[1]敖江鹏,汪丙昂,杜明瑞,等.麻醉下松解联合地乌蠲痹汤治疗肩关节周围炎临床研究[J].陕西中医,2024,(3):328-330,353.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.008]
　AO Jiangpeng,WANG Bing'ang,DU Mingrui,et al.Clinical study on anaesthesia release combined with Diwu Juanbi decoction in treatment of shoulder periarthritis[J].,2024,(3):328-330,353.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.008]
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麻醉下松解联合地乌蠲痹汤治疗肩关节周围炎临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年3期
页码:
328-330,353
栏目:
临床研究
出版日期:
2024-03-05

文章信息/Info

Title:
Clinical study on anaesthesia release combined with Diwu Juanbi decoction in treatment of shoulder periarthritis
作者:
敖江鹏1; 汪丙昂1; 杜明瑞1; 余 香2
(1.西部战区空军医院骨科,四川 成都610065; 2.西部战区总医院放射诊断科,四川 成都610083)
Author(s):
AO Jiangpeng; WANG Bing'ang; DU Mingrui; YU Xiang
(Department of Orthopedics,Air Force Hospital of Western Theater of Operation,Chengdu 610065,China)
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
Keywords:
Shoulder periarthritis;  Anaesthesia release;  Diwu Juanbi decoction;  Shoulder joint;  Range of motion;  Traditional Chinese medicine syndrome
分类号:
R 684.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.03.008
文献标志码:
A
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。
Abstract:
Objective:To observe effects of anaesthesia release combined with Diwu Juanbi decoction on shoulder range of motion and function in patients with shoulder periarthritis.Methods:120 patients with frozen shoulder were 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 for 14 days.Clinical curative effect and incidence of adverse reactions,TCM syndromes,shoulder function and shoulder range of motion were compared between the two groups before and after intervention.Results:After intervention,total effective rate in the combination group was higher than that in the control group,difference statistically significant(P<0.05).After intervention,scores of lift restriction,aversion to wind and cold,acute pain in both groups were decreased,which the combination group were lower in the control group,difference statistically significant(all P<0.05).After intervention,pain degree in the combination group was milder than that in the control group,and scores of the other shoulder function were higher than those in the control group,difference statistically significant(all P<0.05).After intervention,shoulder range of motion in both groups were higher,the combination group was higher in 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 shoulder function and range of motion in frozen shoulder.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81871818)
更新日期/Last Update: 2024-03-08