水针刀结合通痹酊剂加热敷治疗肩周炎的疗效

Efficacy of Water Needle Knife Combined with Heat Compress of Tongbi Tincture in the Treatment of Frozen Shoulder

目的探讨水针刀结合通痹酊剂加热敷治疗肩周炎的临床疗效。方法选择2019年10月~2020年12月我院就诊的53例肩周炎患者作为研究对象,根据随机数字表法分为水针刀组(25例)和联合组(28例)。水针刀组应用水针刀治疗,联合组联合应用水针刀与通痹酊剂加热敷治疗,比较两组临床治疗疗效、中医症候积分、肩关节功能、VAS评分及不良反应发生情况。结果联合组临床治疗总有效率为96.43%,高于水针刀组的76.00%,差异有统计学意义(P<0.05)。联合组主症、次症评分低于水针刀组,差异有统计学意义(P<0.05)。联合组疼痛、关节活动度、日常生活能力、肌力和关节局部形体评分高于水针刀组,差异有统计学意义(P<0.05)。联合组VAS评分低于水针刀组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论水针刀结合通痹酊剂加热敷治疗肩周炎疗效确切,可促进患者症状缓解,改善肩关节功能,降低疼痛度,且治疗安全性高。

Objective To explore the clinical effect of water needle knife combined with heat compress of Tongbi tincture in the treatment of frozen shoulder.Methods 53 patients with frozen shoulder treated in our hospital from October 2019 to December 2020 were selected as the research objects.According to the random number table,they were divided into the water needle knife group(25 cases)and the combined group(28 cases).The water needle knife group was treated with water needle knife,and the combined group was treated with water needle knife and heat compress of Tongbi tincture.The clinical treatment efficacy,TCM syndrome score,shoulder joint function,VAS score and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of clinical treatment in the combined group was 96.43%,which was higher than 76.00%in the water needle knife group,the difference was statistically significant(P<0.05).The scores of primary and secondary symptoms in the combined group were lower than those in the water needle knife group,the difference was statistically significant(P<0.05).The scores of pain,joint range of motion,ability of daily living,muscle strength and joint local body shape in the combined group were higher than those in the water needle knife group,the difference was statistically significant(P<0.05).The VAS score of the combined group was lower than that of the water needle knife group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Water needle knife combined with heat compress of Tongbi tincture has a definite effect in treating frozen shoulder.It can promote symptom relief,improve shoulder joint function,reduce pain,and has high treatment safety.