摘要
背景:颈肩部慢性软组织损伤性疼痛是常见病、多发病,中医药对颈肩部慢性软组织损伤性疼痛有较好的治疗效果。目的:评价温经养血中药治疗颈肩部慢性软组织损伤性疼痛的临床疗效。设计、场所、对象和干预措施:采用随机对照研究方案,将63例血虚寒凝型的颈肩部慢性软组织损伤性疼痛患者随机分为治疗组和对照组,每组31例,治疗组脱落1例,均为解放军总医院康复医学科门诊患者。患者签署知情同意书之前已经被口头或者书面告知研究过程。治疗组口服温经养血中药汤剂并配合颈椎电脑牵引治疗,对照组单纯使用颈椎电脑牵引治疗。两组均治疗14d。主要结局指标:治疗前后采用视觉模拟量表(visual analog scale,VAS)进行疼痛强度的评价,比较两组组内和组间的临床疗效。结果:治疗组治疗后VAS评分明显降低(t=5.01,P<0.01),对照组治疗后VAS评分也明显降低(t=4.91,P<0.01);治疗组与对照组的治疗前后评分差值比较,治疗组大于对照组(t=2.44,P<0.05)。结论:温经养血法配合颈椎电脑牵引对颈肩部慢性软组织损伤性疼痛有较好的治疗作用。
Background：Pain due to chronic soft tissue injury of the neck and shoulder is a commonly encountered and frequently occurring condition.Traditional Chinese medicine is a common course of treatment for soft tissue injury and may have better therapeutic effects than biomedical options.Objective：To evaluate the clinical therapeutic effects of Chinese herbal medicine warming meridians to nourish blood on chronic pain due to soft tissue injury in the neck and shoulder.Design,setting,participants and interventions：A random and control method was adopted.Sixty-three patients with pain of the neck and shoulder due to chronic soft tissue injury,presenting with blood deficiency and cold coagulation syndrome,were randomly divided into treatment group（n=32）and control group（n=31）.There was a drop-out case in treatment group.All the patients were collected from the clinic service of the Department of Rehabilitation at the General Hospital of the People＇s Liberation Army.Patients received oral and written information about clinical procedures before signing their written informed consent.Patients in the treatment group were treated with Chinese herbal decoctions for warming meridians to nourish blood and cervical traction.Patients in the control group were treated with cervical traction.The course of treatment was 14 days.Main outcome measures：A visual analog scale（VAS）was used to record test data in the two groups before and after treatment,and therapeutic effect was compared after treatment between the two groups.Results：After treatment,VAS scores of the treatment group and the control group were decreased as compared with before treatment（t=5.01,P0.01;t=4.91,P0.01）.Difference of VAS scores between before and after treatment in the treatment group was higher than that in the control group（t=2.44,P0.05）.Conclusion：The treatment method of warming meridians to nourish blood combined with cervical traction has better therapeutic effect than only applying traction for chronic pain due to soft tissue injury of the neck and shoulder.
出处
《中西医结合学报》
CAS
2011年第2期153-157,共5页
Journal of Chinese Integrative Medicine
基金
军队中医药研发诊疗技术推广专项经费资助(No.2006.213001)
关键词
软组织损伤
疼痛
肩痛
颈痛
随机对照试验
soft tissue injury
pain
shoulder pain
neck pain
randomized controlled trial
