改良隔姜灸治疗风寒湿型冻结肩疗效观察及护理

Clinical Effect and Nursing of Improved Ginger Moxibustion For Treating Frozen Shoulder of Wind-cold Dampness Type

目的：探讨改良隔姜灸治疗风寒湿型冻结肩的临床疗效及其护理优越性。方法：选取我院60例骨科门诊和病房的风寒湿型冻结肩患者，按就诊时间的先后顺序随机分为改良隔姜灸组30例，传统隔姜灸组30例，两组均采取阿是穴结合经络穴隔姜炙治疗，隔日1次，每次10～15min，7d为1个疗程。两组患者分别于治疗3个疗程后参照肩周炎疗效评定标准及疼痛视觉模拟评分量表（VAS）进行疗效评定。结果：传统炙法中有8例退出，改良隔姜灸组30例总有效率达93．3％，传统隔姜灸组22例有效率达77.3％，两组疗效比较差异有统计学意义（P〈0．05）。结论：改良隔姜灸组疗效优于传统隔姜灸组，改良隔姜灸操作取材方便，价格低廉，无毒副作用，护理操作更具安全性，便于在社区医疗机构和家庭中推行，进一步改善风寒湿型冻结肩患者的生活质量。

Objective： To explore clinical effect and nursing advantages of improved ginger moxibustion for treating frozen shoulder of wind-cold dampness type. Methods 60 outpatients and inpatients with frozen shoulder of wind-cold dampness type in orthopedic department from Aug.2013 to Jan. 2014 were randomly divided into improved ginger moxibustion group（n=30） and traditional ginger moxibustion group（n=30） according to the treatment time.Both groups received respective treatment 10-15 mins per day for 7 days as a period of treatment, one day apart. The efficacy of two groups was evaluated after 3 courses according to the frozen shoulder evaluation criteria and VAS. Results The differences of two groups had statistical significance （P〈0.05）. The total effective rate of improved ginger moxibustion group reached 93.33%, superior to 77.27% of traditional ginger moxibustion group. Conclusion Improved ginger moxibustion,with its advantages of convenient operation, low cost, non-toxic side effects and safe nursing procedure, is worthy of promotion within social institution and household to improve life quality of patients with frozen shoulder of wind-cold dampness type.