活血通痹片联合冲击波治疗肩周炎临床研究  

Clinical research on the treatment of Huoxue Tongbi combined with scapulohumeral periarthritis by shockwave

作　　者：曾焘 高大伟[1] 吴宇峰[1] 吴微[1] 龚水帝 Zeng Tao;Gao Dawei;Wu Yufeng(Zhongshan Hospital of Traditional Chinese Medicine(Zhongshan 528400))

机构地区：[1]广州中医药大学附属中山医院,中山528400 [2]广州中医药大学附属第一医院,广州510000

出　　处：《陕西中医》2018年第9期1181-1183,共3页Shaanxi Journal of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(20151123);广东省中山市科学技术局医疗卫生重大专项(2016B1006)

摘　　要：目的:探讨冲击波联合活血通痹片治疗肩周炎的临床效果。方法:选取80例符合纳入标准的肩周炎患者随机分两组进行医治,对照组40例单纯通过冲击波治疗,联合组40例则采用冲击波结合活血通痹片治疗,观察时间1个月。在治疗前和治疗2周、4周后对两组患者行VAS评分,在治疗4周后ROM评分并进行组间比较;所有患者治疗后进行等级疗效评级并计算有效率,对比其疗效。结果:VAS评分比较,在治疗2周和4周后联合组疼痛缓解程度均高于对照组(P<0.05)。4周时联合组(1.77±0.66)分,对照组(3.35±0.86)分。ROM评分比较,4周时联合组ROM改善度优于对照组(P<0.05),联合组(6.93±1.16)分,对照组(7.70±1.48)分。联合组总有效率97.5%,高于对照组90%,两组有序资料比较具有统计学差异(P<0.05)。结论:活血通痹片与体外冲击波结合治疗肩周炎可有效缓解疼痛感,改善患肩活动功能,疗效显著,临床应用优于单纯使用体外冲击波治疗。Objective:To explore the clinical effect of shockwave combined with Huoxue Tongbi in the treatment of periarthritis of shoulder.Methods:Select 80 cases of periarthritis of shoulder into standard in our healing patients randomly divided into 2 groups,control group 40 cases treated by shock wave,pure joint group of 40 cases were treated by shock wave combined with Huoxue Tongbi,the observation time 1 month.Before treatment and 2 weeks,4 weeks after treatment on two groups of patients(Visual analogue scale,VAS)Visual analog scale score,in the treatment of shoulder joint activity after 4 weeks(range of motion,ROM)score,and curative effect comparison.Results:VAS scores were compared with the control group(P<0.05)after 2 weeks and 4 weeks after treatment.ROM score was compared,and the improvement of the group ROM was better than the control group at 4 weeks(P<0.05).Conclusion:Combination of Huoxue Tongbi and extracorporeal shock wave can effectively relieve the pain sensation and improve the function of shoulder activity.

关 键 词：肩痛/中西医结合疗法 @活血通痹片 疗效比较研究 

分 类 号：R323.4[医药卫生—人体解剖和组织胚胎学]