外洗Ⅰ号方辅助治疗肩关节镜下肩袖修补术后患者临床研究
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R686

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2021年度金华市中医药科技计划项目(金卫〔2020〕104号)


Clinical Study on External Washing No. 1 Prescription in Adjuvant Treatment of Patients After Arthroscopic Rotator Cuff Repair of Shoulder
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    摘要:

    目的:观察外洗Ⅰ号方辅助治疗肩关节镜下肩袖修补术后患者的临床疗效。方法:选择行肩关节 镜下肩袖修补术的肩袖损伤患者82 例为研究对象,按随机数表法分为试验组和对照组各41 例。对照组术后配 合温水熏洗治疗,试验组术后配合中药外洗Ⅰ号方熏洗治疗,随访3 个月。比较2 组术前及术后6 周、术后 3 个月视觉模拟评分法评分(VAS)、肩关节活动度与Constant-Murley 肩关节功能评分。结果:术后6 周、 术后3 个月,2 组VAS 评分逐渐降低(P<0.05);术后3 个月,试验组VAS 评分低于对照组(P<0.05)。 术后6 周、术后3 个月,2 组外展、内旋、外旋度及Constant-Murley 肩关节功能评分逐渐升高(P<0.05); 术后3 个月,试验组外展、内旋、外旋度及Constant-Murley 肩关节功能评分均高于对照组(P<0.05)。结论: 外洗Ⅰ号方辅助治疗肩关节镜下肩袖修补术后患者可减轻疼痛症状,同时还能改善肩关节活动度及肩关节 功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of External Washing No. 1 Prescription on treating patients after arthroscopic rotator cuff repair of shoulder. Methods:A total of 82 patients after arthroscopic rotator cuff repair of shoulder were selected as the study objects,and were divided into the trial group and the control group according to random number table method, with 41 cases in each group. The control group was given fumigation with warm water after operation, and the trial group was given External Washing No. 1 Prescription after operation. Both groups were followed up for 3 months. Visual Analogue Scale (VAS), shoulder range of motion and Constant-Murley score of shoulder function were compared between the two groups before operation, six weeks after operation and three months after operation. Results: Six weeks after operation and three months after operation, the VAS scores in the two groups were decreased gradually (P<0.05);3 months after operation,the VAS score in the trial group was lower than that in the control group (P<0.05). Abduction, internal rotation, external rotation and Constant- Murley scores of shoulder function in the two groups were gradually increased 6 weeks after operation and 3 months after operation (P<0.05); 3 months after operation, abduction, internal rotation, external rotation and Constant-Murley score of shoulder function in the trial group were higher than those in the control group (P<0.05). Conclusion: External Washing No. 1 Prescription can relieve pain symptoms and improve shoulder motion and function of patients after arthroscopic rotator cuff repair of shoulder.

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翟波,汪瑜,王强,张忠良.外洗Ⅰ号方辅助治疗肩关节镜下肩袖修补术后患者临床研究[J].新中医,2024,56(7):98-101

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  • 在线发布日期: 2024-04-11
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