摘要
目的:基于肌骨超声观察中药内服及中医外治法联合非甾体抗炎药在肩周炎治疗中的疗效。方法:选取临床确诊的80例肩周炎病例,依据随机分配原则将其平均分为两组接受干预。治疗组患者施以中医综合治疗方案涵盖针刺、拔罐、中草药内服,并配合双氯芬酸钠口服治疗,对照组则采用传统的双联疗法即针刺疗法配合双氯芬酸钠药物干预。结果:临床疗效分析显示,两种治疗方案的总体有效率差异无统计学意义。但在症状缓解时效性方面,接受中医综合治疗及非甾体抗炎药方案的患者表现出更优的短期效果,治疗7 d后的疼痛视觉模拟评分(VAS)较基线值降低(2.925±0.224)分,较传统治疗方案多下降0.85分。通过肌肉骨骼超声定量分析,存在滑囊积液的患者在治疗30 d后随访时均呈现积液量减少趋势,其中治疗组肩峰下三角肌下滑囊积液吸收率达56.5%,显著高于对照组39.4%,这一影像学结果与肩关节功能改善数据具有一致性,治疗组患者的Constant-Murley肩关节评分(CMS)提高至(66.650±1.750)分,较基线提升幅度达52.1%。结论:中西医结合疗法通过多靶点干预,在肩周炎急性期疼痛控制及亚急性期功能重建方面可产生协同增效,且肌骨超声技术能够为肩周炎患者提供可靠的疗效观察依据。
Objective:To observe the therapeutic effect of internal administration of traditional Chinese medicine and external treatment of traditional Chinese medicine combined with non-steroidal anti-inflammatory drugs in the treatment of periarthritis of the shoulder based on musculoskeletal ultrasound.Methods:Eighty clinically diagnosed cases of periarthritis of the shoulder were selected and randomly divided into two groups.Patients in the treatment group were treated with a comprehensive traditional Chinese medicine treatment plan,which included acupuncture,cupping,internal administration of Chinese herbal medicine,and oral administration of diclofenac sodium.In contrast,the control group was treated with a traditional dual therapy,namely acupuncture therapy combined with diclofenac sodium drug intervention.Results:The clinical efficacy analysis showed that there was no statistically significant difference in the overall effective rate between the two treatment regimens.However,in terms of the timeliness of symptom relief,patients who received comprehensive traditional Chinese medicine treatment and non-steroidal anti-inflammatory drug regimens showed better short-term effects.The visual analogue scale(VAS)for pain 7 days after treatment decreased by(2.925±0.224)points compared with the baseline value,and decreased by 0.85 points more than the traditional treatment regimens.Through quantitative analysis of musculoskeletal ultrasound,patients with bursa effusion all showed a trend of reduced effusion volume at the 30 days follow-up.Among them,the absorption rate of the subacromial deltoid bursa effusion in the treatment group reached 56.5%,significantly higher than 39.4%in the control group.This imaging result is consistent with the improvement data of shoulder joint function.The Constant-Murley shoulder joint score(CMS)of the patients in the treatment group increased to(66.650±1.750)points,with an increase of 52.1%compared to the baseline.Conclusion:This combined therapy of traditional Chinese and Western medicine,through multi-target intervention,can produce a synergistic effect in pain control during the acute phase and functional reconstruction during the subacute phase of periarthritis of the shoulder.Moreover,musculoskeletal ultrasound provides reliable objective evidence for evaluating therapeutic efficacy in periarthritis of the shoulder.
作者
王海龙
王生
袁丽霞
张嘉庭
刘小丽
史娟
Wang Hailong;Wang Sheng;Yuan Lixia;Zhang Jiating;Liu Xiaoli;Shi Juan(Shanghai General Hospital Jiuquan Hospital,Jiuquan 735000,China;Jiuquan Hospital of Traditional Chinese Medicine,Jiuquan 735000,China)
出处
《亚太传统医药》
2026年第2期88-93,共6页
Asia-Pacific Traditional Medicine
基金
酒泉市科技局民生科技计划项目B类(2024MB2002)。
关键词
肩周炎
中西医结合
肌骨超声
疗效
Periarthritis of the Shoulder
Integrated Traditional Chinese and Western Medicine
Musculoskeletal Ultrasound
Therapeutic Effect
