温针结合补肾活血中药治疗肩关节周围炎临床疗效及对患者免疫球蛋白影响.docVIP

温针结合补肾活血中药治疗肩关节周围炎临床疗效及对患者免疫球蛋白影响 　　摘要：目的 观察温针结合补肾活血中药治疗肩关节周围炎的疗效及对患者免疫球蛋白IgA、IgG、IgM的影响，探讨其作用机制。方法 将90例肩关节周围炎患者随机分为针药组、针灸组和药物组，每组30例。针药组采用温针结合补肾活血中药治疗，针灸组采用温针治疗，药物组采用补肾活血中药治疗。补肾活血中药连续服用30 d；针灸隔日治疗1次，5次为1个疗程，治疗3个疗程。治疗前后分别评定3组患者肩部疼痛指数，检测IgA、IgG、IgM含量，比较3组临床疗效。结果 针药组总有效率为93.33%（28/30），针灸组为73.33%（22/30），药物组为66.67%（20/30），针药组与针灸组和药物组比较差异有统计学意义（P0.05）。3组患者治疗后肩部疼痛指数与本组治疗前比较差异均有统计学意义（P0.05），针药组治疗前后肩痛指数差值与针灸组、药物组差值比较差异有统计学意义（P0.05）。3组患者治疗前IgA、IgG、IgM与正常参考值比较均显著升高（P0.05）；与治疗前比较，3组治疗后IgA、IgG、IgM含量均显著降低（P0.05），针药组IgA、IgG、IgM含量显著低于针灸组和药物组（P0.05）。结论 温针结合补肾活血中药治疗肩关节周围炎疗效优于单纯温针治疗或药物治疗，可显著改善患者肩痛症状，降低IgA、IgG、IgM含量，调节机体免疫功能，这可能是其治疗肩关节周围炎的作用机制之一。 　　关键词：温针疗法；补肾活血中药；肩关节周围炎；免疫球蛋白 　　DOI：10.3969/j.issn.1005-5304.2015.07.009 　　中图分类号：R274.94 文献标识码：A 文章编号：1005-5304（2015）07-0028-04 　　Needle Warming Therapy Combined with Kidney-supplementing and Blood-activating Chinese Herbal Medicine on Patients with Scapulohumeral Periarthritis and Its Effects on Immunoglobulin HUANG Jin-bai， DENG Zhao-xiang， ZHUO Lian-jia， ZHOU Xiao-mei （Frontier Defence General Hospital of Armed Police， Shenzhen 518029， China） 　　Abstract：Objective To observe the curative effect of warm needling therapy combined with kidney-supplementing and blood-activating Chinese herbal medicine on patients with scapulohumeral periarthritis and its effects on immunoglobulin IgA， IgG and IgM；To explore the mechanism. Methods Ninety patients with scapulohumeral periarthritis were randomly divided into needle with medicine group， needle group and medicine group， 30 cases in each group. Patients in the needle with medicine group were treated with needle warming therapy combined with kidney-supplementing and blood-activating Chinese herbal medicine， patients in the needle group were treated with needle warming therapy， patients in the medicine group were treated with kidney-supplementing and blood-activating Chinese herbal medicine， 30 days for medicine and every other day for acupuncture. Five time acupuncture was one course of treatm