摘要
目的:观察麻醉下松解联合地乌蠲痹汤治疗对肩关节周围炎患者肩关节活动度和功能的影响。方法:选取120例冻结肩患者,根据患者入院时间,分为对照组、联合组,各60例。对照组采用麻醉下松解干预,联合组患者采用麻醉下松解联合地乌蠲痹汤干预,两组均干预14 d。比较两组冻结肩患者的临床疗效、不良反应发生率、冻结肩患者中医证候、肩关节功能、肩关节活动度。结果:干预后,联合组总有效率高于对照组,差异有统计学意义(P<0.05)。干预后,联合组和对照组抬举受限、畏寒恶风、拘急疼痛症状评分均低于干预前,且联合组低于对照组,差异有统计学意义(均P<0.05)。干预后,联合组疼痛程度低于对照组,余肩关节功能评分高于对照组,差异有统计学意义(均P<0.05)。干预后,联合组、对照组肩关节活动度高于干预前,且联合组高于对照组,差异有统计学意义(均P<0.05)。结论:麻醉下松解联合地乌蠲痹汤干预冻结肩,可舒筋通络,改善肩关节功能、活动度。
Objective:To observe effects of anaesthesia release combined with Diwu Juanbi decoction on shouldeRrange of motion and function in patients with shouldeRperiarthritis.Methods:120 patients with frozen shouldeRwere enrolled.According to different admission time,patients were divided into control group(60 cases)and combination group(60 cases).The control group were treated with anesthesia release,while the combination group were treated with anaesthesia release combined with Diwu Juanbi decoction.All were treated foR14 days.Clinical curative effect and incidence of adverse reactions,TCM syndromes,shouldeRfunction and shouldeRrange of motion were compared between the two groups before and afterintervention.Results:AfteRintervention,total effective rate in the combination group was higheRthan that in the control group,difference statistically significant(P<0.05).AfteRintervention,scores of lift restriction,aversion to wind and cold,acute pain in both groups were decreased,which the combination group were lowerin the control group,difference statistically significant(all P<0.05).AfteRintervention,pain degree in the combination group was mildeRthan that in the control group,and scores of the otheRshouldeRfunction were higheRthan those in the control group,difference statistically significant(all P<0.05).AfteRintervention,shouldeRrange of motion in both groups were higher,the combination group was higheRin the control group,difference statistically significant(all P<0.05).Conclusion:Anaesthesia release combined with Diwu Juanbi decoction can play roles of relaxing tendons and dredging collaterals,improve shouldeRfunction and range of motion in frozen shoulder.
作者
敖江鹏
汪丙昂
杜明瑞
余香
AO Jiangpeng;WANG Bing’ang;DU Mingrui;YU Xiang(Department of Orthopedics,AiRForce Hospital of Western TheateRof Operation,Chengdu 610065,China)
出处
《陕西中医》
CAS
2024年第3期328-330,353,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
国家自然科学基金资助项目(81871818)。
关键词
肩关节周围炎
麻醉下松解
地乌蠲痹汤
肩关节
活动度
中医证候
Shoulder periarthritis
Anaesthesia release
Diwu Juanbi decoction
Shoulder joint
Range of motion
Traditional Chinese medicine syndrome
作者简介
通讯作者:余香,E-mail:13981918141@163.com。
