新身痛逐瘀汤与针刺在肩峰成形术治疗 肩峰下撞击综合征的疗效
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阳景峰,男,主治医师,主要研究方向是运动医学。

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R 684

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The Therapeutic Effect of New Shentong Zhuyu Decoction Combined with Acupuncture on Subacromial Impingement Syndrome Treated with Acromioplasty
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    摘要:

    摘 要目的:分析新身痛逐瘀汤联合针刺在肩锋成形术治疗肩峰下撞击综合征患者术后的临床疗效。 方法:选取万载县中医院 2021 月 6 月至 2022 年 6 月期间诊治的 80 例肩峰下撞击综合征且开展肩峰成形术治疗的患者,随 机分组方式均分为对照组、观察组,各 40 例。对照组患者采用新身痛逐瘀汤治疗,观察组患者采用新身痛逐瘀汤联 合针刺治疗,比较不同治疗方式对患者术后的临床疗效。 结果:观察组患者治疗后中医症状量化、视觉模拟评分法 (VAS)评分均低于对照组,美国加州大学肩关节评分(UCLA)评分高于对照组,差异具有统计学意义(P < 0.05); 观察组患者总有效率为 97.50 %,高于对照组的 82.00 %,差异具有统计学意义(P < 0.05)。 结论:对开展肩锋成形 术治疗的肩峰下撞击综合征患者采取新身痛逐瘀汤联合针刺方案,能降低术后疼痛程度同时改善其临床症状,加快肩 关节功能恢复速度。

    Abstract:

    AbstractObjective To analyze the clinical effect of New Shentong Zhuyu decoction combined with acupuncture on subacromial impingement syndrome treated with acromioplasty. Methods Eighty cases of patients with subacromial impingement syndrome who underwent acromioplasty treatment in Wanzai County Hospital of Traditional Chinese Medicine from June 2021 to June 2022 were selected, and the patients were randomly divided into a control group and an observation group, with 40 patients in each group. The control group patients were treated with New Shentong Zhuyu decoction, while the observation group patients were treated with New Shentong Zhuyu decoction combined with acupuncture. The clinical efficacy of different treatment methods on patients after surgery were compared. Results After treatment, the scores of traditional Chinese medicine (TCM) symptom quantification and visual analogue scale (VAS) of the observation group were lower than those of the control group, and the University of California at LosAngeles shoulder rating scal (UCLA) score was higher than that of the control group, and the differences were statistically significant (P < 0.05). The total effective of the observation group was 97.50 %, which was higher than 82.00 % of the control group, and the difference was statistically significant (P < 0.05). Conclusion New Shentong Zhuyu decoction combined with acupuncture on subacromial impingement syndrome treated with acromioplasty can reduce the postoperative pain and improve their clinical symptoms, and speed up the recovery of shoulder joint function.

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  • 收稿日期:2023-03-16
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  • 在线发布日期: 2023-08-17
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