搜风通络汤对肩周炎冻结期关节镜术后临床疗效的影响

发布时间：2018-05-24 09:08

本文选题：搜风通络汤 + 肩周炎　；参考：《南京中医药大学》2016年硕士论文

【摘要】：本研究旨在探索搜风通络汤对于肩周炎冻结期关节镜术后的临床疗效的影响,观察对中医症状积分、Constant-Murley肩关节功能评分,探讨搜风通络汤在肩周炎关节镜术后治疗中的作用。论文包括文献研究、临床研究和讨论三个主体部分。目的：探讨周福贻搜风通络汤对肩周炎关节镜术后肩关节功能状态的改善效果,为临床治疗提供新思路、新方法。方法：选取诊断明确的肩周炎并已行关节镜手术的病例63例,随机分为A组(34例)：功能锻炼+搜风通络汤,B组(29例)：功能锻炼,用Constant肩关节功能评分法分别于术后3天、1周、2周,1月观察评定肩关节功能状态。结果：两组患者的性别、年龄等临床资料经统计学分析,P0.05,差异无统计学意义,两组具有可比性；两组治疗后各时点的Constant肩关节功能总评分与术前比较均有统计学差异,且呈线性改变；分别比较术前与术后一月的疼痛、关节功能、关节活动度及肌力的评分情况,发现同组间比较,经统计学分析,P0.05,差异具有统计学意义；组间比较,经统计学分析,P0.05,差异具有统计学意义。结论：功能锻炼治疗以及搜风通络汤均可有效地改善肩周炎术后肩关节功能状态,而在功能锻炼的基础上联合运用搜风通络汤在改善肩关节功能状态更显著,是肩周炎术后治疗的有效治疗方法。
[Abstract]:The purpose of this study was to explore the effect of Soufeng Tongluo decoction on the clinical effect of arthroscopy in frozen period of periarthritis of shoulder, to observe the function score of Constant-Murley shoulder joint in traditional Chinese medicine, and to explore the role of Soufeng Tongluo decoction in the treatment of periarthritis of shoulder after arthroscopy. The thesis includes three main parts: literature research, clinical research and discussion. Objective: to explore the effect of Zhou Fuyi Soufeng Tongluo decoction on the functional status of shoulder joint after arthroscopy, and to provide new ideas and methods for clinical treatment. Methods: Sixty-three patients with clearly diagnosed periarthritis of shoulder who had undergone arthroscopy were randomly divided into group A (n = 34) and group B (n = 29): functional exercise. The functional status of shoulder joint was evaluated by Constant's function scoring method in 1 week and 2 weeks after operation 3 days after operation and 1 month after operation. Results: the clinical data of gender and age of the two groups were statistically analyzed (P 0.05), the difference was not statistically significant, the two groups were comparable, the total scores of Constant shoulder joint function at each time point after treatment were significantly different from those before treatment. The scores of pain, joint function, joint motion and muscle strength were compared before and one month after operation, and the difference between the same group was statistically significant (P 0.05). The difference was statistically significant by statistical analysis (P 0.05). Conclusion: the treatment of functional exercise and Soufeng Tongluo decoction can effectively improve the functional state of shoulder joint after shoulder periarthritis, and the combined use of Soufeng Tongluo decoction on the basis of functional exercise is more significant in improving the functional state of shoulder joint. It is an effective treatment for periarthritis of shoulder after operation.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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