火龙罐疗法治疗肩凝症临床观察  

Clinical Observation on Huolong Cupping in Treating Frozen Shoulder

作　　者：马海霞 郑娟丽 廖媛嫔 阳扬 罗春梅 曾吉祥 郑娟霞 Ma Haixia;Zheng Juanli;Liao Yuanpin;Yang Yang;Luo Chunmei;Zeng Jixiang;Zheng Juanxia(Shenzhen Bao′an Traditional Chinese Medicine Hospital,Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 518100,China)

机构地区：[1]广州中医药大学附属宝安中医院,广东广州518100

出　　处：《中国中医急症》2024年第4期662-665,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：广东省中医药局项目(20242077);深圳市“医疗卫生三名工程”项目资助(SZZYSM202206014);深圳市宝安区医疗卫生科研项目(2022JD237);国家临床重点专科(中医专业)建设项目(2013-239)。

摘　　要：目的观察火龙罐疗法治疗肩凝症(寒湿痹阻证)的临床效果。方法106患者按照随机数字表法分为试验组与对照组各53例。对照组采用针灸和常规护理治疗;试验组在对照组的基础上采用火龙罐治疗;均每周治疗3次,2周为1个疗程,连续治疗2个疗程,共治疗12次。记录两组患者治疗前,治疗后2及4周时疼痛视觉模拟量表(VAS)评分、肩关节功能(CMS)评分、肩关节活动度(Melle)评分、中医证候评分、SF-36生活质量评分、治疗期间不良反应及疗效。结果两组治疗后2及4周时,VAS评分、Melle评分、中医证候评分均较治疗前降低(均P<0.05),试验组比对照组降低更明显,且干预4周比干预2周降低更为明显(均P<0.05)。试验组及对照组治疗后2及4周时,CMS评分较治疗前升高(均P<0.05),且CMS评分干预4周比干预2周升高更为明显(均P<0.05)。两组治疗后4周时,SF-36生活质量评分均较治疗前升高(P<0.05),试验组高于对照组(P<0.05)。试验组临床总有效率为90.56%,高于对照组的73.58%(P<0.05)。两组均无不良反应发生。结论火龙罐疗法可有效缓解肩凝症(寒湿痹阻证)患者疼痛感,有利于肩关节功能恢复,近期疗效满意。Objective:To observe the clinical effect of Huolong cupping therapy on the treatment of frozen shoulder(syndrome of cold dampness obstruction).Methods:A total of 106 patients were divided into an experimental group(n=53)and a control group(n=53)using a random number table method.The control group was treated with acupuncture and moxibustion and conventional nursing;the experimental group was treated with Huolong cupping on the basis of the control group.All patients were treated 3 times a week,with 2 weeks as a course of treatment.The treatment lasted for 2 consecutive courses,totaling 12 times.The pain visual analogue score(VAS),shoulder joint function Constant-Murley Score(CMS),shoulder joint range of motion score(Melle),traditional Chinese medicine(TCM)syndrome score,SF-36 quality of life score,and adverse reactions during treatment for both groups before and 2 and 4 weeks after treatment were recorded.Results:At 2 and 4 weeks after treatment,the VAS score,Melle score,and TCM symptom score of the experimental group and control group decreased compared with before treatment(P<0.05).The decrease in the experimental group was more significant than that of the control group,and the decrease was more significant at 4 weeks of intervention than at 2 weeks of intervention(all P<0.05).At 2 and 4 weeks after treatment,the CMS score and SF-36 quality of life score of the experimental and control groups increased compared with before treatment(P<0.05),and the CMS score decreased more significantly at 4 weeks of intervention compared with 2 weeks of intervention(P<0.05).The total clinical effective rate of the experimental group was 90.56%,which was higher than 73.58%of the control group(P<0.05).There were no adverse reactions in the experimental group and control group.Conclusion:Huolong cupping therapy can effectively alleviate pain in patients with frozen shoulder(syndrome of cold dampness obstruction)and is beneficial for the recovery of shoulder joint function.The short-term therapeutic effect is satisfactory.

关 键 词：肩凝症 火龙罐 寒湿痹阻 疗效 

分 类 号：R684.8[医药卫生—骨科学]