中药熏洗结合运动疗法治疗肩峰下撞击综合征临床研究

Clinical Study on Chinese Herbal Fumigation Combined with Exercise Therapy for Subacromial Impingement Syndrome

目的:观察中药熏洗结合运动疗法治疗肩峰下撞击综合征(SIS)的临床疗效。方法:选取本院80例SIS患者,按随机数字表法分为对照组和观察组各40例。对照组给予规范化运动疗法治疗,观察组采用中药熏洗结合运动疗法治疗,2组均连续治疗3个月。对比2组临床疗效,记录患者治疗前后美国加州大学(UCLA)肩关节评分及不良反应。结果:观察过程中,5例患者脱落,75例患者完成治疗和随访,其中观察组39例,对照组36例。总有效率对照组75.0%,观察组94.9%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组UCLA肩关节评分均较治疗前改善,差异均有统计学意义(P<0.01);观察组疼痛、功能、满意度、上肢前屈肌力评分及总分均比对照组改善更明显,差异均有统计学意义(P<0.01);2组上肢主动前屈角度评分比较,差异无统计学意义(P>0.05)。结论:中药熏洗结合运动疗法能有效改善SIS患者的肩关节症状,是一种安全而有效的治疗方法,值得临床推广应用。

Objective:To observe the clinical effect of Chinese herbal fumigation combined with exercise therapy for subacromial impingement syndrome(SIS). Methods:A total of 80 cases of SIS patients in our hospital were divided into the control group and the observation group according to the random number table method, 40 cases in each group. The control group was treated with standardized exercise therapy,and the observation group was additionally treated with Chinese herbal fumigation based on the treatment of the control group. Both groups were treated for three months. The clinical effect in the two groups was compared;the University of California Los Angeles(UCLA) Shoulder Scores and adverse reactions before and after treatment were recorded. Results:During the observation,five cases of patients were lost and 75 cases completed the treatment and follow-up,among which there were 39 cases in the observation group and 36 cases in the control group. The total effective rate was 75.0% in the control group and 94.9% in the observation group, the difference being significant(P < 0.05). After treatment, the UCLA Shoulder Scores in the two groups were improved when compared with those before treatment,differences being significant(P < 0.01);the improvement of the total scores and the scores of pain, function and satisfaction in the observation group was more significant when compared with that in the control group,differences being significant(P < 0.01);compared the degrees of forward flexion and the scores of muscle strength in the two groups,there was no significance in the difference(P > 0.05). Conclusion:The therapy of Chinese herbal fumigation combined with exercise therapy can effectively relieve the symptoms of shoulder of SIS patients,which is a safe and effective treatment and worthy of clinical application and promotion.