摘要
目的:观察常氏三绝联合肩关节腔清洗治疗粘连期肩关节周围炎(简称肩周炎)的临床疗效。方法:90例粘连期肩周炎随机分为对照组、治疗组各45例。对照组给予关节腔清洗,治疗组给予常氏三绝联合关节腔清洗,两组均以4周为1个疗程。比较两组患者治疗后临床疗效,治疗前后视觉疼痛模拟量表(visual analogue scale,VAS)评分、Constant-Murley肩功能评分、肩关节活动度。结果:治疗组有效率为93.3%,对照组有效率为75.6%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后VAS评分均显著下降,且治疗组低于同期对照组,差异均有统计学意义(P<0.05);两组患者治疗后Constant-Murley肩功能评分均显著升高,且治疗组高于同期对照组,差异均有统计学意义(P<0.05)。治疗后,两组患者肩关节伸展、内旋、内收、外展、外旋活动度均显著提高,且治疗组以上指标均高于同期对照组,差异均有统计学意义(P<0.05)。结论:常氏三绝联合肩关节腔清洗治疗粘连期肩周炎疗效显著,可显著提高Constant-Murley肩功能评分、恢复患者肩关节功能、缓解肩关节疼痛。
Objective:To observe the clinical efficacy of Chang′s triple therapy combined with shoulder joint cavity cleaning in the treatment of adhesive stage shoulder periarthritis.Method:90 cases of adhesive periarthritis of the shoulder were randomly divided into a control group and a treatment group with 45 cases each.The control group was given joint cavity cleaning,while the treatment group was given Chang′s triple therapy combined with joint cavity cleaning.Both groups received a 4-week course of treatment.Compare the clinical efficacy of two groups of patients after treatment,including visual analog scale(VAS)score,Constant Murley shoulder function score,and shoulder joint range of motion before and after treatment.Result:The effective rate of the treatment group was 93.3%,while the effective rate of the control group was 75.6%.The difference in effective rates between the two groups was statistically significant(P<0.05).After treatment,the VAS scores of both groups of patients significantly decreased,and the treatment group was lower than the control group during the same period,with statistical significance(P<0.05).After treatment,the Constant-Murley shoulder function score of both groups of patients significantly increased,and the treatment group was higher than the control group during the same period,with statistical significance(P<0.05).After treatment,the shoulder joint extension,internal rotation,adduction,abduction,and external rotation activity of the two groups of patients were significantly improved,and the above indicators in the treatment group were higher than those in the control group during the same period,with statistical significance(P<0.05).Conclusion:The combination of Chang′triple therapy and shoulder joint cavity cleaning has a significant therapeutic effect on adhesive stage periarthritis of the shoulder,which can significantly improve the Constant Murley shoulder function score,restore shoulder joint function,and alleviate shoulder joint pain in patients.
作者
杨元平
常宇
YANG Yuanping;CHANG Yu(Traditional Chinese Medicine Hospital of Zhengzhou,Zhengzhou Henan China 450000)
出处
《中医学报》
CAS
2023年第5期1107-1112,共6页
Acta Chinese Medicine
基金
河南省中医药科学研究专项课题项目(2023ZY2152)。
