红外线治疗仪配合隔物灸铺灸治疗肩关节炎的临床价值  

Clinical value of infrared therapeutic apparatus combined with indirect moxibustion and spreading moxibustion in the treatment of omarthritis

作　　者：卜彩芳 赖震[1] 姚丽伟[1] 梁波[1] BU Caifang;LAI Zhen;YAO Liwei;LIANG Bo(Department of Infectious Diseases(Fever Clinic),Zhejiang Integrated Traditional Chinese and Western Medicine,Hangzhou 310006,China)

机构地区：[1]浙江省中西医结合医院感染科(发热门诊),浙江杭州310006

出　　处：《中国现代医生》2021年第22期109-113,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2020ZB187)。

摘　　要：目的探讨红外线治疗仪配合隔物灸铺灸治疗肩关节炎的临床价值。方法将我院2019年3月至2021年1月收治的92例肩关节炎患者按抽签法分为两组,对照组使用常规抗炎药治疗,试验组在对照组的基础上给予红外线治疗仪加隔物灸辅灸联合疗法,比较两组患者的治疗总有效率、中医症候积分、视觉模拟评分量表(VAS)、肩关节功能评分(CMS)、血清肿瘤坏死因子(TNF-α)、粒细胞-巨噬细胞集落刺激因子(GM-CSF)、P物质(SP)、前列腺素E2(PGE2)水平。结果治疗后,试验组总有效率高于对照组(95.65%vs.82.61%),中医证候积分为(12.26±1.86)分,低于对照组的(18.67±3.29)分(P<0.05);治疗后,试验组VAS评分为(2.42±0.43)分,低于对照组的(4.13±0.56)分,CMS评分为(83.76±9.79),高于对照组的(75.37±9.16)分(P<0.05);治疗后,试验组患者TNF-α(15.49±4.39)ng/mL、GM-CSF(5.79±1.53)ng/L、SP(8.09±1.12)ng/mL、PGE2(121.46±13.22)ng/L均低于对照组(P<0.05)。结论将红外线治疗仪配合隔物灸铺灸应用于肩关节炎患者临床效果显著。Objective To explore the clinical value of infrared therapeutic apparatus combined with indirect moxibustion and spreading moxibustion in the treatment of omarthritis.Methods A total of 92 patients with omarthritis admitted to and treated in our hospital from March 2019 to January 2021 were divided into the control group and the experimental group according to the drawing method.The control group was treated with conventional anti-inflammatory drugs,while the experimental group was treated with infrared therapeutic apparatus combined with indirect moxibustion and spreading moxibustion on the basis of the control group.The total effective rate,traditional Chinese medicine(TCM)symptom score,visual analog scale(VAS)score,constant-murley shoulder(CMS)score and serum tumor necrosis factor(TNF-α),granulocyte macrophage colony stimulating factor(GM-CSF),substance P(SP),prostaglandin E2(PGE2)of the two groups were compared.Results After treatment,the total effective rate of the experimental group was 95.65%,which was higher than that of the control group(82.61%),and the TCM syndrome score of the experimental group was(12.26±1.86)points,which was lower than(18.67±3.29)points of the control group(P<0.05).After treatment,the VAS score of the experimental group was(2.42±0.43)points,which was lower than(4.13±0.56)points of the control group,and the CMS score was(83.76±9.79)points,which was higher than(75.37±9.16)points of the control group(P<0.05).After treatment,TNF-α(15.49±4.39)ng/mL,GM-CSF(5.79±1.53)ng/L,SP(8.09±1.12)ng/mL and PGE2(121.46±13.22)ng/L in patients of the experimental group were all lower than those in the control group(P<0.05).Conclusion The application of infrared therapeutic apparatus combined with indirect moxibustion and spreading moxibustion in patients with omarthritis has a remarkable clinical efficacy.

关 键 词：红外线治疗仪 隔物灸 肩关节炎 血清炎症因子 

分 类 号：R752.1[医药卫生—皮肤病学与性病学]