身痛逐瘀汤合活络效灵丹治疗糖尿病合并肩周炎效果观察

Effect of Shentong Zhuyu Decoction(身痛逐瘀汤)Combined with Huoluo Xiaoling Pellet(活络效灵丹)on Diabetes Mellitus Complicated with Scapulohumeral Periarthritis

目的探究身痛逐瘀汤合活络效灵丹治疗糖尿病合并肩周炎效果。方法该研究纳入88例糖尿病合并肩周炎患者(2019年11月-2021年4月收治),将患者以随机数字表法分成两组,各44例,对照组患者根据自身情况服药控制血糖水平,并采取发散式冲击波结合康复锻炼治疗,观察组患者在对照组治疗基础上联合身痛逐瘀汤合活络效灵丹治疗,比较两组患者治疗效果、治疗前后Constant-Murley肩关节功能量表评分变化、美国加州大学肩关节评分(UCLA)变化、肩关节主动活动度(AROM)变化、视觉模拟疼痛评分(VAS)变化、中医证候各项积分(关节刺痛、活动不利、局部僵硬感、痛处固定等)变化、不良反应及治疗满意度情况。结果两组患者血糖水平均正常水平;与对照组(84.09%,37/44)相比,观察组总有效率(97.73%,43/44)更高,P<0.05;治疗前,两组患者Constant-Murley肩关节功能量表评分、肩关节主动活动度(AROM)、VAS评分、UCLA评分及中医证候各项积分(关节刺痛、活动不利、局部僵硬感、痛处固定等)等指标比较,P>0.05,治疗后各组患者Constant-Murley肩关节功能量表评分、肩关节主动活动度(AROM)、VAS评分、UCLA评分及中医证候各项积分(关节刺痛、活动不利、局部僵硬感、痛处固定)等指标均显著改善,观察组患者治疗后Constant-Murley肩关节功能量表评分、肩关节主动活动度(AROM)、VAS评分、UCLA评分及中医证候各项积分(关节刺痛、活动不利、局部僵硬感、痛处固定等)等指标优于对照组,P<0.05;两组患者治疗过程中均未见心慌、头晕、恶心等不良反应,P>0.05;对照组患者治疗满意率(79.55%,35/44)明显比观察组患者(97.73%,43/44)低,P<0.05。结论身痛逐瘀汤合活络效灵丹治疗糖尿病合并肩周炎效果显著,安全可靠,患者肩关节功能恢复较好,值得应用。

Objective To explore the effect of Shentong Zhuyu Decoction(身痛逐瘀汤)and Huoluo Xiaoling Pellet(活络效灵丹)on diabetes mellitus complicated with scapulohumeral periarthritis.Methods In this study,88 patients with diabetes mellitus complicated with scapulohumeral periarthritis(admitted from November 2019 to April 2021)were enrolled and divided into two groups by random number table method,with 44 patients in each group.The control group took medicine to control blood glucose level according to their own conditions,and received the treatment of radiative shock wave combined with rehabilitation exercise.The observation group was treated with Shentong Zhuyu Decoction and Huoluo Xiaoling Pellet on the basis of the control group.The treatment effect of the two groups,the change of Constant-Murley shoulder function scale score before and after treatment,the change of the university of California at Los Angeles shoulderrating scale(UCLA)score,the change of active range of motion(AROM)of shoulder joint,the change of visual analog pain score(VAS),the change of various components of traditional Chinese medicine syndrome(joint pain,adverse movement,local stiffness,pain fixation,etc.),adverse reactions and treatment satisfaction of the two groups were compared.Results Blood glucose levels were normal in both groups.Compared with that of the control group(84.09%,37/44),the total effective rate of the observation group(97.73%,43/44)was higher(P<0.05).Before treatment,the comparison of Constant-Murley shoulder function scale score,AROM,VAS score,UCLA score and scores of TCM syndromes(joint pain,adverse movement,local stiffness,pain fixation,etc.)between two groups showed no significance(P>0.05).After treatment,indexes such as Constant-Murley shoulder function scale score,AROM,VAS score,UCLA score and TCM syndrome scores(joint pain,adverse movement,local stiffness,pain fixation,etc.)were significantly improved in each group.After treatment,the scores of Constant-Murley shoulder function scale,AROM,VAS score,UCLA score and TCM syndrome scores(joint pain,adverse movement,local stiffness,pain fixation,etc.)in the observation group were better than those in the control group(P<0.05).There were no adverse reactions such as palpitation,dizziness and nausea in two groups during treatment(P>0.05).The satisfaction rate of treatment in the control group(79.55%,35/44)was significantly lower than that in the observation group(97.73%。43/44)(P<0.05).Conclusion Shentong Zhuyu Decoction combined with Huoluo Xiaoling Pellet is effective,safe and reliable in the treatment of diabetes mellitus complicated with scapulohumeral periarthritis.It is worthy of application.