世界睡眠医学杂志2024,Vol.11Issue(2) :285-288.DOI:10.3969/j.issn.2095-7130.2024.02.013

火龙灸对寒湿阻滞型肩周炎患者睡眠质量的影响

Effect of Huolong Moxibustion on Sleep Quality in Patients with Cold Dampness Blocked Shoulder Periarthritis

叶娜靖
世界睡眠医学杂志2024,Vol.11Issue(2) :285-288.DOI:10.3969/j.issn.2095-7130.2024.02.013

火龙灸对寒湿阻滞型肩周炎患者睡眠质量的影响

Effect of Huolong Moxibustion on Sleep Quality in Patients with Cold Dampness Blocked Shoulder Periarthritis

叶娜靖1
扫码查看

作者信息

  • 1. 漳州市中医院,漳州,363000
  • 折叠

摘要

目的:观察火龙灸对寒湿阻滞型肩周炎的疗效,并观察其对睡眠质量的影响.方法:选取2022年1月至2022年12月漳州市中医院收治的寒湿阻滞型肩周炎患者50例作为研究对象,按照随机数字表法分为对照组和观察组,每组25例.对照组予以避风寒、肩关节康复训练、口服布洛芬等常规治疗,观察组在对照组治疗方案基础上加用火龙灸,2组均接受为期14 d的治疗,比较治疗前后2组患者临床疗效、视觉模拟评分(VAS)、Constant-Murley评分、匹兹堡睡眠质量指数(PSQI)以及外周血清前列腺素E2(PGE2)、P物质(SP)水平的变化.结果:对照组临床总有效率56%,观察组临床总有效率88%,2组临床总有效率比较,差异有统计学意义(P<0.05).2组患者治疗后VAS评分、PSQI指数均较前下降,治疗后观察组VAS评分及PSQI指数明显低于对照组,差异均有统计学意义(均P<0.05).2组患者治疗后Constant-Murley评分均较前上升,治疗后观察组Constant-Murley评分明显高于对照组,差异均有统计学意义(均P<0.05).治疗后2组PGE2、SP水平均明显下降,其中观察组下降的趋势较对照组明显,差异均有统计学意义(均P<0.05).结论:火龙灸对寒湿阻滞型肩周炎有理想疗效,可明显改善患者的睡眠质量,这可能与抑制疼痛介质释放有关.

Abstract

Objective:To observe the therapeutic effect of Huolong Moxibustion on cold dampness blocked shoulder periarthritis and its impact on sleep quality.Methods:From January 2022 to December 2022,50 patients with cold dampness blocked type periarthritis of the shoulder in our hospital were included in the study.They were randomly divided into a control group and an ob-servation group,with 25 patients in each group.The patients in the control group received routine treatment such as avoiding cold,shoulder joint rehabilitation training,oral ibuprofen,etc.The observation group added Huolong Moxibustion on the basis of the treatment scheme in the control group,and both groups received 14 days of treatment.The clinical efficacy,Visual Analogue Scale(VAS)score,Constant-Murley score,Pittsburgh Sleep Quality Index(PSQI)and peripheral serum Prostaglandin E2(PGE2)and substance P(SP)levels were compared.Results:The total clinical effective rate of the control group was 56%,while the total clinical effective rate of the observation group was 88%.There was a statistically significant difference in the total clinical effective rate between the two groups(P<0.05).The VAS score and PSQI of the two groups of patients decreased after treatment,and the VAS score and PSQI of the observation group were significantly lower than those of the control group after treatment,with a statis-tically significant difference(Ps<0.05).The Constant-Murley score of both groups of patients increased after treatment.After treatment,the Constant-Murley score of the observation group was significantly higher than that of the control group,with a statisti-cally significant difference(Ps<0.05).After treatment,the levels of PGE2 and SP in both groups decreased significantly,with the observation group showing a significant downward trend compared to the control group,with a statistically significant difference(Ps<0.05).Conclusion:Huolong moxibustion has an ideal therapeutic effect on cold dampness blocked type shoulder periar-thritis,which can significantly improve the sleep quality of patients,which may be related to inhibiting the release of pain media-tors.

关键词

肩周炎/寒湿阻滞型/火龙灸/疗效/睡眠质量/疼痛介质

Key words

Shoulder periarthritis/Cold dampness blocked type/Huolong Moxibustion/Efficacy/Sleep quality/Pain mediator

引用本文复制引用

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

ISSN:
参考文献量14
段落导航相关论文