经筋理论指导发散式冲击波治疗肩周炎患者的临床疗效

Clinical Efficacy on Treatment of Scapulohumeral Periarthritis with Scattered Shock Wave Guided by Tendon Theory

目的:观察中医经筋理论指导发散式体外冲击波治疗肩周炎患者的临床效果。方法:选取2018年2月至2019年2月北京市第六医院门诊诊断为肩周炎、病程>3个月的患者67例作为研究对象,按照随机数字表法随机分为观察组(n=32)和对照组(n=35)。观察组采用发散式冲击波循经筋治疗,对照组采用发散式冲击波痛点疗法治疗。数据采集时间点分别为治疗前、治疗1个疗程后、治疗后1个月、治疗后3个月与治疗后6个月,记录2组患者的视觉模拟评分法(VAS)及肩关节功能评分(CMS),并在治疗后6个月进行总有效率评价。结果:观察组在治疗1个疗程后及治疗后6个月时VAS评分与对照组比较,差异无统计学意义(P>0.05),2组在治疗后1个月与治疗后3个月VAS评分比较,差异有统计学意义(P<0.05)。观察组治疗1个疗程后CMS评分与对照组比较,差异无统计学意义(P>0.05),而在治疗后其他时段的CMS评分与对照组比较,差异均有统计学意义(均P<0.05)。2组治疗后总有效率比较,差异无统计学意义(P>0.05)。结论:发散式体外冲击波是治疗肩周疾患的有效方式。经筋理论指导发散式体外冲击波治疗肩周炎患者能够有效缩短自然病程,改善关节功能,长期疗效较好。

Objective:To observe the clinical effect of divergent extracorporeal shock wave treatment of periarthritis of shoulder guided by the theory of meridian tendon.Methods:A total of 67 patients admitted to Beijing No.6 Hospital diagnosed with periarthritis of shoulder and>for 3 months in the Outpatient Department from February 2018 to February 2019 were selected as the research objects.According to random number table method,they were divided into an observation group(n=32)and a control group(n=35).The observation group was treated with divergent shock wave meridian therapy,while the control group was treated with divergent shock wave pain point therapy.Data collection time was that before treatment,after treatment,1 month after treatment,3 months after treatment,and 6 months after treatment.Visual analogue score(VAS)and shoulder function score(CMS)of patients in two groups were recorded.The total response rate was evaluated 6 months after treatment.Results:There was no significant difference between the observation group and the control group in the VAS score after 1 course of treatment and 6 months after treatment(P>0.05).The difference was statistically significant in the comparison of the VAS score between the 2 groups at 1 month after treatment and 3 months after treatment(P<0.05).There was no significant difference in CMS score between the observation group and the control group after one course of treatment(P>0.05),in other periods after treatment,the difference in CMS scores between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the overall efficacy evaluation of the two groups at 6 months after treatment(P>0.05).Conclusion:Divergent extracorporeal shock wave is an effective method to treat peripheral shoulder diseases.Under the guidance of tendons theory,divergent extracorporeal shock wave treatment of periarthritis of shoulder can effectively shorten the natural course of disease,improve joint function,and have a good long-term effect.