摘要
目的:探讨自制烫洗药治疗寒湿痹阻型肩关节周围炎疼痛期的临床效果。方法:选取2023年5月—2025年4月山东省淄博市张店区中医院收治的60例寒湿痹阻型肩关节周围炎疼痛期患者,按照随机双盲法分为治疗组和对照组,每组患者各30例。治疗组使用烫洗药外用+洛索洛芬钠片口服治疗,对照组使用洛索洛芬钠片口服治疗。对比两组治疗前后疼痛程度[视觉模拟评分法(VAS)评估]、肩关节活动度(肩关节功能评价量表)、肿瘤坏死因子-α(TNF-α)水平等。结果:治疗前,两组VAS评分相比,差异不显著(P>0.05);治疗4 d、7 d、10 d,两组VAS评分均降低,且治疗组均低于对照组(P<0.05)。治疗前,两组肩关节主动前屈、外展、后伸、内旋、外旋、内收活动度相比,差异不显著(P>0.05)。治疗后,两组肩关节主动前屈、外展、后伸、内旋、外旋、内收活动度均有所增大,且治疗组均大于对照组(P<0.05)。治疗前,两组TNF-α水平相比,差异不显著(P>0.05)。治疗10 d,两组TNF-α水平均降低,且治疗组低于对照组(P<0.05)。结论:采用自制烫洗药治疗寒湿痹阻型肩关节周围炎疼痛期的效果确切,值得临床推广应用。
Objective:To analyze the clinical effect and value of self-made hot wash medicine in treating the pain phase of frozen shoulder with cold-dampness obstruction pattern.Methods:Sixty patients with frozen shoulder in the pain phase and of cold-dampness obstruction pattern,admitted to the outpatient and inpatient departments of Zhangdian District Hospital of Traditional Chinese Medicine from May 2023 to April 2025,were selected and randomly divided into a treatment group and a control group using a double-blind method,with 30 patients in each group.The treatment group received external application of the hot wash medicine combined with oral loxoprofen sodium tablets,while the control group received only oral loxoprofen sodium tablets.The Visual Analog Scale(VAS)was used to assess pain before treatment and on days 4,7,and 10 of treatment.Shoulder range of motion was compared before and after treatment.The shoulder function evaluation scale was used to assess shoulder function before and after treatment.Levels of tumor necrosis factor-α(TNF-α)were compared before and after treatment.Results:There was no difference in VAS scores between the two groups before treatment(P>0.05).VAS scores decreased in both groups on treatment days 4,7,and 10,and the VAS scores of the treatment group were lower than those of the control group on days 4,7,and 10(P<0.05).There was no difference in active shoulder range of motion(forward flexion,abduction,extension,internal rotation,external rotation,adduction)between the two groups before treatment(P>0.05).After treatment,active shoulder range of motion(forward flexion,abduction,extension,internal rotation,external rotation,adduction)increased in both groups,and the treatment group showed greater improvement in all these ranges of motion after treatment(P<0.05).There was no difference in TNF-αlevels between the two groups before treatment(P>0.05).After treatment,TNF-αlevels decreased in both groups,and the treatment group had lower TNF-αlevels after treatment(P<0.05).Conclusion:The application of self-made hot wash medicine in patients with frozen shoulder in the pain phase and of cold-dampness obstruction pattern has definite value and is worthy of recommendation and adoption.
作者
王立斌
李宏伟
WANG Libin;LI Hongwei(Second Department of Orthopedics,Zhangdian District Hospital of Traditional Chinese Medicine,Zibo City,Zibo 255035,China)
出处
《延边大学医学学报》
2025年第12期103-106,共4页
Journal of Medical Science Yanbian University
基金
淄博市医药卫生科研项目(编号:20231506106)。
关键词
肩关节周围炎
寒湿痹阻型
烫洗药
疼痛程度
肩关节功能
Frozen shoulder
Cold-dampness obstruction pattern
Hot wash medicine
Pain level
Shoulder function
