本文選題：肩周炎 + 清陽理論��； 參考：《湖北中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:運(yùn)用內(nèi)經(jīng)清陽理論,予以溫陽通脈藥物治療肩周炎患者,觀察患者肩部疼痛、活動(dòng)度、日�；顒�(dòng)的恢復(fù)情況,以及患者對(duì)于治療效果滿意情況。方法:回顧性分析,選擇從2015年2月至2016年8月期間在湖北中醫(yī)藥大學(xué)附屬湖北省中醫(yī)院骨傷科門診及鳳凰門診就診的110例單側(cè)肩周炎患者。分為治療組A組,對(duì)照組B組與C組,其中A組45例,B組37例,C組28例,A組予以口服溫陽通脈的中藥方黃芪桂枝五物湯加減,每日一劑,分早晚溫服。B組予以口服補(bǔ)益肝腎的獨(dú)活寄生湯加減,每日一劑,分早晚溫服。C組予以口服活血化瘀的宣痹湯加減,每日一劑,分早晚溫服,3組同時(shí)配合予以常規(guī)功能鍛煉,記錄4周后治療效果。所有患者治療前后采取白天與夜間VAS視覺模擬評(píng)分進(jìn)行評(píng)價(jià),同時(shí)患者治療前后的肩關(guān)節(jié)功能活動(dòng)、活動(dòng)度、疼痛、治療滿意度及臨床療效進(jìn)行評(píng)定分析。結(jié)果:1.研究結(jié)束后,將110例患者納入統(tǒng)計(jì)學(xué)分析,三組病例的基本情況及病情比較,差異無統(tǒng)計(jì)學(xué)意義,具有可比性。2.A、B、C三組病例治療前后的肩關(guān)節(jié)疼痛評(píng)分、功能活動(dòng)評(píng)分、肩關(guān)節(jié)活動(dòng)度評(píng)分、醫(yī)患滿意度評(píng)分及總分?jǐn)?shù)分別經(jīng)配對(duì)檢驗(yàn)進(jìn)行組內(nèi)比較,p值均小于0.05,提示三組病例治療前后肩關(guān)節(jié)疼痛評(píng)分、功能活動(dòng)評(píng)分、肩關(guān)節(jié)活動(dòng)度評(píng)分及治療后滿意度評(píng)分、總分?jǐn)?shù)差異均有統(tǒng)計(jì)學(xué)意義;且各組治療后各項(xiàng)評(píng)分均明顯高于治療前。3.A組與B、C組在治療后肩關(guān)節(jié)疼痛、肩關(guān)節(jié)活動(dòng)度、醫(yī)患滿意度方面,經(jīng)方差分析,差異具有統(tǒng)計(jì)學(xué)意義,且A組分?jǐn)?shù)高于B組與C組。4.A組總有效率為91.11%,B組總有效率為81.08%,C組總有效率為75%,經(jīng)組間兩兩LSD比較,A組與B、C組之間差異顯著,有統(tǒng)計(jì)學(xué)意義,B組與C組之間差異不明顯,無統(tǒng)計(jì)學(xué)意義。結(jié)論:1.黃芪桂枝五物湯、獨(dú)活寄生湯及宣痹湯均能改善肩周炎患者肩部疼痛、肩關(guān)節(jié)功能活動(dòng)及肩關(guān)節(jié)活動(dòng)度。2.黃芪桂枝五物湯治療肩周炎療效優(yōu)于獨(dú)活寄生湯及宣痹湯;3.內(nèi)經(jīng)清陽理論指導(dǎo)下黃芪桂枝五物湯加減在減輕患者肩周炎患者疼痛方面具有良好作用,且患者耐受性良好,安全、無明顯毒副作用。
[Abstract]:Objective: to observe the recovery of shoulder pain, activity, daily activity and satisfaction of the patients with shoulder periarthritis by using Neijing Qingyang theory. Methods: from February 2015 to August 2016, 110 patients with unilateral periarthritis of shoulder were selected from orthopedics and trauma department of Hubei traditional Chinese Medicine Hospital affiliated to Hubei University of traditional Chinese Medicine and Phoenix outpatient clinic from February 2015 to August 2016. They were divided into treatment group A, control group B and group C. among them, 45 cases in group A, 37 cases in group B, 37 cases in group C, 28 cases in group A were treated with Huangqi Guizhi Wuwu decoction, a traditional Chinese medicine prescription of Wenyang Tongmai, once a day. Group B was given oral decoction of tonifying liver and kidney, one dose per day, and group C was given oral decoction of promoting blood circulation and removing blood stasis. The therapeutic effect was recorded after 4 weeks. All patients were evaluated with VAS visual analogue score before and after treatment, and the shoulder function, motion, pain, treatment satisfaction and clinical efficacy were evaluated and analyzed before and after treatment. The result is 1: 1. After the study, 110 patients were included in the statistical analysis. There was no significant difference in the basic condition and the disease status among the three groups. 2.The shoulder pain score and the functional activity score before and after treatment were comparable. Shoulder motion score, doctor-patient satisfaction score and total score were all less than 0.05 by paired test, indicating that the shoulder joint pain score and functional activity score before and after treatment in the three groups. The scores of shoulder motion and satisfaction after treatment were statistically significant, and the scores after treatment were significantly higher than those before treatment in group A and group B C after treatment, and the range of shoulder motion was significantly higher than that in group A and group C after treatment. In terms of doctor-patient satisfaction, the difference was statistically significant by ANOVA. The total effective rate of group A was higher than that of group B and group C. the total effective rate of group B was 81.08% and the total effective rate of group C was 75.The difference between group A and group C was significant, but there was no significant difference between group B and group C. There is no statistical significance. Conclusion 1. Huangqi Guizhi Wuwu decoction, Duhuzheng decoction and Xuanbi decoction can improve shoulder pain, shoulder functional activity and shoulder motion. 2. Huangqi Guizhi Wuwu decoction is superior to Duhuzheng decoction and Xuanbi decoction in treating shoulder periarthritis. Under the guidance of Neijing Qingyang theory, Huangqi Guizhi Wuwu decoction has a good effect in alleviating the pain of patients with periarthritis of shoulder, and the patient has good tolerance, safety and no obvious side effects.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R274.9

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