葛根汤加减联合运动康复疗法治疗肩袖损伤的临床观察

Influences of modified Gegen Decoction combined with exercise rehabilitation in the treatment of rotator cuff injury

目的观察葛根汤加减联合运动康复疗法治疗肩袖损伤的临床疗效。方法选取2020年1月至2022年5月江苏省海安市中医院收治的130例肩袖损伤患者为研究对象,按照随机数字表法分为2组,对照组65例予运动康复疗法治疗,治疗组65例在对照组基础上联合葛根汤加减治疗。2组均治疗4周后统计疗效,比较2组患者治疗前后美国加州大学肩关节评分表(UCLA)评分、疼痛视觉模拟评分(VAS)、肩关节关节活动度(包括前屈和外旋)及简明健康生活调查表(SF-36)评分变化情况。结果治疗组总有效率93.85%(61/65),对照组总有效率80.00%(52/65),治疗组总有效率高于对照组(P<0.05)。与本组治疗前比较,2组治疗后UCLA评分均升高(P<0.05),疼痛VAS均降低(P<0.05),且治疗组治疗后UCLA评分高于对照组(P<0.05),疼痛VAS低于对照组(P<0.05)。与本组治疗前比较,2组治疗后肩关节前屈及外旋角度均增加(P<0.05),且治疗组治疗后肩关节前屈及外旋角度均大于对照组(P<0.05)。与本组治疗前比较,2组治疗后SF-36心理、生理、情感、躯体、活力及健康状态评分均升高(P<0.05),且治疗组治疗后SF-36心理、生理、情感、躯体、活力及健康状态评分均高于对照组(P<0.05)。结论葛根汤加减联合运动康复治疗肩袖损伤临床疗效确切,可有效改善患者肩关节功能,缓解疼痛,提高患者生活质量,提高临床疗效。

Objective To explore the influences of modified Gegen Decoction combined with exercise rehabilitation in the treatment of rotator cuff injury.Methods A total of 130 patients with rotator cuff injury who were admitted to Hai'an Hospital of Traditional Chinese Medicine from January 2020 to May 2022 were gathered as the research objects,and randomly grouped into the treatment group and the control group according to the ratio of 1:1.All patients were treated with exercise rehabilitation therapy,and the patients in the treatment group were additionally treated with modified Gegen Decoction.The curative effect,and the scorces of University of California at Los Angeles(UCLA),visual analogue scale(VAS),shoulder joint mobility(including flexion and external rotation),36-item Short-Form Health Survey(SF-36)were included as comparisons before and after treatment between the two groups.Results After treatment,the total effective rate in the treatment group was obviously higher than that of the control group(93.85%[61/65]vs 80.00%[52/65],P<0.05).Significantly higher UCLA score and lower VAS score were detected in the both groups compared with before treatment(both P<0.05),and the treatment group was superior to the control group for UCLA and VAS scores(both P<0.05).The shoulder joint mobility(including flexion and external rotation)in the both groups was increased(P<0.05),and which in the treatment group was more prevalent(P<0.05).The scores of SF-36(psychology,physiology,emotion,body,vitality and health status)in the two groups were significantly increased after treatment(P<0.05),and the scores in the treatment group were significantly higher than those in the control group after treatment(P<0.05).Conclusion Gegen Decoction combined with exercise rehabilitation therapy is effective in the treatment of patients with acute rotator cuff injury,the shoulder joint function is ameliorated,the pain symptoms are relieved,and the quality of life is obviously improved.