基于六经辨证论治肩周炎45例

45 Cases of Scapulohumeral Periarthritis Were Treated Based on the Theory of Six-Meridian Differentiation

目的:探讨基于六经辨证论治肩周炎的临床疗效。方法:回顾性分析2020年11月至2023年6月收治的45例肩周炎患者病例,患者口服杨功旭主任基于六经辨证开具的中药汤剂,每7 d随访一次,每次随访记录患者的中医临床症状及舌脉、视觉模拟量表(VAS)评分、Constant-Murley评分,根据中医临床症状及舌脉的改善评定临床疗效,采用VAS评分进行疼痛测定,采用Constant-Murley评分评价肩关节功能。结果:临床疗效评价总有效率为100%;43例患者VAS评分及Constant-Murley评分在治疗后第14天比治疗前明显改善,差异有统计学意义(P<0.01);45例患者VAS评分及Constant-Murley评分在治疗后第28天比治疗后第14天明显改善,差异有统计学意义(P<0.01)。结论:基于六经辨证论治肩周炎可明显改善患者临床症状、疼痛及肩关节功能,具有较好的临床疗效。

Objective:To explore the clinical efficacy of treating scapulohumeral periarthritis based on the theory of six-meridian differentiation.Methods:A retrospective analysis of 45 patients with scapulohumeral periarthritis admitted from November 2020 to June 2023 was conducted.All the patients took oral Chinese medicine decoction prescribed by Yang Gongxu based on the theory of six-meridian differentiation,follow-up was conducted every 7 d,the TCM clinical symptoms,tongue and pulse scores,visual analogue scale(VAS)scores and Constant-Murley scores of the patients were recorded at each follow-up,the clinical efficacy was evaluated according to the improvement of TCM clinical symptoms and tongue and pulse,VAS score was used to measure pain,Constant-Murley score was used to evaluate shoulder joint function.Results:The total effective rate was 100%,the VAS scores and Constant-Murley scores of 43 patients were significantly improved on the 14th day of treatment compared with before treatment,the difference was statistically significant(P<0.01).The VAS scores and Constant-Murley scores of 45 patients were significantly improved on day 28 compared with day 14,the difference was statistically significant(P<0.01).Conclusion:The treatment of scapulohumeral periarthritis based on the theory of six-meridian differentiation can obviously improve the clinical symptoms,pain and shoulder joint function,and has a good clinical efficacy.