万通筋骨片联合曲安奈德治疗肩关节周围炎的疗效观察

目的探讨万通筋骨片联合曲安奈德注射液治疗肩关节周围炎的临床疗效。方法选取2015年9月—2016年9月在河南科技大学第一附属医院新区医院接受治疗的肩关节周围炎患者88例,按照治疗方法的差别分成对照组和治疗组,每组各44例。对照组于压痛点注射曲安奈德注射液,80 mg/次,1次/周。治疗组在对照组基础上口服万通筋骨片,2片/次,3次/d。两组患者均治疗8周。观察两组的临床疗效,比较两组的VAS评分、Mallet评分和肩关节活动度。结果治疗后,对照组和治疗组的总有效率分别为77.27%、95.45%,两组比较差异有统计学意义(P0.05)。治疗后,两组VAS评分均显著降低,而Mallet评分均明显升高,同组治疗前后比较差异有统计学意义(P0.05);且治疗组这些观察指标的改善程度明显优于对照组,两组比较差异具有统计学意义(P0.05)。治疗后,治疗组患者上肢外展、前屈、后伸角度均好于对照组,两组比较差异具有统计学意义(P0.05)。结论万通筋骨片联合曲安奈德注射液治疗肩关节周围炎具有较好的临床疗效,可明显缓解患者肩关节疼痛,改善肩关节功能,具有一定的临床推广应用价值。

Clinical observation of Wantong Jingu Tablets combined with triamcinolone acetonide in treatment of periarthritis

Objective To evaluate the clinical efficacy of Wantong Jingu Tablets combined with Triamcinolone Acetonide Injection in treatment of periarthritis. Methods Patients (88 cases) with periarthritis in the First Affiliated Hospital New District Hospital of Henan University of Science and Technology from September 2015 to September 2016 were enrolled in this study. According to the difference treatment plan, patients were divided into control and treatment groups, and each group had 44 cases. Patients in the control group were injection administered with Triamcinolone Acetonide Injection at tenderness point, 80 mg/time, once weekly. Patients in the treatment group were po administered with Wantong Jingu Tablets on the basis of the control group, 2 tablets/ time, three times daily. Patients in two groups were treated for eight weeks. After treatment, the clinical efficacies were evaluated, and VAS score, Mallet score, and shoulder joint activity in two groups were compared. Results After treatment, the clinical efficacies in the control and treatment groups were 77.27% and 95.45%, respectively, and there was difference between two groups (P < 0.05). After treatment, the VAS scores in two groups were significantly decreased, but the Mallet scores in two groups were significantly increased, and the difference was statistically significant in the same group (P < 0.05). And the observational indexes in the treatment group were significantly better than those in the control group, with significant difference between two groups (P < 0.05). After treatment, abduction angle, flexion angle, and extension angle of upper limb in the treatment group were better than those in the control group, and there was difference between two groups (P < 0.05). Conclusion Wantong Jingu Tablets combined with Triamcinolone Acetonide Injection has clinical curative effect in treatment of periarthritis, can significantly relieve shoulder pain, and improve shoulder function, which has a certain clinical application value.