从“久病入络”论治肩周炎患者的临床观察

发布时间：2019-01-03 20:32

【摘要】：目的:观察在王清任"久病入络"理论指导下,运用身痛逐瘀汤加减方结合放血疗法治疗僵硬期肩周炎患者的临床疗效。方法:将42例符合入组标准的患者随机分成治疗组(n=21)和对照组(n=21);治疗组采用身痛逐瘀汤加减方结合放血疗法治疗;对照组采用常规牵伸疗法;对所有患者进行为期4周的治疗。在治疗前后对患者进行疗效评价及CMS评定,评估两组患者治疗前后肩关节功能障碍改善情况。结果:治疗后,对照组及治疗组的临床疗效、CMS总分及各项评分较治疗前明显改善(P0.05)。治疗组治疗后的临床疗效、CMS总分及各项评分较对照组的得分差异有显著意义(P0.05)。结论:在王清任"久病入络"理论指导下,运用身痛逐瘀汤加减方结合放血疗法治疗僵硬期肩周炎患者的临床疗效优于常规牵伸疗法。
[Abstract]:Objective: to observe the clinical effect of Shentong Zhuyu decoction combined with bloodletting therapy under the guidance of Wang Qing Ren's theory of "long illness into collaterals". Methods: 42 patients who met the criteria of admission were randomly divided into two groups: the treatment group (n = 21) and the control group (n = 21), the treatment group was treated with Shentong Zhuyu decoction combined with bleeding therapy, and the control group was treated with routine drafting therapy. All patients were treated for 4 weeks. The improvement of shoulder dysfunction before and after treatment was evaluated by evaluating the curative effect and CMS before and after treatment. Results: after treatment, the clinical efficacy, CMS score and scores of the control group and the treatment group were significantly improved compared with those before treatment (P0.05). There were significant differences in clinical efficacy, total CMS score and scores between the treatment group and the control group (P0.05). Conclusion: under the guidance of Wang Qing Ren's theory of "long illness into collateral", the clinical effect of Shentong Zhuyu decoction combined with bleeding therapy is superior to that of routine drafting therapy in treating patients with stiff shoulder periarthritis.
【作者单位】：许昌县人民医院;
【分类号】：R274.9

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