摘要
目的:观察温针灸结合瑜珈体位法治疗冻结期肩周炎的临床疗效。方法:选取92例冻结期肩周炎患者,根据治疗方法不同分为观察组48例和对照组44例。对照组采用瑜珈体位法治疗,观察组在对照组基础上加用温针灸治疗。比较2组临床疗效及治疗前后肩关节功能、血清C-反应蛋白(CRP)、一氧化氮(NO)水平,统计治疗前后中医证候积分及不良反应发生率。结果:观察组总有效率为91.67%,明显高于对照组72.73%,差异有统计学意义(P<0.05)。治疗前,2组关节活动受限、肩部怕冷、肩部肌肉萎缩及患肢发麻无力证候积分比较,差异无统计学意义(P>0.05)。治疗后,2组关节活动受限、肩部怕冷、肩部肌肉萎缩及患肢发麻无力证候积分均较治疗前降低,且观察组各项评分低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组肩关节疼痛评分比较,差异无统计学意义(P>0.05)。治疗后,2组肩关节疼痛评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,2组肩关节功能分级比较,差异无统计学意义(P>0.05)。治疗后,2组肩关节功能分级较治疗前明显改善(P<0.05),但2组比较,差异无统计学意义(P>0.05)。治疗前,2组血清CRP、NO水平比较,差异无统计学意义(P>0.05)。治疗后,2组血清CRP、NO水平较治疗前降低,且观察组血清CRP、NO水平低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率为10.4%,低于对照组27.3%,差异有统计学意义(P<0.05)。结论:温针灸结合瑜珈体位法治疗冻结期肩周炎疗效显著,有助于改善肩周临床症状,恢复肩关节功能,降低血清CRP、NO水平,安全可靠。
Objective:To observe the clinical effect of warm needling combined with yoga pose for shoulder periarthritis in freezing stage. Methods:A total of 92 cases of patients with shoulder periarthritis in freezing stage were selected and divided into the observation group and the control group according to the treatment methods, 48 and 44 cases in each group respectively. The control group was treated with method of yoga pose,and the observation group was additionally treated with warm needling based on the treatment of the control group. The clinical effect was compared between the two groups.Shoulder joint function as well as the levels of C-reactive protein(CRP) and nitric oxide(NO) in serum was compared between the two groups before and after treatment. Chinese medicine syndrome score and incidence of adverse reactions before and after treatment were counted. Results: The total effective rate was 91.67% in the observation group, significantly higher than that of 72.73% in the control group,the difference being significant(P<0.05). Before treatment,when compared the syndrome scores of limited joint movement,shoulder’s fear of cold,muscle atrophy of shoulder,and numbness and lack of strength of affected limb, there was no significance in the difference(P>0.05). After treatment, the syndrome scores of limited joint movement,shoulder’s fear of cold,muscle atrophy of shoulder,and numbness and lack of strength of affected limb in the two groups were decreased when compared with those before treatment,and the four scores in the observation group were lower than those in the control group, differences being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of score of shoulder joint pain between the two groups(P>0.05). After treatment, scores of shoulder joint pain in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group, the difference being significant(P<0.05).Before
作者
赵莉
胡静
赵欲晓
谌少颖
邵庆华
ZHAO Li;HU Jing;ZHAO Yuxiao;CHEN Shaoying;SHAO Qinghua
出处
《新中医》
CAS
2021年第13期161-165,共5页
New Chinese Medicine
关键词
肩周炎
冻结期
温针灸
瑜珈体位法
中医证候积分
肩关节功能
C-反应蛋白
一氧化氮
Shoulder periarthritis
Freezing stage
Warm needling
Method of yoga pose
Chinese medicine syndrome score
Shoulder joint function
C-reactive function
Nitric oxide
