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中药熏蒸联合体外冲击波治疗大转子疼痛综合征

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目的:观察中药熏蒸与体外冲击波(ESWT)联合疗法治疗大转子疼痛综合征(GTPS)的临床疗效.方法:选择符合纳入标准的GTPS患者36例,依据随机数字表随机分为对照组和观察组,每组各18例.对照组接受ESWT治疗,观察组在对照组治疗基础上联合中药熏蒸治疗,两组均治疗30 d.观察两组患者治疗前后中医症状评分(患处刺痛、痛有定处,脉络瘀血、皮下瘀斑,舌质紫暗或有瘀斑瘀点,脉细涩或结代)、视觉模拟评分(VAS)和髋关节功能评分(HHS)的变化情况,并比较临床总有效率.结果:与治疗前比较,两组患者治疗后患处刺痛、痛有定处,脉络瘀血、皮下瘀斑,舌质紫暗或有瘀斑瘀点,脉细涩或结代评分和VAS评分均显著下降(P<0.05),HHS评分明显上升(P<0.05).与对照组治疗后比较,观察组患处刺痛、痛有定处,脉络瘀血、皮下瘀斑,舌质紫暗或有瘀斑瘀点,脉细涩或结代评分和VAS评分均显著下降(P<0.05),HHS评分明显上升(P<0.05).观察组临床总有效率83.33%(15/18),明显高于对照组临床总有效率66.67%(12/18)(P<0.05).结论:中药熏蒸联合ESWT治疗GTPS的效果显著,且安全性高,不仅能够促进患者功能恢复,还能有效提高患者的生活质量.
Combined Therapy of Chinese Herbal Fumigation and Extracorporeal Shock Wave Treatment for Greater Trochanteric Pain Syndrome
Objective:To observe the clinical efficacy of combined Chinese herbal fumigation and extracorporeal shock wave therapy(ESWT)for treating greater trochanteric pain syndrome(GTPS).Methods:Thirty-six GTPS patients who met the inclusion criteria were randomly divided into a control group and an observation group,with 18 patients in each group.The control group received ESWT,while the observation group received additional Chinese herbal fumigation therapy.Both groups were treated for 30 days.Changes in Traditional Chinese Medicine(TCM)symptom scores(localized stabbing pain,fixed pain,blood stasis in veins,subcutaneous bruising,dark tongue with spots,thin or choppy pulse),visual analog scale(VAS)scores,and Harris Hip Score(HHS)were observed before and after treatment,and the overall clinical efficacy rate was compared between the groups.Results:Post-treatment,TCM symptom scores(stabbing pain,fixed pain,venous stasis,subcutaneous bruising,dark tongue with spots,thin or choppy pulse)and VAS scores were significantly reduced(P<0.05)in both groups,while HHS scores significantly increased(P<0.05).Compared with the control group,the observation group showed greater improvements in TCM symptom scores,VAS,and HHS(P<0.05).The clinical efficacy rate in the observation group was 83.33%(15/18),significantly higher than 66.67%(12/18)in the control group(P<0.05).Conclusion:Chinese herbal fumigation combined with ESWT is effective and safe for treating GTPS,promoting functional recovery and improving patients' quality of life.

Chinese herbal fumigationExtracorporeal shock waveGreater trochanteric pain syndrome

李林峰、孙晓伟、杨若妤、杨禾财、李洪涛

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黑龙江中医药大学,黑龙江 哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040

东北农业大学,黑龙江 哈尔滨 150030

中药熏蒸 体外冲击波 大转子疼痛综合征

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(12)