[1]姬树青,马慧慧,刘 丽,等.水针刀结合通痹酊剂加热敷治疗肩周炎的疗效[J].医学信息,2021,34(14):163-165.[doi:10.3969/j.issn.1006-1959.2021.14.046]
 JI Shu-qing,MA Hui-hui,LIU Li,et al.Efficacy of Water Needle Knife Combined with Heat Compress of Tongbi Tincture in the Treatment of Frozen Shoulder[J].Medical Information,2021,34(14):163-165.[doi:10.3969/j.issn.1006-1959.2021.14.046]
点击复制

水针刀结合通痹酊剂加热敷治疗肩周炎的疗效()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
163-165
栏目:
中医中药
出版日期:
2021-07-15

文章信息/Info

Title:
Efficacy of Water Needle Knife Combined with Heat Compress of Tongbi Tincture in the Treatment of Frozen Shoulder
文章编号:
1006-1959(2021)14-0163-03
作者:
姬树青马慧慧刘 丽
(天津市蓟州区中医医院骨科,天津 301900)
Author(s):
JI Shu-qingMA Hui-huiLIU Liet al.
(Department of Orthopedics,Jixian Chinese Traditional Hospital,Tianjin 301900,China)
关键词:
肩周炎通痹酊剂加热敷治疗水针刀肩关节功能
Keywords:
Frozen shoulderTongbi tincture heating treatmentWater needle knifeShoulder joint function
分类号:
R246
DOI:
10.3969/j.issn.1006-1959.2021.14.046
文献标志码:
A
摘要:
目的 探讨水针刀结合通痹酊剂加热敷治疗肩周炎的临床疗效。方法 选择2019年10月~2020年12月我院就诊的53例肩周炎患者作为研究对象,根据随机数字表法分为水针刀组(25例)和联合组(28例)。水针刀组应用水针刀治疗,联合组联合应用水针刀与通痹酊剂加热敷治疗,比较两组临床治疗疗效、中医症候积分、肩关节功能、VAS评分及不良反应发生情况。结果 联合组临床治疗总有效率为96.43%,高于水针刀组的76.00%,差异有统计学意义(P<0.05)。联合组主症、次症评分低于水针刀组,差异有统计学意义(P<0.05)。联合组疼痛、关节活动度、日常生活能力、肌力和关节局部形体评分高于水针刀组,差异有统计学意义(P<0.05)。联合组VAS评分低于水针刀组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 水针刀结合通痹酊剂加热敷治疗肩周炎疗效确切,可促进患者症状缓解,改善肩关节功能,降低疼痛度,且治疗安全性高。
Abstract:
Objective To explore the clinical effect of water needle knife combined with heat compress of Tongbi tincture in the treatment of frozen shoulder.Methods 53 patients with frozen shoulder treated in our hospital from October 2019 to December 2020 were selected as the research objects.According to the random number table, they were divided into the water needle knife group (25 cases) and the combined group (28 cases).The water needle knife group was treated with water needle knife, and the combined group was treated with water needle knife and heat compress of Tongbi tincture.The clinical treatment efficacy, TCM syndrome score, shoulder joint function, VAS score and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of clinical treatment in the combined group was 96.43%, which was higher than 76.00% in the water needle knife group,the difference was statistically significant(P<0.05).The scores of primary and secondary symptoms in the combined group were lower than those in the water needle knife group,the difference was statistically significant (P<0.05).The scores of pain, joint range of motion, ability of daily living, muscle strength and joint local body shape in the combined group were higher than those in the water needle knife group,the difference was statistically significant (P<0.05).The VAS score of the combined group was lower than that of the water needle knife group,the difference was statistically significant (P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P>0.05).Conclusion Water needle knife combined with heat compress of Tongbi tincture has a definite effect in treating frozen shoulder. It can promote symptom relief, improve shoulder joint function, reduce pain, and has high treatment safety.

参考文献/References:

[1]张明.中药洗剂结合温针灸治疗肩周炎疗效观察[J].实用中医药杂志,2021,37(1):25-26. [2]蒋云颖,沈彦,成一星.活血温经通络方熏蒸对肩周炎术后患者肩关节功能的改善作用[J].中国中医药科技,2021,28(1):91-93. [3]林钗.软组织外科学思路下发散式体外冲击波治疗肩周炎的效果观察[D].福建医科大学,2019. [4]张金焕,袁伟渠,陈晨,等.不同针灸疗法治疗肩周炎的系统评价再评价和网状Meta分析[J].中国组织工程研究,2020,24(35):5723-5732. [5]梁淑芳,陈晓传,罗庆波.针刺加艾灸配合推拿松解治疗肩关节周围炎的临床疗效[J].内蒙古中医药,2020,39(12):96-97. [6]韩伟.中药联合推拿治疗肩周炎风寒湿痹证45例临床观察[J].甘肃中医药大学学报,2020,37(6):59-62. [7]黄娜.温针灸疗法对肩周炎患者疼痛及肩关节功能恢复的影响[J].湖南中医杂志,2020,36(4):82-84. [8]李世强.乌头汤联合针刺对寒湿凝滞型肩周炎患者肩功能及TGF-β、PGE_2的影响[J].光明中医,2020,35(23):3766-3768. [9]王邦博,罗和平,杨晓倩,等.隔药饼灸联合圆利针伞形刺治疗寒凝湿滞型慢性肩周炎疗效观察[J].中国针灸,2020,40(12):1291-1294. [10]张军,杨利平.“金钩钓鱼”针法联合推拿治疗肩周炎的临床观察[J].针刺研究,2020,45(8):667-670,675. [11]韦英成,吴肖梅,梁晓行,等.点穴分筋理筋手法结合水针刀治疗膝关节骨性关节炎的临床研究[J].现代中西医结合杂志,2016(7):768-770. [12]农国勇,张莉娟,肖杰云,等.运动针法联合经筋刺法对肩周炎疗效及5-羟色胺水平影响的研究[J].时珍国医国药,2020,31(3):635-637. [13]张里援,陈湘宜.水针刀结合通痹酊剂加热敷治疗肩周炎的疗效及对血浆β-内啡肽和P物质含量的影响[J].中华中医药学刊,2018,36(8):1841-1843.

相似文献/References:

[1]邓小珍,袁海新.关节松动术及超短波联合体外冲击波治疗肩周炎的 疗效观察[J].医学信息,2019,32(11):108.[doi:10.3969/j.issn.1006-1959.2019.11.030]
 DENG Xiao-zhen,YUAN Hai-xin.Therapeutic Effect of Joint Mobilization and Ultrashort Wave Combined with Extracorporeal Shock Wave on Periarthritis of Shoulder[J].Medical Information,2019,32(14):108.[doi:10.3969/j.issn.1006-1959.2019.11.030]
[2]唐克明,孙 韬,苏召维,等.玻璃酸钠关节腔注射联合体外冲击波治疗肩周炎的疗效[J].医学信息,2022,35(04):127.[doi:10.3969/j.issn.1006-1959.2022.04.032]
 TANG Ke-ming,SUN Tao,SU Zhao-wei,et al.Efficacy of Sodium Hyaluronate Injection Combined with Extracorporeal Shock Wavein the Treatment of Scapulohumeral Periarthritis[J].Medical Information,2022,35(14):127.[doi:10.3969/j.issn.1006-1959.2022.04.032]
[3]黄华平,高倩倩,洪 强,等.温针灸联合刺络放血拔罐对疼痛期肩周炎患者肩关节活动度及疼痛的影响[J].医学信息,2022,35(06):168.[doi:10.3969/j.issn.1006-1959.2022.06.044]
 HUANG Hua-ping,GAO Qian-qian,HONG Qiang,et al.Effect of Warming Needle Moxibustion Combined with Blood-letting Puncturing and Cupping on Shoulder Joint Mobility and Pain in Patients with Periarthritis of Shoulder During Pain[J].Medical Information,2022,35(14):168.[doi:10.3969/j.issn.1006-1959.2022.06.044]
[4]黄淑兵,彭新华,练红珍.针灸联合电脑中频电疗治疗肩周炎的临床疗效及对IL-1β、TNF-α、关节功能的影响[J].医学信息,2023,36(10):146.[doi:10.3969/j.issn.1006-1959.2023.10.032]
 HUANG Shu-bing,PENG Xin-hua,LIAN Hong-zhen.The Clinical Efficacy of Acupuncture Combined with Computer Intermediate Frequency Electrotherapy in the Treatment of Periarthritis Humeroscapularis and its Effect on IL-1β,TNF-α and Joint Function[J].Medical Information,2023,36(14):146.[doi:10.3969/j.issn.1006-1959.2023.10.032]

更新日期/Last Update: 1900-01-01