中医综合疗法治疗肩关节周围炎42例

目的： 观察中医综合疗法治疗肩关节周围炎的近期疗效及对患者生活质量的影响。 方法： 将103例患者根据不同的治疗方式分为针灸组29例，推拿组32例，综合治疗组（补肾宣凝汤+针灸+推拿）组42例，并分别给予相应的治疗方法，3组疗程共为22 d。进行治疗前后Constant-Murley量表，McGill疼痛问卷（SF-MPQ）量表及世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评分。 结果： 综合治疗组临床疗效总有效率为97.6%，优于针灸组的72.4%和推拿组的78.1%（P<0.05）；治疗后3组Constant-Murley各维度（疼痛、关节活动度、肌力和功能活动）评分均较治疗前升高（P<0.01），综合治疗组治疗疼痛、关节活动度和功能活动评分高于针灸组和推拿组（P<0.01）；治疗后观察组SF-MPQ各维度评分及总分均低于针灸组和推拿组（P<0.01）；综合治疗组生理、心理、环境、社会关系、生存质量主观感觉及健康状况主观感觉评分均高于针灸组和推拿组（P<0.01）。 结论： 中医综合疗法治疗能改善慢性期肩周炎的疼痛、改善关节活动度和活动能力，提高患者生活质量，近期临床疗效显著。

Integrated Traditional Chinese Medicine Therapy on Periarthritis of Shoulder with 42 Cases

Objective: Observe influence of integrated traditional Chinese medicine therapy to near-term curative effect and patients' quality of lives in treating periarthritis of shoulder. Method: One hundred and three patients were divided into acupuncture and moxibustion group (29 cases),manipulation group(32 cases) and comprehensive treatment group (42 cases)with Bushen Xuanning decoction,acupuncture and moxibustion and manipulation therapy according to different therapy methods,each group's patients received corresponding method of therapy and total course of treatment were 22 days.Before and after treatment,short-form McGill pain questionnaire(SF-MPQ) of Constant-Murley and McGill were made and world health organization quality of life assessment instrument brief version(WHOQOL-BREF) was graded. Result: The total clinical effective rate of curative effect in the comprehensive treatment group was 97.6% superior to 72.4% in the acupuncture and moxibustion group and 78.1% in the manipulation group(P<0.05).After treatment,compared with the time before treatment,scores of dimensionality (pain,range of joint passive motion,muscle strength and functional activities) of Constant-Murley in three groups increased(P<0.01),and scores of pain,range of joint passive motion and functional activities in comprehensive treatment group were higher than those in acupuncture and moxibustion group and manipulation group(P<0.01).Scores of dimensionality of SF-MPQ and total scores in comprehensive treatment group were lower than those in acupuncture and moxibustion group and manipulation group(P<0.01).Scores of subject feeling of physiology,mentality,environment,social relations and quality of life and health status in comprehensive treatment group were higher than those in acupuncture and moxibustion group and manipulation group(P<0.01). Conclusion: Integrated traditional Chinese medicine therapy can ameliorate pain of periarthritis of shoulder in chronic phase and ameliorate range of joint passive motion functional activities,it improved patients' quality of lives,there is a significant near-term clinical curative effect.