摘要
目的:观察温针灸联合超短波和动态干扰电对肩周炎患者疼痛缓解、肩关节活动情况的影响。方法:选择符合纳入标准的90例肩周炎患者,依据随机数字表随机分为研究组和对照组,各45例。研究组给予温针灸联合超短波和动态干扰电治疗,对照组给予超短波和动态干扰电治疗,两组均治疗6周。分别在治疗前后检测两组患者粒细胞-巨噬细胞集落刺激因子(CM-CSF)、C-反应蛋白(CRP)、β-内啡肽(β-EP)、前列腺素E_(2)(PGE_(2))、P物质(SP)水平,并采用Constant-Murley量表、健康状况调查表(SF-36)评价患者恢复情况,计算中医证候积分并比较两组临床疗效。结果:治疗前两组患者指标比较,没有统计学意义(P>0.05),治疗后各观察指标均较治疗前改善(P<0.05)。治疗后研究组CM-CSF、CRP、PGE_(2)和SP水平低于对照组(P<0.01),β-EP水平高于对照组(P<0.01);治疗后研究组关节活动度、肌力、日常生活评分和SF-36评分高于对照组(P<0.01),疼痛评分、中医证候积分低于对照组(P<0.01)。研究组临床总有效率(95.56%,43/45)高于对照组(84.44%,38/45)(P<0.05)。结论:温针灸联合超短波和动态干扰电治疗肩周炎患者,可抑制患者炎症反应,减少疼痛递质水平,改善肩关节活动度,缓解患者疼痛,提高生活质量。
Objective:To observe the effects of needle-warming moxibustion combined with ultrashort wave and dynamic interference electricity on pain relief and shoulder range of motion(ROM)in patients with scapulohumeral periarthritis.Methods:90 patients with scapulohumeral periarthritis,who met the inclusion criteria,were randomly divided into the study group and the control group,with 45 cases in each group.The control group was treated with ultrashort wave and dynamic interference electricity;on which basis,the study group was also treated with needle-warming moxibustion.Both groups were treated for six weeks.Granulocyte macrophage colony stimulating factor(CM-CSF),C-reactive protein(CRP)andβ-endorphins(β-EP),prostaglandin E2(PGE2)and substance P(SP)were detected before and after the treatment in the two groups.The recover of the patients was evaluated by Constant-Murley scale and health status questionnaire of SF-36,and TCM syndrome score was calculated in the two groups.The clinical efficacy was compared between the two groups.Results:There were no statistical differences in observing indicators between the two groups before the treatment(P>0.05),which were all improved after the treatment in the two groups(P<0.05).The levels of CM-CSF,CRP and PGE2 were lower in the study group than those in the control group after the treatment(P<0.01),and the level ofβ-EP was higher in the study group than that of the control group(P<0.01).The shoulder ROM,muscle strength and daily life score and SF-36 score of the study group were higher than those of the control group(P<0.01),whereas the pain score and TCM syndrome score of the study group were lower than those of the control group(P<0.01).The total effective rate of the study group was 95.56%(43/45),which was higher than 84.44%(38/45)of the control group(P<0.05).Conclusion:Needle-warming moxibustion combined with ultrashort wave and dynamic interference electricity can inhibit inflammatory reactions,reduce the levels of pain transmitters,improve shoulder ROM,relieve pain and improve quality of life in the treatment of scapulohumeral periarthritis.
作者
马利辉
郜浩凯
张威
MA Lihui;GAO Haokai;ZHANG Wei(Gongyi Hospital of Traditional Chinese Medicine,Gongyi 451200,China;Zhengzhou Orthopedic Hospital,Zhengzhou 450000,China)
出处
《中医药信息》
2022年第1期55-59,共5页
Information on Traditional Chinese Medicine
关键词
温针灸
超短波
动态干扰电
肩周炎
炎症
疼痛递质
疼痛
肩关节活动度
Needle-warming moxibustion
Ultrashort wave
Dynamic interference electricity
Scapulohumeral periarthritis
Inflammation
Pain transmitters
Pain
Shoulder range of motion
