。Objective： To observe the therapeutic effect of comprehensive treatment of Chinese medicine on periarthritis of shoulder with wind cold dampness syndrome. Methods： The 70 patients were randomly divided into control group and treatment group according to random number table method. The control group was treated with local sealing therapy and celecoxib capsules. The treatment group was treated with Juanbi Jiening decoction（蠲痹解凝汤, JBJND）, Chinese medicine fumigation and manipulation. All patients were treated with functional exercises on the basis of each group＇s treatment, and the course of treatment was 4 weeks. VAS scores, Constant-Murley scores and cure rate were compared between two groups before and after treatment. Results： After treatment, the VAS scores of the two groups were lower than those before treatment, and the treatment group was lower than the control group, the difference was statistically significant（P〈 0.05）; the pain, ROM, ADL, MMT scores and CMS scores of the two groups were higher than those before treatment, and the treatment group was higher than the control group, the difference was statistically significant（P〈 0.05）; the effective rate of the treatment group was 91.4%, and the control group was 68.6%, and the difference between the two groups was statistically significant（P〈 0.05）. Conclusion： Comprehensive treatment of Chinese medicine can effectively relieve the pain symptoms of patients with periarthritis of shoulder, and promote the recovery of shoulder mobility, daily living ability and muscle strength.

关 键 词：肩关节周围炎 蠲痹解凝汤 中药熏洗 推拿手法 中医综合疗法 

分 类 号：R255.6[医药卫生—中医内科学]