探讨非创伤性肩袖损伤患者采用中药烫熨治疗的效果

Explore the Effect of Traditional Chinese Medicine Ironing on Patients with Non-traumatic Rotator Cuff Injury

目的探讨非创伤性肩袖损伤患者运用中药烫熨方法治疗的临床疗效。方法本次试验研究择取时间在2019年1月至2021年12月期间,我院收治的80例非创伤性肩袖损伤患者,并按照数字随机法随机分成两组,每组共有40例,其中对照组采用常规保守疗法,观察组在对照组基础上采用中药烫熨疗法,比较两组治疗前后疼痛度、生活质量、肩关节功能情况,同时比较两组治疗后不良反应发生情况。结果治疗前患者疼痛度组间对比无显著差异(P>0.05),治疗后第2周、治疗后第6周以及治疗后第12周观察组患者疼痛度降低程度较对照组均显著降低(P<0.05)。治疗后观察组患者生理机能、精神健康、躯体疼痛、社会职能、情感职能以及总体健康评分均高于对照组(P<0.05)。治疗前患者肩关节活动度差异无统计学意义(P>0.05),治疗后观察组肩关节外旋、内旋、前屈及外展活动度均显著优于对照组(P<0.05)。两组患者治疗后不良反应总发生率无显著差异(P>0.05)。结论将中药烫熨治疗方法合理运用至非创伤性肩袖损伤患者临床治疗中,能够有效减轻患者损伤部位疼痛感,改善其肩关节活动功能并提升其生活质量,而且不会增加不良反应,疗效确切且安全可靠,值得应用。

OBJECTIVE To observe the clinical efficacy of traditional Chinese medicine ironing method in the clinical treatment of non-traumatic rotator cuff injury.METHODS The research plan of this trial was selected from January 2019 to December 2021.The research subjects randomly selected 80 patients with non-traumatic rotator cuff injury treated in our hospital,and divided into two groups according to the random number,with 40 patients in each group.The control group received conventional conservative therapy,and the observation group received traditional Chinese medicine ironing therapy on the basis of the control group.The improvement of pain,quality of life,and shoulder joint function before and after treatment were compared between the two groups,At the same time,the adverse reactions of the two groups were compared.RESULTS There was no significant difference in pain degree between groups before treatment(P>0.05),and the pain degree of patients in the second week,the sixth week and the twelfth week after treatment the VAS of the observation group were significantly lighter(P<0.05).After treatment,the scores of physiological function,mental health,physical pain,social function,emotional function and overall health in the observation group were higher than those in the control group(P<0.05).There was no significant difference in shoulder joint range of motion before treatment(P>0.05).After treatment,the shoulder joint range of motion in the observation group was significantly better than that in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).CONCLUSION The reasonable application of the traditional Chinese medicine hironing to the clinical treatment of patients with non-traumatic rotator cuff injury can effectively reduce the pain of the injured part,improve the shoulder joint movement function and improve their quality of life,and will not increase adverse reactions.The curative effect is accurate,safe and reliable,and it is worthy of application.