超声导入元胡止痛膏治疗Ⅰ型肩峰撞击征疗效分析

Curative Efficacy of Sonophoresis of Yuanhu Zhitong Ointment on the Treatment of BiglianiⅠAcromion Impingement Syndrome

目的:观察超声导入元胡止痛膏治疗Ⅰ型肩峰撞击征的临床疗效。方法:选取2018年1月至2020年1月就诊的60例肩峰撞击综合征患者,随机分为3组(各20例),单纯中药外用组采用元胡止痛膏外敷,超声波导入组采用超声导入止痛凝胶,中药超声导入组采用超声导入元胡止痛膏。比较3组患者治疗前和治疗后1个月和3个月的疼痛视觉模拟评分(VAS)、Constant-Murly评分及肩关节活动度。结果:治疗前3组患者VAS评分、Constant-Murly评分及肩关节活动度比较,差异无统计学意义(P>0.05);治疗后1个月,3组患者评分均低于治疗前,且超声波导入组及中药超声导入组评分和肩关节活动度均优于单纯中药外用组,差异有统计学意义(P<0.05);治疗后3个月,超声波导入组及中药超声导入组评分和肩关节活动度均优于单纯中药外用组,差异有统计学意义(P<0.05),且中药超声导入组优于超声波导入组,差异有统计学意义(P<0.05)。结论:超声导入元胡止痛膏可有效缓解Ⅰ型肩峰撞击征肩关节疼痛症状,并可改善肩关节活动度。

Objective:To observe the efficacy of ultrasound-introducing Yuanhu Zhitong ointment on typeⅠacromion impingement syndrome.Methods:60 patients with acromion impingement syndrome from January 2018 to January 2020 were randomly divided into 3 groups,with 20 cases in each group.The Chinese medicine group used Yuanhu Zhitong ointment externally.The ultrasound introduction group used ultrasound to introduce analgesic gel.The Chinese medicine ultrasound introduction group was ultrasonically introduced Yuanhu Zhitong ointment.The pain visual analogue scale(VAS),Constant-Murly score and shoulder joint range of motion of the three groups before treatment and 1 month and 3 months after treatment were compared.Results:There was no significant difference in VAS score,Constant-Murly score and shoulder joint range of motion among the three groups of patients before treatment(P>0.05).After 1 month of treatment,the scores of the three groups were lower than those before treatment.The scores and range of shoulder joint mobility in the ultrasound introduced group and the Chinese medicine ultrasound introduction group were better than those of the Chinese medicine group,and the difference was statistically significant(P<0.05).After 3 months of treatment,the scores and range of shoulder joint mobility in the ultrasound introduction group and the Chinese medicine ultrasound introduction group were better than that of the Chinese medicine group,and the difference was statistically significant(P<0.05).Index in the Chinese medicine ultrasonic introduction group was better than these in the ultrasonic introduction group,and the difference was statistically significant(P<0.05).Conclusion:Ultrasonic introduction of Yuanhu Zhitong ointment can effectively alleviate the typeⅠacromion impingement syndrome shoulder joint pain and improve the range of motion of the shoulder joint.