中药离子导入及针灸推拿综合治疗肩周炎临床探究.doc

中药离子导入及针灸推拿综合治疗肩周炎临床探究【摘要】 目的 观察中药离子导入和针灸推拿综合治疗肩周炎的临床疗效。方法 采用前瞻性自身对照的研究方法，顺序选择51例肩周炎患者作为观察对象。应用直流电中药离子导入、针灸和推拿治疗，均为1次/d，2周为一疗程。于治疗前和治疗2周后，参照《康复医学评价手册》和Michael Reese标准评定疗效。结果 治疗2周后，患者的肩关节疼痛积分显著增加，肩关节活动度明显改善(均为P＜0.01)。治愈显效率为68.6％，总有效率为90.2％。结论 中药离子导入和针灸推拿综合治疗肩周炎互补性强，具有操作简单、疗效明显、不良反应少等优点，能较快缓解疼痛、改善功能，值得临床推广、应用。 【关键词】 肩周炎；中药离子导入；针灸；推拿 【Abstract】 Objective To observe clinical effectiveness of combination of Chinese medicine iontophoresis，acupuncture and massage treating periarthritis.Methods Forward-looking self-control study method was used.51 patients with periarthritis were selected sequentially as observed objects.DC Chinese medicine iontophoresis，acupuncture and massage were used for treatment，once daily.2 weeks were taken as one course.Before treatment and at 2 weeks after treatment，the effectiveness was evaluated according to“Rehabilitation Medicine Evaluation Handbook”and Michael Reese Standard.Results At 2 weeks after treatment pain score of shoulder joint of patients significantly increased shoulder joint was significantly improved(both P＜0.01).Cure efficiency was 68.6%，and total effective rate was 90.2%.Conclusion Comprehensive therapy of Chinese medicine iontophoresis，acupuncture and massage treating periarthritis had strong complementarity and some advantages of simple operation，obvious effectiveness and fewer adverse reactions，and could more quickly release pains and improve functions.It was worthy of clinical promotion and application. 【Key words】 Periarthritis；Chinese medicine iontophoresis；Acupuncture；Massage 肩周炎是发生在肩关节囊及其周围韧带、肌腱、滑膜囊等肩关节周围软组织的退行性病变和无菌性炎症。病程的迁延反复，可引起关节囊及周围软组织的粘连和纤维化，严重影响患者的生活质量。可用于本病的治疗方法有很多，包括封闭、物理治疗和运动疗法等，但单一疗法对肩关节的功能恢复疗效欠佳。本组病例采用中药离子导入和针灸推拿综合治疗，效果显著，现报告如下。 1资料与方法 1.1一般资料本组51例，均系2007-05―2010-05全军软伤治疗与康复研究中心门诊或住院的患者。其中男19例，女32例；年龄27～58岁，平均45.7岁；病程1年以下者22例，1～2年者17例，2年以上者12例；右肩32例，左肩14例，双肩5例。均符合1991年全国第2届肩周炎学术研讨会确定的诊断标准[1]。其中11例有肩部外伤史，28例有风寒潮湿受凉病史，7例有过度应用单侧上肢史，其余无明确诱因。患者的症状包括肩部疼痛和功能障碍，肩关节内收、外展、背伸及旋转功能明显受限。剔除标准：①CT及(或)MRI检