骨四方治疗风寒湿痹型肩周炎的临床疗效观察  

Observation on Clinical Efficacy of Fourth Prescription for Bone Diseases on the Treatment of Wind-Cold-Damp Type Periarthritis of Shoulder

作　　者：黄雨寒 陈科 何沛聪 李金烨 李慧 曾钰淇 陈逊文 HUANG Yuhan;CHEN Ke;HE Peicong;LI Jinye;LI Hui;ZENG Yuqi;CHEN Xunwen(Foshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Foshan 528000,Guangdong China)

机构地区：[1]广州中医药大学附属佛山中医院,广东佛山528000

出　　处：《中国中医骨伤科杂志》2023年第11期56-60,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察骨四方治疗风寒湿痹型肩周炎的临床疗效。方法:纳入风寒湿痹型肩周炎患者60例,随机分为两组,每组30例。对照组予扶他林缓释片口服联合肩关节功能锻炼治疗,观察组予佛山市中医院协定处方骨四方口服及肩关节功能锻炼治疗。治疗2周后,比较两组患者临床有效率、中医证候积分、Constant-Murley肩关节功能(CMS)评分、疼痛视觉模拟量表(VAS)评分的差异,并进行安全性评价。结果:组内比较,治疗后两组患者的中医证候积分、VAS评分、CMS评分均优于治疗前,差异有统计学意义(P<0.05);组间比较,治疗后观察组的临床有效率、中医证候积分、CMS评分、VAS评分均显著优于对照组,差异有统计学意义(P<0.05);对照组有3例患者出现轻度不良反应。结论:骨四方治疗肩周炎疗效确切,可缓解肩周疼痛,促进肩关节功能的恢复,且安全性好,具有临床推广应用价值。Objective:To observe clinical efficacy of the fourth prescription for bone diseases on the treatment of wind-cold-damp type periarthritis of shoulder.Methods:60 patients with wind-cold-damp type periarthritis of shoulder were selected and randomly divided into two groups,with 30 cases in each group.The control group was treated with voltaren sustained-release tablets orally combined with functional exercise of the shoulder joint,and the observation group was treated with the Foshan Hospital of Traditional Chinese Medicine's self-designed fourth prescription for bone diseases orally combined with functional exercise of the shoulder joint.After 2 weeks of treatment,the clinical efficiency,traditional Chinese medicine(TCM)symptom score,pain visual analogue scale(VAS)score and Constant-Murley shoulder function scale(CMS)score were compared between the two groups,and safety was evaluated.Results:Within-group comparison:The TCM symptom scores,VAS scores and CMS scores in both groups were better after treatment,and the differences were statistically significant(P<0.05).Comparison between groups:The clinical efficacy,TCM symptom scores,VAS scores and CMS scores of the observation group after treatment were significantly better than those of the control group,with statistically significant differences(P<0.05).And three patients in the control group had mild adverse reactions.Conclusion:The fourth prescription for bone diseases on the treatment of periarthritis of shoulder has definite clinical efficacy,which can effectively relieve the pain of shoulder joint and promote the recovery of shoulder joint function,and this treatment has good safety with clinical promotion value.

关 键 词：肩周炎 风寒湿痹证 骨四方 扶他林 

分 类 号：R684.3[医药卫生—骨科学]