中药内服外洗加推拿治疗肩周炎30例剖析.docVIP

中药内服外洗加推拿治疗肩周炎30例剖析 　　【摘要】目的:总结自拟黄芪解凝汤加中药熏洗加推拿治疗肩周炎的疗效。方法:将60例肩周炎患者随机分为2组,治疗组30例,采用中药内服、熏洗加推拿治疗;对照组30例,采用TDP照射加西药对症治疗。结果:治疗组治愈率86.67%,对照组治愈率66.67%,两组治愈率比较有显著性差异(P0.05)。结论:中药内服外洗加推拿治疗肩周炎有较好的疗效。 　　【关键词】中药;推拿;肩周炎;分析 　　【中图分类号】R243【文献标识码】A【文章编号】1007-8517(2010)14-176-1 　　 　　Analysis of 30 Cases of Treating Scapulohumeral Periarthritis with Traditional Chinese Medicine and Massage 　　WuMin 　　(Chengdu Qingyang District TCM Hospital,Sichuan Chengdu 610000,China) 　　[Abstract]Objective:to sum up the curative effect of treating scapulohumeral periarthritis by using a treatment of drinking Huangqi Jiening Decoction,washing and massaging the affected part. Methods:60 patients with scapulohumeral periarthritis into two groups,one is to treat and the other to contrast,The 30 patients in the treatment group were treated with traditional Chinese medicine for oral use,fumigating、 washing and massaging;while the 30 patients in the contrast group with TDP irradiation and symptomatic treatment. Results:the cure rate of the treatment group was 86.67% and that of the contrast group 66.67%.There is significant difference between the two cure rate(P0.05). Conclusion:It has good effect treating scapulohumeral periarthritis with traditional Chinese medicine for oral use,fumigating、washing and massaging. 　　[Key words]traditional Chinese medicine;massage;scapulohumeral periarthritis;analysis 　　 　　肩周炎,又名五十肩、漏肩风等,多因肩关节周围软组织病变,导致肩关节疼痛和功能障碍,以中老年多见。笔者近年来自拟黄芪解凝汤煎服加中药熏洗加推拿治疗肩周炎30例,取得较满意疗效,现报告如下。 　　1资料与方法 　　1.1按就诊顺序编号采用随机数字表法随机分为治疗组30例和对照组30例,60例患者均为单侧,符合肩周炎的诊断标准。治疗组男14例,女16例,年龄37～70岁(平均51.3±10.4);对照组男13例,女17例,年龄37～68岁(平均50.6±9.8岁);两组病情按肩部疼痛和肩关节活动度(ROM)分级[1]。两组患者的性别、年龄及病情经统计学处理均无显著性差异(P0.05),具有可比性。 　　1.2治疗方法治疗组手法推拿后,以自拟黄芪解凝汤煎服,每日一剂,日服三次;另以中药煎汤熏洗患肩,每日二次。对照组用TDP照射患肩,口服布洛芬、氯唑沙宗。治疗期间,均停止使用其它相关的治疗,所有患者均指导进行肩关节功能锻炼,如“蝎子爬壁”、“手拉滑车”等。 　　1.2.1治疗组①内服汤药:黄芪50g、当归20g、鸡血藤20g、桂枝15g、白芍20g、羌活10g、细辛5g、苍术15g、川芎15g、白芷15g、伸筋草20g、广木香5g、枳壳15g、桑枝15g、甘草10g。痛甚加附片20g,先煎30分钟后加诸药共煎服。②外用洗剂:川乌15g、草乌15g、桂枝30g、细辛10g、海桐皮10