[1]黄治华,唐剑邦,何国文,等.桃花膏贴敷联合体外冲击波治疗肩关节周围炎的疗效观察[J].中国中医骨伤科杂志,2022,30(12):25-28.
　HUANG Zhihua,TANG Jianbang,HE Guowen,et al.Observation on the Efficacy of Taohua Plaster Combined with Extracorporeal Shock Wave Therapy on Periarthritis of Shoulder[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):25-28.
点击复制

桃花膏贴敷联合体外冲击波治疗肩关节周围炎的疗效观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
25-28
栏目:
临床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Observation on the Efficacy of Taohua Plaster Combined with Extracorporeal Shock Wave Therapy on Periarthritis of Shoulder
文章编号:
1005-0205(2022)12-0025-04
作者:
黄治华1; 唐剑邦1; 何国文1; 吴宇峰1; 郑炜宏1; 何君源1; 李纯1; 吴子光1
1广州中医药大学附属中山市中医院(广东 中山,528400)
Author(s):
HUANG Zhihua1; TANG Jianbang1; HE Guowen1; WU Yufeng1; ZHENG Weihong1; HE Junyuan1; LI Chun1; WU Ziguang1
1Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Zhongshan 528400, Guangdong China.
关键词:
桃花膏;  肩关节周围炎;  体外冲击波;  疗效观察
Keywords:
Taohua plaster;  periarthritis of shoulder;  extracorporeal shock wave;  therapeutic efficacy observation
分类号:
R684
文献标志码:
A
摘要:
目的:观察桃花膏贴敷疗法联合体外冲击波(ESWT)治疗肩关节周围炎的临床疗效。方法:选取自2021年6月至2021年12月治疗的符合纳入标准的肩关节周围炎患者60例,并随机分为观察组和对照组,每组各30例。对照组常规使用体外冲击波疗法,观察组在对照组的基础上联合桃花膏贴敷进行治疗。治疗前、治疗后分别采用视觉模拟量表(VAS)评分及Constant-Murley肩关节功能量表(CMS)评分对两组患者进行评估,并统计并发症和不良反应事件。结果:治疗前两组患者性别、年龄、病程等差异均无统计学意义(P>0.05),具有可比性。组内比较:治疗后VAS评分及CMS 评分均优于治疗前,且差异有统计学意义(P<0.05)。组间比较:治疗前两组 VAS评分及CMS 评分差异无统计学意义(P>0.05),而治疗后观察组VAS评分及CMS评分均优于对照组,且差异均有统计学意义(P<0.05)。结论:桃花膏贴敷联合体外冲击波治疗肩关节周围炎效果显著,能够缓解疼痛,促进患肩关节功能恢复,可在临床推广使用。
Abstract:
Objective:To observe the clinical efficacy of taohua ointment in combination with extracorporeal shock wave therapy(ESWT)on the treatment of periarthritis of shoulder.Methods:A total of 60 patients with shoulder periarthritis were randomly divided into the observation group and the control group, who were treated from June to December in the 2021. Each group had 30 cases. The control group was treated with extracorporeal shock wave therapy, and the observation group was treated with Taohua plaster. Visual analogue scale(VAS)and Constant-Murley shoulder(CMS)score were used before and after treatment to evaluate the complications and adverse event.Results:There was no significant difference in the general data including sex, age and duration of disease between the two groups before treatment(P>0.05). The scores of VAS and CMS in the two groups after treatment were significantly higher than those before treatment(P<0.05). No significantly differernce in VAS and CMS scores was found before the treatment between two groups(P>0.05). VAS and CMS scores in observation group were better than these in control group after tretment(P<0.05).Conclusion:Taohua plaster combined with extracorporeal shock wave therapy is effective on the treatment of periarthritis of shoulder,which can effectively relieve pain and promote the recovery of shoulder function, which is worthy of further clinical use.

参考文献/References:

[1] 董鑫华,黎键,鲍荣华.自体富血小板血浆注射结合推拿手法治疗冻结肩30例[J].中国中医骨伤科杂志,2021,29(7):55-59.
[2] 陈超,朱得婷,周云,等.肩关节周围炎康复治疗的研究进展[J].颈腰痛杂志,2021,42(6):884-886.
[3] 谢磊,黄爱苹,薛纯纯,等.针刀镜治疗原发性肩关节周围炎的临床效果[J].中国医药导报,2021,18(36):135-138.
[4] 李会会,王翔,詹红生.“凝肩”的中西医诊治进展[J].中国中医骨伤科杂志,2019,27(9):85-88.
[5] 王梓合,高大伟,吴微.经络理论指导体外冲击波治疗冻结肩的临床研究[J].广州中医药大学学报,2020,37(11):2113-2117.
[6] 郑维蓬,魏合伟,刘治军,等.筋骨疗伤膏联合关节镜松解术治疗寒湿痹阻型冻结肩的临床观察[J].广州中医药大学学报,2020,37(8):1466-1471.
[7] 王筱锋.平衡针法用于急性肩周炎的治疗和对疼痛程度的改善效果[J].实用中西医结合临床,2018,18(4):34-36.
[8] KIM D H,KIM Y S,KIM B S,et al.Is frozen shoulder completely resolved at 2 years after the onset of disease?[J].Journal of Orthopaedic Science,2020,25(2):224-228.
[9] 吴晓翔,郑卫丛,郭灏宇,等.肩关节周围炎的保守治疗研究进展[J].河北中医,2021,43(10):1742-1748.
[10] SUN Y Y,LIU S H,CHEN S Y,et al.The effect of corticosteroid injection into rotator interval for early frozen shoulder:a randomized controlled trial[J].The American Journal of Sports Medicine,2018,46(3):663-670.
[11] 孙国祥,周黎明,张卫平,等.超声引导下肩关节腔及痛点注药治疗顽固性肩周炎的疗效[J].实用疼痛学杂志,2017,13(1):14-17.
[12] 马瑀彤,毕海洋,于楠楠,等.浮针治疗肩关节周围炎时效关系的临床观察[J].广州中医药大学学报,2020,37(9):1696-1701.
[13] 陈啸,黄竞敏,杨彤旭.冻结肩的中西医治疗研究进展[J].中国中西医结合外科杂志,2021,27(4):662-666.
[14] 刘文辉,李富林,尹东.体外冲击波在骨科疾病中应用的研究现状[J].中国临床新医学,2017,10(3):279-282.
[15] 周云,黄鹏鹏,张全兵.发散式冲击波治疗老年人肩关节周围炎的疗效[J].中华老年医学杂志,2021,40(3):345-350.
[16] 黄建军,李建伟,张景春,等.体外冲击波联合肩胛上神经脉冲射频治疗肩周炎50例[J].中国中医骨伤科杂志,2020,28(9):68-70.
[17] 邵宏,温爱珍,陈俊,等.体外冲击波治疗肩袖钙化性肌腱炎研究进展[J].中国运动医学杂志,2021,40(3):230-236.
[18] 朱天飞,崔家鸣,陈锦富,等.肩周炎治疗方法及其疗效的研究进展[J].中国骨与关节损伤杂志,2018,33(11):1230-1232.
[19] 侯成志,赵勇,陈彦飞,等.体外冲击波治疗肩周炎临床疗效的Meta分析[J].中国中医骨伤科杂志,2019,27(6):34-39.
[20] 彭键勇,彭德润,唐剑邦.广东中山名老中医彭若铿治疗肩痹经验介绍[J].中国中医骨伤科杂志,2021,29(2):76-78.
[21] 王鹏,岳凯峰,易启鹏,等.谢心军教授从瘀论治肩痹的经验[J].广西中医药,2022,45(3):52-55.
[22] 李满意,刘红艳,陈传榜,等.肩痹的证治[J].风湿病与关节炎,2021,10(12):42-44.
[23] 汤双齐,何希俊,周岁锋.加味四妙汤联合桃花膏外敷治疗上消化道出血合并痛风临床观察[J].亚太传统医药,2020,16(4):114-116.
[24] 林惠玲,范玉梅,广明亮,等.皮内针联合桃花膏贴敷疗法在急性痛风性关节炎中的疗效研究[J].中国现代药物应用,2021,15(10):192-194.

更新日期/Last Update: 2022-12-10