摘要
目的观察骨通贴膏配合肩关节功能锻炼治疗肩关节周围炎(以下简称肩周炎)的临床疗效。方法将76例肩周炎患者随机分为2组,治疗组38例(脱落4例)行骨通贴膏配合肩关节功能锻炼治疗,对照组38例(脱落4例)予温热式低周波治疗仪联合肩关节功能锻炼治疗。比较2组治疗前,治疗第2周、4周以及3个月随访时疼痛视觉模拟(VAS)评分、肩关节疼痛与功能障碍指数(SPADI)变化,2组治疗前,治疗第2周、4周肩关节外展、内旋、外旋、后伸活动度变化情况。结果 2组治疗第2周、第4周及3个月随访时VAS评分、SPADI均较本组治疗前降低,比较差异均有统计学意义(P<0.05),且治疗第2周治疗组VAS评分、SPADI低于对照组同期(P<0.05),治疗第4周VAS评分及SPADI比较差异无统计学意义(P>0.05);3个月随访时2组VAS评分无明显差异(P>0.05),但治疗组SPADI低于对照组(P<0.05)。2组治疗第2周、第4周患肩关节外展、内旋、外旋、后伸活动度均较本组治疗前改善,比较差异有统计学意义(P<0.05),且治疗组第2周、第4周肩关节外展、外旋、内旋活动度及第2周后伸活动度改善情况均优于对照组同期(P<0.05),2组治疗第4周后伸活动度比较差异无统计学意义(P>0.05)。结论骨通贴膏配合肩关节功能锻炼治疗肩周炎有短期内改善疼痛的优势,并且在改善肩关节活动度、功能障碍方面疗效显著。
Objective To observe the clinical effects of Gutong plaster combined with shoulder joint functional exercises on the treatment of periarthritis of shoulder. Methods 76 patients with periarthritis of shoulder were randomly divided into two groups. 38 cases in treatment group （4 cases lost） were treated by Gutong plaster combined with shoulder joint functional exercises. 38 cases in control group （4 cases lost） were treated by hyperthermic treatment of low - frequency devices combined with shoulder joint functional exercises. The changes of Visual Ana- logue Scale （VAS） and Shoulder Pain and Dysfunction Index （SPADI） before and after 2, 4 weeks treatment, and after 3 month follow - up were compared in two groups. The changes of activity degree of shoulder including abduction, internal rotation, external rotation, backward extension were compared in two groups. Results The VAS and SPADI after 2, 4 weeks treatment, and after 3 month follow - up were decreased in two groups with statistical differences （P 〈 0. 05 ）, and the scores after 2 weeks treatment in treatment group was lower than that in control group （P 〈 0. 05 ） , but there was no statistical difference on the scores after 4 weeks treatment and 3 month follow - upbetween two groups （ P 〉 0.05 ）. The SPADI 3 after month follow - upin treatment group was lower than that in control group （P 〈 O. 05 ）. The activity degree of shoulder including abduction, internal rotation, external rotation, backward ex- tension after 2, 4 weeks treatment were improved in two groups with statistical differences （ P 〈 0.05 ）. The improvements of activity degree of abduction, internal rotation, external rotation after 2, 4 weeks treatment and the improvements of activity degree of backward extension after treatment in treatment group were superior to those in control group at the same perigd （P 〈 O. 05）. There were no statistical differences on the improvements of activity degree of backward extension after 4 weeks treatment between two groups （ P 〉 O. 05 ）. Condusioa Gutong plaster combined with shoulder joint functional exercises has the advantage of improving pain in the short term on the treatment of periarthritis of shoulder, with significant effects on the shoulder joint activity and dysfunction.
出处
《河北中医》
2017年第5期683-687,共5页
Hebei Journal of Traditional Chinese Medicine
关键词
肩凝症
膏剂
自体锻炼
Frozen shoulder
Plaster
Autogenic training
