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针灸配合中药熏药治疗更年期女性肩痛的应用效果

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目的:探讨与分析针灸配合中药熏药治疗更年期女性肩痛的应用效果。方法:2020 年 8 月到 2023 年 2 月选择在本院进行诊治的更年期女性肩痛患者 78 例,按照随机数字表法把 78 例患者分为针灸组 39 例与传统组 39 例。传统组给予中药熏药治疗,针灸组给予针灸配合中药熏药治疗,两组治疗观察 4 周,观察与记录两组患者的预后恢复情况。结果:针灸组治疗第 1 周、第 2 周、第 4 周的疼痛VAS 评分与传统组相比明显降低(P<0。05)。两组治疗 4 周后的Constant-Murley肩关节功能评分都高于治疗前(P<0。05),针灸组治疗 4 周后的Constant-Murley肩关节功能评分与传统组相比明显提高(P<0。05)。治疗 4 周后针灸组的总有效率为 97。44%,传统组为 79。49%,针灸组与传统组相比明显较高(P<0。05)。两组治疗 4 周后的血清转化生长因子-β1、前列腺素E2含量都低于治疗前(P<0。05),针灸组治疗 4 周后的血清转化生长因子-β1、前列腺素E2 含量都低于传统组(P<0。05)。结论:针灸配合中药熏药治疗更年期女性肩痛能改善患者的肩关节功能,缓解患者的疼痛状况,提高患者的总体治疗效果,降低血清TGF-β1、前列腺素E2 含量。
Effect of acupuncture and moxibustion Combined with Traditional Chinese Medicine Fumigation on Shoulder Pain in Climacteric Women
Objective:To explore and analysis the effect of acupuncture and moxibustion combined with traditional Chinese med-icine fumigation on shoulder pain in menopausal women.Methods:From August 2020 to February 2023,78 cases of patients with menopausal female shoulder pain who were diagnosed and treated in a certain hospital were selected.Accorded to the ran-dom number table,78 patients were divided into the acupuncture and moxibustion group and the traditional group.The tradi-tional group were treated with traditional Chinese medicine fumigation,and the acupuncture and moxibustion group were trea-ted with acupuncture and moxibustion combined with traditional Chinese medicine fumigation.The two groups were observed for 4 weeks,and the prognosis recovery of the patients in the two groups were observed and recorded.Results:Compared to the pain VAS scores of the traditional group at the first,second and fourth weeks of treatment,those of the acupuncture and moxibustion group were significantly lower(P<0.05).The Constant Murley Shoulder joint function score after 4 weeks of treatment in both groups were higher than that before treatment(P<0.05),and the Constant Murley Shoulder joint function score after 4 weeks of treatment in the acupuncture and moxibustion group were significantly higher than that in the traditional group(P<0.05).After 4 weeks of treatment,compared to the total effective rates in traditional group(79.49%),that in the acupuncture and moxibustion group(97.44%)were significantly improved(P<0.05).The serum Transforming growth fac-tor-β1 and Prostaglandin E2 after 4 weeks of treatment in both groups were lower than that before treatment(P<0.05),and the serum Transforming growth factor-β1 and Prostaglandin E2 in the acupuncture and moxibustion group after 4 weeks of treatment were lower than that of the traditional group(P<0.05).Conclusion:acupuncture and moxibustion combined with Chinese herbal fumigation canimprove thefunctionof Shoulderjoint,relieve the pain condition,improve theoverall therapeutic effect of patients,and reduce the serum Transforming growth factor-β1 and Prostaglandin E2 levels of patients with menopa-usal female shoulder pain.

Acupuncture and moxibustionTraditional Chinese medicine fumigationMenopausal womenShoulder painTransforming growth factor-β1Prostaglandin E2

杨勇萍

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江苏省中医院针灸康复科,江苏 南京 210029

针灸 中药熏药 更年期女性 肩痛 转化生长因子-β1 前列腺素E2

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(9)