微创针刀镜下松解术联合芍药甘草汤加味治疗冻结肩的临床疗效  

Clinical efficacy of lysis under minimally invasive needle-knife scope combined with modified Shaoyao Gancao decoction in the treatment of frozen shoulder

作　　者：杨林[1] 黄平[1] 熊文娟[1] 余南征[1] YANG Lin;HUANG Ping;XIONG Wenjuan;YU Nanzheng(Department of Joint,Fengcheng Traditional Chinese Medicine Hospital,Yichun,Jiangxi,331100,China)

机构地区：[1]丰城市中医院关节科,江西宜春331100

出　　处：《当代医学》2024年第34期80-84,共5页Contemporary Medicine

基　　金：宜春市指导性科技计划项目(2023ZDJH2891)。

摘　　要：目的探究微创针刀镜下松解术联合芍药甘草汤加味治疗冻结肩的临床疗效。方法选取2021年1月至2023年6月丰城市中医院收治的80例冻结肩患者作为研究对象,按照随机数字表法分为对照组与观察组,各40例。对照组采用塞来昔布胶囊治疗,观察组采用微创针刀镜下松解联合芍药甘草汤加味治疗,比较两组临床疗效、中医症候积分、疼痛评分、肩关节功能及不良反应发生情况。结果观察组治疗总有效率为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗1周后,两组主症、次症中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗3 d、1周后,两组视觉模拟评分法(visual analogue scale,VAS)评分均低于前一时间点,且治疗1周后,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗1周后,两组疼痛、肩关节活动范围、肌力、日常生活能力、局部形态评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,但差异无统计学意义。结论微创针刀镜下松解术联合芍药甘草汤加味治疗冻结肩患者效果显著,可显著改善患者肩关节疼痛及功能,减少不良反应发生,值得临床推广应用。Objective To investigate the clinical effect of lysis under minimally invasive needle-knife scope combined with modified Shaoyao Gancao decoction in the treatment of frozen shoulder.Methods A total of 80 patients with frozen shoulder admitted to Fengcheng Traditional Chinese Medicine Hospital from January 2021 to June 2023 were selected as the research subjects,they were divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group was treated with celecoxib capsules,while the observation group was treated with lysis under minimally invasive needle-knife scope combined with modified Shaoyao Gancao decoction,the clinical effect,Traditional Chinese Medicine symptom scores,pain scores,shoulder function and the incidence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.00%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).After 1 week of treatment,the scores of Traditional Chinese Medicine syndromes of main and secondary symptoms of the two groups were lower than those before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After 3 d and 1 week of treatment,the scores of the visual analogue scale(VAS)of the two groups were lower than those at the previous time points,and after 1 week of treatment,the VAS scores in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After 1 week of treatment,the scores of pain,shoulder joint range of motion,muscle strength,daily living ability and local morphology of the two groups were higher than those before treatment,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in

关 键 词：冻结肩 微创针刀镜下松解术 芍药甘草汤加味 肩关节功能 

分 类 号：R27[医药卫生—中医学]