上海针灸杂志2024，Vol.43Issue(12)：1342-1347,6.DOI:10.13460/j.issn.1005-0957.2024.12.1342
针刺联合桃红四物汤治疗肩关节周围炎的疗效观察及对生活质量的影响
Therapeutic observation of acupuncture plus Tao Hong Si Wu decoction for periarthritis of shoulder and the effect on the quality of life
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture by selecting points based on the holographic theory plus Tao Hong Si Wu decoction in treating periarthritis of shoulder due to stagnant blood obstructing the meridians and the effect on the patient's quality of life.Method A total of 104 patients with periarthritis of shoulder due to stagnant blood obstructing the meridians were recruited and randomly assigned to an observation group and a control group using the random number table method,with 52 cases in each group.The control group took Tao Hong Si Wu decoction for treatment,and the observation group additionally received acupuncture treatment by selecting points based on the holographic theory.Before and after the treatment,the two groups were observed for changes in the symptom and sign score of traditional Chinese medicine(TCM),visual analog scale(VAS)score,range of motion(ROM),Constant-Murley score(CMS),and activities of daily living(ADL).The clinical efficacy was also compared.Result After the treatment,the TCM symptom and sign scores,including the scores of unbearable shoulder pain,limited shoulder joint ROM,and topical swelling,and the total score,dropped in both groups(P＜0.05),together with decreased VAS scores(P＜0.05),enlarged ROM of the shoulder joint,including flexion,extension,abduction,adduction,internal rotation,and external rotation(P＜0.05),and increased CMS and ADL score(P＜0.05).The observation group showed superiority in the above scores and ROM compared to the control group(P＜0.05).The observation group had a higher total effective rate than the control group(P＜0.05).Conclusion Acupuncture selecting points based on the holographic theory plus Tao Hong Si Wu decoction can produce more significant clinical efficacy than the sole use of the decoction in treating periarthritis of shoulder due to stagnant blood obstructing the meridians;the combined method can more notably reduce pain,promote the recovery of shoulder joint function,and improve the patient's quality of life.关键词
针刺疗法/针药并用/肩周炎/全息疗法/疼痛/生活质量/瘀血阻络Key words
Acupuncture therapy/Acupuncture medication combined/Periarthritis of shoulder/Holographic therapy/Pain/Quality of life/Stagnant blood obstructing the meridians分类
医药卫生引用本文复制引用
桂树虹,蔡燕,秦庆广,赵灿,宋曼萍..针刺联合桃红四物汤治疗肩关节周围炎的疗效观察及对生活质量的影响[J].上海针灸杂志,2024,43(12):1342-1347,6.基金项目
海南省卫生健康行业科研项目(20A200033) （20A200033）
