吉林中医药2025，Vol.45Issue(8)：946-950,5.DOI:10.13463/j.cnki.jlzyy.2025.08.016
常氏三绝联合肩关节腔清洗治疗粘连期肩周炎的疗效及红外热成像分析
The efficacy of Chang's triple therapy combined with shoulder joint cavity cleaning in the treatment of adhesive frozen shoulder and the analysis of infrared thermography
摘要
Abstract
Objective To investigate the efficacy of Chang's triple therapy combined with shoulder cavity cleaning in the treatment of frozen shoulder in adhesion stage and the temperature changes in the lesion area on infrared thermography.Methods A total of 120 patients with adhesive frozen shoulder admitted to the Zhengzhou Hospital of Traditional Chinese Medicine from February 2023 to February 2024 were selected and divided into a control group and a pilot group using the randomized numerical table method,with 60 patients in each group.The control group was given 40 mL of 0.9%normal saline,0.5 mL of triamcinolone acetonide injection and 3 mL of 2%lidocaine hydrochloride injection to clean the shoulder joint cavity,while the pilot group was given the Chang's triple therapy on the basis of the control group,and both groups were continuously treated for one course.The efficacy after one course of treatment,and the pain degree[Visual Analog Scale(VAS)],shoulder function[Constant-Murley Score(CMS)],shoulder mobility,inflammation-related indexes[monocyte chemotactic protein-1(MCP-1),transforming growth factor-β(TGF-β),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]before and after one course of treatment,infrared thermography lesion area temperature before and after one week and one course of treatment,and adverse reactions during treatment were compared between the two groups.Results After one course of treatment,the total effective rate was 91.67%in the pilot group,higher than 76.67%in the control group(P<0.05).Compared with before treatment,the scores of VAS and levels of serum MCP-1,TNF-α,IL-6 were lower in the two groups after one course of treatment,and lower in the pilot group than in the control group(P<0.05),while the scores of CMS,shoulder internal,external rotation,abduction,adduction,posterior extension mobility,and level of serum TGF-β were higher in the two groups,and higher in the pilot group than in the control group(P<0.05).Compared with before treatment,the temperature of the infrared thermography lesion area in the two groups was decreased after one week and one course of treatment,while compared with after one week of treatment,the temperature of the infrared thermography lesion area in the two groups was decreased after one course of treatment,and the temperature in the pilot group after one course of treatment was was lower than that in the control group(P<0.05).During the treatment period,no obvious allergies or gastrointestinal reactions were observed in both the pilot and control groups.Conclusion The application of Chang's triple therapy combined with the shoulder cavity cleaning treatment in patients with adhesive frozen shoulder can reduce the body's inflammatory response and pain degree,and can lower the temperature of the lesion area on infrared thermography,which in turn is conducive to the improvement of shoulder joint function and shoulder joint mobility,and improves the therapeutic efficacy,and has good safety.关键词
肩周炎/粘连期/常氏三绝/肩关节腔清洗/疗效/红外热成像Key words
frozen shoulder/adhesion stage/Chang's triple therapy/shoulder cavity cleaning/efficacy/infrared thermography分类
医药卫生引用本文复制引用
杨元平,康献勇,翟俊玲,王筱锋..常氏三绝联合肩关节腔清洗治疗粘连期肩周炎的疗效及红外热成像分析[J].吉林中医药,2025,45(8):946-950,5.基金项目
2023年度河南省中医药科学研究专项课题(2023ZY2152) （2023ZY2152）
