摘要
目的:观察中药熏洗联合热敏灸治疗寒湿痹阻型肩周炎的效果。方法:将80例寒湿痹阻型肩周炎患者随机分为对照组和观察组各40例。对照组采用中药熏洗联合艾灸治疗,观察组采用中药熏洗联合热敏灸治疗。2组患者均每周治疗6天,连续治疗3周。治疗前后采用美国加州大学洛杉矶分校(UCLA)制定的量表评定肩关节功能评分,采用视觉模拟评分法(VAS)评定肩痛程度,采用Melle评分评价肩关节功能活动程度。结果:治疗后,观察组的临床疗效优于对照组,差异有统计学意义(P <0.05)。观察组UCLA量表疼痛、功能活动情况、患者满意度、前屈活动度评分和总分均高于对照组(P <0.01),VAS评分和Melle评分均低于对照组(P <0.01)。结论:中药熏洗联合热敏灸治疗寒湿痹阻型肩周炎患者,在减轻疼痛、改善肩关节功能活动程度等方面均有较好的效果,优于中药熏洗联合艾灸的治疗方案。
Objective:To observe the effect of Chinese herbal fumigation and washing combined with heat-sensitive moxibustion for scapulohumeral periarthritis of cold-dampness arthralgia type.Methods:Divided 80 cases of patients with scapulohumeral periarthritis of cold-dampness arthralgia type randomly into the control group and the observation group,40 cases in each group.The control group was treated with Chinese herbal fumigation and washing combined with moxibustion.The observation group was treated with Chinese herbal fumigation and washing combined with heat-sensitive moxibustion.Both groups were treated for 6 days per week,continuously for 3 weeks.Assessed the score of shoulder function by the scale developed by the University of California,Los Angeles(UCLA)before and after treatment,evaluated the degree of shoulder pain by visual analog scale(VAS),and graded the activity degree of shoulder joints function by Melle score.Results:After treatment,the clinical effect of the observation group was better than that of the control group,difference being significant(P<0.05).The scores of pain,functional activity,satisfaction degree and flexion activity of patients and the total scores by UCLA scale of the observation group were higher than those of the control group(P<0.01);the VAS score and Melle score were lower than those in the control group(P<0.01).Conclusion:The application of Chinese herbal fumigation and washing combined with heat-sensitive moxibustion has better effects in relieving pain and improving the activity degree of shoulder joints function in patients with scapulohumeral periarthritis of cold-dampness arthralgia type.It is superior to the treatment plan of Chinese herbal fumigation and washing combined with moxibustion.
出处
《新中医》
CAS
2019年第6期301-304,共4页
New Chinese Medicine
关键词
肩周炎
寒湿痹阻证
中药熏洗
热敏灸
Scapulohumeral periarthritis
Cold-dampness arthralgia syndrome
Chinese herbal fumigation and washing
Heat-sensitive moxibustion
