摘要
目的探讨生姜油配合扶阳罐循经温推改善风寒湿型肩周炎的疗效。方法选取2018年2月至2020年8月柳州市中医医院收治的风寒湿型肩周炎患者118例,采用随机数字表法分为观察组和对照组,每组各59例。应用推拿方式治疗对照组患者,观察组给予生姜油配合扶阳罐循经温推治疗,治疗14 d后,观察两组患者治疗前后疼痛情况、日常生活活动能力、肩关节活动度、血清白细胞介素-17(IL-17)、白细胞介素-6(IL-6)水平和临床疗效。结果观察组总有效率为96.61%,高于对照组的79.66%,差异有统计学意义(P<0.05)。治疗前,两组疼痛程度评分(VAS)、日常生活活动能力评分(ADL)和肩关节活动度评分(ROM)比较,差异无统计学意义(P>0.05);治疗后,观察组患者VAS、ADL评分低于对照组,ROM评分高于对照组,差异有统计学意义(P<0.05)。治疗前,两组IL-17、IL-6比较,差异无统计学意义(P>0.05);治疗后,观察组IL-17和IL-6水平低于对照组,差异有统计学意义(P<0.05)。结论生姜油配合扶阳罐循经温推改善风寒湿型肩周炎临床疗效显著,能明显缓解患者疼痛,改善日常生活活动能力和肩关节活动度,降低血清IL-17、IL-6水平。
Objective To explore the efficacy of ginger oil combined with Fuyang Guan warm massage along the meridians to improve the frozen shoulder of wind-cold dampness type.Methods A total of 118 patients with frozen shoulder of wind-cold dampness type who were admitted to Liuzhou Traditional Chinese Medical Hospital from February 2018 to August 2020 were selected and randomly assigned to the observation group and the control group,with 59 cases in each group.The control group was treated with Tuina massage,while the observation group was treated with ginger oil combined with Fuyang Guan warm massage along the meridians.After 14 days of treatment,the pain,the ability of activities of daily living,shoulder range of motion,and serum interleukin-17(IL-17)levels,interleukin-6(IL-6)levels and clinical efficacy were observed before and after treatment in the two groups.Results The total effective rate in the observation group(96.61%)was higher than that in the control group(79.66%),with statistically significant difference(P<0.05).Before treatment,there were no statistically significant differences between the two groups in pain degree scores(VAS),activities of daily living scores(ADL)and shoulder range of motion scores(ROM)(P>0.05).After treatment,VAS and ADL scores in the observation group were lower than those in the control group,and the ROM score was higher than that in the control group,with statistically significant differences(P<0.05).Before treatment,there were no statistically significant differences in the levels of IL-17 and IL-6 between the two groups(P>0.05).After treatment,the levels of IL-17 and IL-6 in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The combination of ginger oil and Fuyang Guan warm massage along the meridians has a significant clinical effect on improving the frozen shoulder of wind-cold dampness type.It can significantly relieve the patient's pain,improve the ability of activities of daily living and shoulder range of mot ion,and reduce the levels of serum IL-17 and IL-6.
作者
张海花
黄静
谭柳梅
ZHANG Haihua;HUANG Jing;TAN Liumei(Department of Rehabilitation Medicine,Liuzhou Traditional Chinese Medical Hospital(Liujcouh Si Ywcuengh Yihyen),Guangxi,Liuzhou 545006,China)
出处
《中国医药科学》
2021年第21期20-23,共4页
China Medicine And Pharmacy
基金
广西壮族自治区中医药局自筹经费科研课题(GZZC2019234)
广西壮族自治区中医药管理局自筹经费科研课题(GZZC2020397)。
关键词
生姜油
扶阳罐
风寒湿型
肩周炎
Ginger oil
Fuyang Guan
Wind-cold dampness type
Frozen shoulder
