文章摘要
桂枝葛根汤联合冲击波治疗风寒湿型肩周炎的临床观察
Clinical Observation of Guizhi Gegen Decoction Combined with Shock Wave in Treating Periarthritis of Wind-Cold and Wet Shoulder
投稿时间:2019-04-30  修订日期:2019-05-24
DOI:
中文关键词: 桂枝葛根汤  冲击波  风寒湿型  肩周炎  中西医结合疗法
英文关键词: Guizhi Gegen Decoction  shock wave  wind and cold type  shoulder periarthritis  integrated Chinese and Western medicine therapy
基金项目:河南省中医药管理局专项课题(2016ZY1010);
作者单位邮编
石淇允* 湖南中医药大学第一附属医院 470000
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中文摘要:
      目的:探讨桂枝葛根汤联合冲击波治疗风寒湿型肩周炎的临床疗效。方法:将68例患者按随机数字表法分为观察组和对照组,每组34例。观察组患者均采用桂枝葛根汤口服,同时使用冲击波治疗。对照组患者均单纯使用冲击波治疗。所有患者在治疗基础上配合功能锻炼,比较两组治疗前后Constant-Murley评分及总有效率。结果:经过三周左右治疗,观察组患者疼痛、ROM、ADL、MMT评分以及CMS评分总分均高于治疗前,且观察组均高于对照组,差异均有统计学意义(P<0.05);观察组总有效率为94.1%,对照组总有效率为71.9%,两组比较,差异有统计学意义(P<0.05)。结论:桂枝葛根汤联合冲击波能够有效缓解风寒湿型肩周炎患者疼痛症状,且对患者肩关节活动度、日常生活能力、肌力等恢复有明显促进作用,临床效果优于单纯使用体外冲击波治疗。
英文摘要:
      To investigate the clinical efficacy of Guizhi Gegen Decoction combined with shock wave in the treatment of periarthritis of wind-cold and wet shoulder. Methods: 68 patients were divided into observation group and control group according to the random number table method, 34 cases in each group. Patients in the observation group were treated with Guizhi Gegen Decoction combined with shock wave. All patients in the control group were treated only with shock wave therapy. All patients were combined with functional exercise on the basis of treatment. The Constant-Murley score and total effective rate were compared between the two groups. RESULTS: After three weeks of treatment, the pain, ROM, ADL, MMT scores and CMS scores of the observation group were higher than before treatment, the observation group was higher than the control group, and the difference was statistically significant (P<0.05). The total effective rate was 94.1% in the observation group and 71.9% in the control group. The difference was statistically significant (P<0.05). Conclusion: Guizhi Gegen Decoction combined with shock wave can effectively alleviate the pain symptoms of patients with periarthritis of wind-cold and wet shoulder, and it can significantly promote the recovery of shoulder joint activity, daily living ability and muscle strength, moreover, the clinical effect is better than the simple use of extracorporeal shock wave treatment.
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