[1]韩黄伟,柴发银,巩 陈.复元活血汤加减治疗肩袖损伤关节镜术后疼痛气滞血瘀证临床研究[J].陕西中医,2023,(7):905-908.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.018]
　HAN Huangwei,CHAI Fayin,GONG Chen.Clinical study on Fuyuan Huoxue decoction for postoperative analgesia of rotator cuff injury with Qizhi Xueyu syndrome[J].,2023,(7):905-908.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.018]
点击复制

复元活血汤加减治疗肩袖损伤关节镜术后疼痛气滞血瘀证临床研究
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年7期
页码:
905-908
栏目:
临床研究
出版日期:
2023-07-05

文章信息/Info

Title:
Clinical study on Fuyuan Huoxue decoction for postoperative analgesia of rotator cuff injury with Qizhi Xueyu syndrome
作者:
韩黄伟; 柴发银; 巩 陈
(亳州市人民医院,安徽 亳州 236800)
Author(s):
HAN Huangwei; CHAI Fayin; GONG Chen
(Bozhou People's Hospital,Bozhou 236800,China)
关键词:
肩袖损伤关节镜术后;  复元活血汤;  气滞血瘀证;  皮质醇;  促肾上腺皮质激素;  肩关节功能评分
Keywords:
Postoperative analgesia of rotator cuff injury;  Fuyuan Huoxue decoction;  Qizhi Xueyu syndrome;  Cortisol;  Adrenocorticotropin;  Shoulder joint function score
分类号:
R 684
DOI:
DOI:10.3969/j.issn.1000-7369.2023.07.018
文献标志码:
A
摘要:
目的:探讨复元活血汤加减治疗肩袖损伤关节镜术后疼痛气滞血瘀证的临床疗效。方法:选择肩袖损伤关节镜术后疼痛患者92例,根据随机数字表法分为对照组、观察组,各46例。对照组给予“鸡尾酒”疗法,观察组在对照组基础上给予复元活血汤加减,观察两组治疗后临床疗效,术后恢复情况(包括第1次进食时间、下床活动时间、平均住院时间),术前及术后1周VAS评分、前屈上举度数、体侧外旋度数、血清应激指标(包括血清皮质醇、促肾上腺皮质激素)、肩关节功能评分(包括加州大学肩关节评分、简明肩关节功能测试评分)。结果:治疗后观察组总有效率93.48%高于对照组的82.61%,差异有统计学意义(P<0.05)。术后观察组第1次进食时间、下床活动时间、平均住院时间短于对照组,差异有统计学意义(均P<0.05)。治疗后两组VAS评分、血清皮质醇、促肾上腺皮质激素均低于治疗前,两组加州大学肩关节评分、简明肩关节功能测试评分、前屈上举度数和体侧外旋度数均高于治疗前,且观察组高于对照组,差异有统计学意义(均P<0.05)。结论:复元活血汤加减对肩袖损伤关节镜术后镇痛效果较好。
Abstract:
Objective:To investigate clinical efficacy of Fuyuan Huoxue decoction in the treatment of rotator cuff injury of Qizhi Xueyu syndrome after arthroscopy.Methods:92 patients with postoperative analgesia of rotator cuff injury were selected and divided into control group and observation group with 46 patients respectively according to method of random number table.The control group was given cocktail therapy,and the observation group given Fuyuan Huoxue decoction on the basis of the control group.The clinical efficacy of the two groups after treatment was observed.Postoperative recovery(time to first eating,time to get out of bed and average length of hospital stay),VAS score before surgery and one week after surgery,degree of forward flexion and upward lifting,degree of lateral external rotation,serum stress indexes(serum cortisol and adrenocorticotropin levels),shoulder joint function score(University of California shoulder joint score,brief shoulder joint function test score).Results:After treatment,the observation group total effective rate was 93.48% higher than that of control group 82.61%,difference statistically significant(P<0.05).The first time to eat,the time to get out of bed and the average length of stay in the observation group were shorter than those in the control group,difference statistically significant(all P<0.05).The VAS score,serum cortisol and adrenocorticotropin levels in both groups were decreased compared with before treatment,university of California shoulder joint score,brief shoulder joint function test score,forward and upward flexion and lateral external rotation in both groups were increased compared with before treatment,and the observation group were higher than those in the control group,difference statistically significant(all P<0.05).Conclusion:Fuyuan Huoxue decoction has significant analgesic effect on postoperative analgesia of rotator cuff injury.

参考文献/References:

[1] Lapner P,Henry P,Athwal GS,et al.Treatment of rotator cuff tears:A systematic review and meta-analysis[J].Journal Shoulder Elbow Surg,2022,31(3):e120-e129.
[2] Lafrance S,Charron M,Roy JS,et al.Diagnosing managing and supporting return to work of adults with rotator cuff disorders:A clinical practice guideline[J].Journal Orthop Sports Phys Ther,2022,52(10):647-664.
[3] Berthold DP,Garvin P,Mancini MR,et al.Arthroscopic rotator cuff repair with biologically enhanced patch augmentation[J].Oper Orthop Traumatol,2022,34(1):4-12.
[4] 季 康,俞 涵,陈 刚,等.关节镜下不同穿骨技术修复肩袖损伤的有限元分析[J].中国骨伤,2022,35(10):990-995.
[5] 覃肖欢,梁成敏,许永秋.关节镜下清理结合小切口修补治疗肩袖损伤的临床效果及对疼痛和关节功能的影响[J].临床误诊误治,2022,35(10):74-77.
[6] Xu Z,Fang Y,Chen Y,et al.Hydrogel development for rotator cuff repair[J].Front Bioeng Biotechnol,2022,10(1):851-866.
[7] Fitzpatrick LA,Atinga A,White L,et al.Rotator cuff injury and repair[J].Semin Musculoskelet Radiol,2022,26(5):585-596.
[8] 盛 静,闫应朝,孙 瑜,等.丁丙诺啡透皮贴剂在肩关节镜下肩袖修补术后的镇痛效果及安全性[J].中华全科医学,2021,19(3):398-401.
[9] 夏德国,吴 瑞,宫 伟.超声引导肩胛上神经联合腋神经阻滞在肩袖损伤微创手术后的镇痛价值[J].中国现代药物应用,2022,16(18):18-22.
[10] 吴仁庆.电针联合全身麻醉对腹部手术患者镇痛效果及血清IL-1β、S100β蛋白和NSE水平的影响[J].陕西中医,2021,42(1):118-120.
[11] 邓亚南,潘小妮,刘 鑫,等.针刺与腰丛神经阻滞在全髋关节置换术患者超前镇痛中的应用比较[J].陕西中医,2022,43(10):1455-1458.
[12] 李述文,田向东,李荣西,等.中药膏摩配合功能锻炼在肩袖损伤术后康复的疗效观察[J].辽宁中医杂志,2020,47(5):116-118.
[13] 张凯搏,唐 新,李 箭,等.2019年美国骨科医师学会肩袖损伤临床实践指南解读[J].中国运动医学杂志,2020,39(5):403-412.
[14] 单 良,刘 怡,郭艳茹,等.合并冻结肩的肩袖损伤患者修复术时机的选择对术后临床效果及CMS评分的影响[J].实用骨科杂志,2022,28(12):1109-1113.
[15] 国家中医药管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:362.
[16] 彭美晨,艾晓辉.秦艽花化学成分、药理作用及其临床应用的研究进展[J].中南药学,2021,19(6):1243-1249.
[17] 郭 培,郎拥军,张国桃.羌活化学成分及药理活性研究进展[J].中成药,2019,41(10):2445-2459.
[18] 张开弦,姚秋阳,吴发明,等.大黄属药用植物化学成分及药理作用研究进展[J].中国新药杂志,2022,31(6):555-566.
[19] 马艳春,吴文轩,胡建辉,等.当归的化学成分及药理作用研究进展[J].中医药学报,2022,50(1):111-114.
[20] 陈 斯.延胡索化学成分和药理作用研究进展[J].中医药信息,2021,38(7):78-82.
[21] 王春丽,潘春柳,姚李祥,等.鸡血藤的化学成分和药理作用研究进展[J].现代中药研究与实践,2021,35(2):96-102.
[22] 陈柳妹,雷东旭,赵 晴.腰硬联合麻醉用于产妇分娩的镇痛效果及其对血清皮质醇、脂联素水平的影响[J].临床和实验医学杂志,2021,20(11):1227-1230.
[23] 阮 倩,自华芬,陈 莉,等.髂筋膜间隙阻滞联合浅全麻对老年髋骨骨折手术患者围术期皮质醇、促肾上腺皮质激素浓度和术后睡眠质量的影响[J].老年医学与保健,2021,27(4):838-842.

相似文献/References:

[1]杨永超,冯 颖,孔 琳,等.复元活血汤治疗肾病综合征激素撤减致身痛临床研究[J].陕西中医,2024,(9):1215.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.014]

备注/Memo

备注/Memo:
基金项目:安徽省重点研究与开发计划项目(202104J07020053)
更新日期/Last Update: 2023-07-10