红花化瘀汤中药药浴对肩袖损伤术后肩关节功能恢复及生活质量的影响  

Effect of traditional Chinese medicine bath of Honghua Huayu Decoction on shoulder joint function recovery and quality of life after rotator cuff injury surgery

作　　者：王涛[1] 刘雪娇 邵明星[1] 葛文龙 吴文元[1] WANG Tao;LIU Xuejiao;SHAO Mingxing;GE Wenlong;WU Wenyuan(The Second Department of Trauma,Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Hebei Province,Cangzhou 061000,China)

机构地区：[1]河北省沧州中西医结合医院创伤二科,河北沧州061000

出　　处：《中国医药导报》2021年第15期104-108,共5页China Medical Herald

基　　金：河北省中医药类科研计划项目(2018487)。

摘　　要：目的探讨红花化瘀汤中药药浴对肩袖损伤术后肩关节功能恢复及生活质量的影响。方法选取2018年3月—2020年7月河北省沧州中西医结合医院收治的124例行关节镜下肩袖修复术的肩袖损伤患者。根据信封抽签法将其分为对照组和研究组,每组各62例。对照组给予常规康复治疗,研究组在对照组的基础上联合红花化瘀汤中药药浴,两组均连续治疗8周。比较两组临床疗效。比较两组治疗前后加州大学肩关节系统评分(UCLA)、功能独立性测量量表(FIM)评分、视觉模拟评分(VAS)、各炎症因子水平及各项生活质量评分。结果研究组的临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组UCLA、FIM评分均高于治疗前,VAS低于治疗前,且研究组UCLA、FIM评分均高于对照组,VAS低于对照组,差异均有统计学意义(均P<0.05)。治疗后,两组超敏C反应蛋白、白细胞介素-8及肿瘤坏死因子-α水平均低于治疗前,且研究组低于对照组,差异均有统计学意义(均P<0.05)。治疗后,两组社会功能、躯体疼痛、生理职能、生理机能、情感职能、精神健康、活力、健康状况评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(均P<0.05)。结论肩袖损伤患者术后给予红花化瘀汤中药药浴治疗,可有效促进患者肩关节功能恢复,改善患者生活质量,减轻炎症反应,效果确切。Objective To investigate the effect of traditional Chinese medicine bath of Honghua Huayu Decoction on shoulder joint function recovery and quality of life after rotator cuff injury surgery.Methods A total of 124 patients with rotator cuff injury who underwent arthroscopic rotator cuff repair in Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei Province from March 2018 to July 2020 were selected.According to the envelope drawing method,the patients were divided into control group and study group,with 62 cases in each group.The control group was given routine rehabilitation treatment,and the study group was combined with Honghua Huayu Decoction for traditional Chinese medicine bath on the basis of the control group.Both groups were treated continuously for eight weeks.Clinical efficacy was compared beeween two groups.University of California shoulder system score(UCLA),functional independence scale(FIM),visual analog scale(VAS),inflammatory cytokines and quality of life scores were compared between the two groups before and after treatment.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the UCLA and FIM scores of the two groups were higher than those before treatment,and the VAS was lower than that before treatment,and the UCLA and FIM scores of the study group were higher than those in the control group,and the VAS was lower than that in the control group,the differences were statistically significant(all P<0.05).After treatment,the levels of hypersensitive C-reactive protein,interleukin-8 and tumor necrosis factor-αin both groups were lower than those before treatment,and study group were lower than the control group,with statistical significance(all P<0.05).After treatment,scores of social function,physical pain,physiological enginery,physiological function,emotional function,mental health,vitality and health status in both groups were higher than those

关 键 词：红花化瘀汤 中药药浴 肩袖损伤 术后 肩关节功能 恢复 

分 类 号：R681.7[医药卫生—骨科学]