局部封闭联合温通膏外敷治疗冻结肩临床研究  

Clinical Study on Local Block Combined with External Application with Wentong Ointment for Frozen Shoulder

作　　者：刘治军 魏合伟 廖志浩 郑维蓬 陈胜 叶大林 LIU Zhijun;WEI Hewei;LIAO Zhihao;ZHENG Weipeng;CHEN Sheng;YE Dalin

机构地区：[1]广州中医药大学第三附属医院,广东广州510378 [2]广州荔湾区正骨医院,广东广州510055

出　　处：《新中医》2022年第7期123-127,共5页New Chinese Medicine

摘　　要：目的:观察温通膏外敷联合局部封闭治疗冻结肩的临床疗效。方法:选取78例冻结肩患者,按随机数字表法分为封闭组(单用局部封闭治疗)、温通膏组(单用温通膏外敷)及联合组(在封闭治疗的基础上联用温通膏外敷)各26例。比较3组治疗1周后、治疗2周后的临床疗效,比较3组治疗前后Constant-Murley肩关节疼痛评分、日常生活能力(ADL)评分、关节活动度(ROM)评分及总分的变化,观察3组治疗期间不良反应发生情况及3个月后3组复发率。结果:治疗1周后,封闭组总有效率为73.08%,温通膏组的总有效率为65.38%,联合组总有效率为84.62%;3组组间比较,差异有统计学意义(P<0.05)。治疗2周后,封闭组总有效率为84.62%,温通膏组的总有效率为76.92%,联合组总有效率为96.15%,3组组间比较,差异有统计学意义(P<0.05)。治疗1周及2周后,3组肩关节疼痛评分、ADL评分均较治疗前上升(P<0.05);联合组肩关节疼痛评分、ADL评分均高于封闭组(P<0.05);治疗1周及2周后,封闭组肩关节疼痛评分、ADL评分均高于温通膏组,差异均有统计学意义(P<0.05)。治疗1周及2周后,3组ROM评分及总分均较治疗前上升(P<0.05);联合组ROM评分及总分均高于封闭组(P<0.05);治疗1周及2周后,封闭组ROM评分及总分均高于温通膏组,差异均有统计学意义(P<0.05)。3组治疗期间均未发生明显不良反应。3个月后随访观察,封闭组复发率为22.73%,温通膏组复发率为25.00%,联合组复发率为12.00%,3组比较,差异有统计学意义(P<0.05)。结论:温通膏外敷联合局部封闭疗法治疗冻结肩具有较好的疗效,能显著缓解疼痛,改善肩关节活动度,降低复发率。Objective:To observe the clinical effect of external application with Wentong ointment combined with local block for frozen shoulder. Methods:A total of 78 cases of patients with frozen shoulder were selected and divided into the block group which was only treated with local block,the Wentong ointment group which was only treated with Wentong ointment, and the combination group which was treated with local block and external application with Wentong ointment according to the random number table method,with 26 cases in each group. Clinical effects after treatment for one week and two weeks were compared among the three groups. The changes in Constant Murley Shoulder Pain Scores,activities of daily living(ADL) scores, range of motion(ROM) scores and total score in the three groups before and after treatment were compared. The incidence of adverse reactions during treatment and the recurrence rate after three months in the three groups were observed. Results:After one-week treatment,the total effective rate was 73.08% in the block group,65.38% in the Wentong ointment group,and 84.62% in the combination group,the difference being significant(P<0.05). After two-week treatment,the total effective rate was 84.62% in the block group,76.92% in the Wentong ointment group,and 96.15% in the combination group,the difference being significant(P<0.05). After treatment for one week and two weeks,scores of shoulder pain and ADL in the three groups were increased when compared with those before treatment(P<0.05);and the two scores in the combination group were higher than those in the block group(P<0.05);the two scores in the block group were higher than those in the Wentong ointment group,differences being significant(P<0.05). After treatment for one week and two weeks,ROM scores and the total scores in the three groups were increased when compared with those before treatment(P<0.05);and the two scores in the combination group were higher than those in the block group(P<0.05);the two scores in the block group were higher than tho

关 键 词：冻结肩 局部封闭 温通膏 关节活动度 日常生活能力 

分 类 号：R274.9[医药卫生—中西医结合]