肩关节周围炎中医治疗的循证医学量表评价

Evidence-based medicine Scale Evaluation of Scapulohumeral Periarthritis Treated by Traditional Chinese Medicine

目的:从循证医学角度观察温针灸结合推拿手法治疗肩关节周围炎的疗效。方法:选取本院康复科就诊的肩周炎患者130例,均采用温针灸疗法和推拿按摩手法治疗,治疗前后采用肩周炎疗效评定量表进行肩关节功能评定,对比治疗前后量表评分结果;对量表可信度进行检验。结果:量表治疗前后评分比较显示,治疗后的评分高于治疗前,差异具有统计学意义(P<0.05);130例患者,治愈81例,好转37例,未愈12例,治愈率62.31%。同质性信度检验结果显示,经检验量表的Cronbach'α系数为0.981;分半信度检验结果显示,经检验量表的Spearman相关系数为0.978;重测信度检验结果显示,经检验量表的ICC为0.945。结论:肩周炎疗效评定量表具有较好的信度,可作为肩关节功能的循证评价工具。

Objective： To discuss the effects of warm acupuncture combined with massage on scapulohumeral periarthritis from the perspective of evidence-based medicine. Methods ： 130 cases with scapulohumeral periarthritis treated in the rehabilitation depart- ment of our hospital were performed warm acupuncture combined with tuina therapy and massage for the treatment. The efficacy e- valuation scale were applied to evaluated the function of the shoulder joint, the scale scores before and after the treatment were compared and the reliability of the scale was tested. Results： According the the scale scores before and after the treatment, the score after the treatment was higher than that before the treatment ; the difference had statistical significance （ P 〈 0.05 ）. 81 cases were cured, 37 cases improved obviously and 12 cases were not cured; the cure rate was 62.31%. The test result of homogeneous reliability showed that the coefficient of Cronbach＇α was 0. 981 ; the test result of split-half reliability showed that the coefficient of Spearman was 0.978 ; the test-retest reliability showed that the ICC of examined scale was 0.945. Conclusion ： Efficacy evalua- tion scale of scapulohumeral periarthritis had good reliability and can be used as the evidence-based evaluation tool of the function of the shoulder joint.