肩三针结合常规西医治疗老年肩周炎患者的效果及影响因素分析  

Analysis of the efficacy and influencing factors of three acupoints on shoulder acupuncture combined with conventional western medicine in the treatment of elderly patients with shoulder periarthritis

作　　者：禹恒 孙飞[2] YU Heng;SUN Fei

机构地区：[1]郑州市第十五人民医院康复科,河南郑州450100 [2]河南中医药大学第三附属医院疼痛科,河南郑州450100

出　　处：《中国疗养医学》2024年第8期45-49,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨肩三针结合常规西医治疗老年肩周炎的疗效,并分析影响疗效的因素。方法选取2020年6月至2023年7月郑州市第十五人民医院收治的238例老年肩周炎患者为研究对象,依据随机数字表分为常规组和联合组各119例,分别行常规西医治疗和常规西医结合肩三针治疗,记录并比较两组患者肩关节疼痛程度、功能评分及临床疗效。根据联合组患者临床疗效评估情况,将其分为疗效良好组和疗效不佳组,比较患者的临床资料,采用多因素Logistic回归分析法探讨影响老年肩周炎患者临床疗效的因素。结果治疗后,联合组与常规组疼痛分级指数评分、视觉模拟评分、现时疼痛强度评分及简式Mcgill疼痛量表(SF-MPQ)总分均低于治疗前(P<0.05),且联合组均低于常规组(P<0.05);治疗后,联合组与常规组肩关节疾患治疗成绩判定标准(JOA)评分均高于治疗前(P<0.05),且联合组高于常规组(P<0.05);联合组总有效率为91.60%,高于常规组的79.83%(P<0.05);疗效良好组与疗效不佳组年龄、性别、体质量指数、职业特征、肩周炎部位、基础病史、手术史、上肢外伤史比较差异无统计学意义(P>0.05),疗效良好组病程短于疗效不佳组(P<0.05),几乎不锻炼占比及治疗前SF-MPQ评分均低于疗效不佳组(P<0.05),治疗前JOA评分高于疗效不佳组(P<0.05);多因素Logistic回归分析结果显示,病程、治疗前SF-MPQ评分为疗效不佳的危险因素(P<0.05),治疗前JOA评分为保护因素(P<0.05)。结论肩三针联合常规西医治疗老年肩周炎能够减轻患者疼痛,促进关节功能改善,临床疗效显著,但病程、治疗前SF-MPQ评分、治疗前JOA评分是影响患者临床疗效不佳的因素。Objective To investigate the curative effect of three acupoints on shoulder acupuncture combined with conventional western medicine in the treatment of elderly shoulder periarthritis,and analyze the factors affecting the curative effect.Methods A total of 238 elderly patients with shoulder periarthritis treated in the No.15 People's Hospital of Zhengzhou from June 2020 to July 2023 were selected as the study objects.According to the random number table,they were divided into the conventional group(119 cases)and the combined group(119 cases),who were given conventional western medicine treatment and conventional western medicine combined with three acupoints on shoulder acupuncture treatment respectively.The degree of shoulder joint pain,functional score and clinical efficacy were recorded and compared between the two groups.According to the clinical efficacy evaluation of patients in the combined group,they were divided into good efficacy group and poor efficacy group.The clinical data of patients were compared,and the factors affecting the clinical efficacy of elderly patients with shoulder periarthritis were discussed by multivariate Logistic regression analysis.Results After treatment,the pain grading index score,visual analog score,current pain intensity score and the total score of short-form of Mcgill pain questionnaire(SF-MPQ)in the combined group and the conventional group were lower than those before treatment(P<0.05),and the combined group were lower than the conventional group(P<0.05).After treatment,the JOA scores in the combined group and the conventional group were higher than those before treatment(P<0.05),and the JOA scores in the combined group were higher than those in the conventional group(P<0.05).The total effective rate of the combined group was 91.60%,which was higher than that of the conventional group(79.83%),P<0.05.There was no significant difference in age,gender,body mass index,occupational characteristics,periarthritis site of shoulder,basic medical history,surgical history and histor

关 键 词：肩周炎 肩三针 临床疗效 影响因素 

分 类 号：R684[医药卫生—骨科学]