火龙罐疗法治疗肩凝症临床观察
Clinical Observation on Huolong Cupping in Treating Frozen Shoulder
马海霞 1郑娟丽 1廖媛嫔 1阳扬 1罗春梅 1曾吉祥 1郑娟霞1
作者信息
- 1. 广州中医药大学附属宝安中医院,广东广州 518100
- 折叠
摘要
目的 观察火龙罐疗法治疗肩凝症(寒湿痹阻证)的临床效果.方法 106患者按照随机数字表法分为试验组与对照组各53例.对照组采用针灸和常规护理治疗;试验组在对照组的基础上采用火龙罐治疗;均每周治疗3次,2周为1个疗程,连续治疗2个疗程,共治疗12次.记录两组患者治疗前,治疗后2及4周时疼痛视觉模拟量表(VAS)评分、肩关节功能(CMS)评分、肩关节活动度(Melle)评分、中医证候评分、SF-36生活质量评分、治疗期间不良反应及疗效.结果 两组治疗后2及4周时,VAS评分、Melle评分、中医证候评分均较治疗前降低(均P＜0.05),试验组比对照组降低更明显,且干预4周比干预2周降低更为明显(均P＜0.05).试验组及对照组治疗后2及4周时,CMS评分较治疗前升高(均P＜0.05),且CMS评分干预4周比干预2周升高更为明显(均P＜0.05).两组治疗后4周时,SF-36生活质量评分均较治疗前升高(P＜0.05),试验组高于对照组(P＜0.05).试验组临床总有效率为90.56％,高于对照组的73.58％(P＜0.05).两组均无不良反应发生.结论 火龙罐疗法可有效缓解肩凝症(寒湿痹阻证)患者疼痛感,有利于肩关节功能恢复,近期疗效满意.
Abstract
Objective:To observe the clinical effect of Huolong cupping therapy on the treatment of frozen shoulder(syndrome of cold dampness obstruction).Methods:A total of 106 patients were divided into an experi-mental group(n=53)and a control group(n=53)using a random number table method.The control group was treated with acupuncture and moxibustion and conventional nursing;the experimental group was treated with Huolong cupping on the basis of the control group.All patients were treated 3 times a week,with 2 weeks as a course of treatment.The treatment lasted for 2 consecutive courses,totaling 12 times.The pain visual analogue score(VAS),shoulder joint function Constant-Murley Score(CMS),shoulder joint range of motion score(Melle),traditional Chinese medicine(TCM)syndrome score,SF-36 quality of life score,and adverse reactions during treat-ment for both groups before and 2 and 4 weeks after treatment were recorded.Results:At 2 and 4 weeks after treatment,the VAS score,Melle score,and TCM symptom score of the experimental group and control group de-creased compared with before treatment(P＜0.05).The decrease in the experimental group was more significant than that of the control group,and the decrease was more significant at 4 weeks of intervention than at 2 weeks of intervention(all P＜0.05).At 2 and 4 weeks after treatment,the CMS score and SF-36 quality of life score of the experimental and control groups increased compared with before treatment(P＜0.05),and the CMS score de-creased more significantly at 4 weeks of intervention compared with 2 weeks of intervention(P＜0.05).The total clinical effective rate of the experimental group was 90.56％,which was higher than 73.58％of the control group(P＜0.05).There were no adverse reactions in the experimental group and control group.Conclusion:Huolong cupping therapy can effectively alleviate pain in patients with frozen shoulder(syndrome of cold dampness obstruc-tion)and is beneficial for the recovery of shoulder joint function.The short-term therapeutic effect is satisfactory.
关键词
肩凝症/火龙罐/寒湿痹阻/疗效Key words
Frozen shoulder/Huolong cupping/Cold-dampness obstruction/Efficacy引用本文复制引用
基金项目
广东省中医药局项目(20242077)
深圳市医疗卫生三名工程项目(SZZYSM202206014)
深圳市宝安区医疗卫生科研项目(2022JD237)
国家临床重点专科(中医专业)建设项目(2013-239)
出版年
2024
NETL
NSTL
万方数据