Clinical Efficacy of Magui Wenjingtang Combined with Shoulder Joint Loosening Operation in Treating Periarthritis of Shoulder with Syndrome of Blood Deficiency and Cold Coagulation

Yan-lei HE; Fang LEI; Qiang LI; Jin-hui TIAN; Wang WANG

doi:10.13422/j.cnki.syfjx.20201024

您当前的位置：

首页 >

文章列表页 >

Clinical Efficacy of Magui Wenjingtang Combined with Shoulder Joint Loosening Operation in Treating Periarthritis of Shoulder with Syndrome of Blood Deficiency and Cold Coagulation

Clinic | 更新时间：2021-02-09

- Clinical Efficacy of Magui Wenjingtang Combined with Shoulder Joint Loosening Operation in Treating Periarthritis of Shoulder with Syndrome of Blood Deficiency and Cold Coagulation
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 26, Issue 10, Pages: 63-68(2020)
- 作者机构：
  
  1.天津市宁河区医院，天津　 301500
  2.河北医科大学　附属人民医院，石家庄　 050011
  3.邯郸市中心医院，河北邯郸　 056001
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20201024
  CLC： R22; R242; R2-031;R287
- Received：29 November 2019，
  
  Published Online：07 February 2020，
  
  Published：20 May 2020
- 稿件说明：
移动端阅览
Yan-lei HE, Fang LEI, Qiang LI, et al. Clinical Efficacy of Magui Wenjingtang Combined with Shoulder Joint Loosening Operation in Treating Periarthritis of Shoulder with Syndrome of Blood Deficiency and Cold Coagulation[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(10): 63-68.
DOI：

Yan-lei HE, Fang LEI, Qiang LI, et al. Clinical Efficacy of Magui Wenjingtang Combined with Shoulder Joint Loosening Operation in Treating Periarthritis of Shoulder with Syndrome of Blood Deficiency and Cold Coagulation[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(10): 63-68. DOI： 10.13422/j.cnki.syfjx.20201024.

摘要

目的：

探讨麻桂温经汤加味联合关节松动术治疗肩周炎血虚寒凝证的临床疗效以及对血流动力学和血清疼痛介质的影响。

方法：

筛选2016年7月至2018年7月在天津市宁河区医院诊治的肩周炎患者共有120例，按随机数字表法将患者分为对照组和观察组，每组60例。对照组患者接受关节松动术治疗，每日1次，口服塞来昔布胶囊。观察组在接受关节松动术治疗的基础采取麻桂温经汤加味内服，1剂/d，2次/d。两组患者连续治疗4周后，比较患者的主观疼痛程度McGill疼痛问卷(SF-MPQ)评分，肩关节活动度血流动力学变化，以及血清前列腺素E

(PGE

)，P物质(SP)，五羟色胺(5-HT)水平和临床疗效。

结果：

与本组治疗前比较，治疗4周后两组患者的视觉疼痛评分(VAS)，现在疼痛状况(PPI)，疼痛评级指数(PRI)评分明显降低，且观察组显著低于对照组(

0.01)，肩关节活动范围明显高于对照组(

0.01)；与本组治疗前比较，治疗4周后两组患者的红细胞沉降率(ESR)，纤维蛋白原(Fb)，全血黏度以及血清PGE

，SP，5-HT水平显著降低(

0.01)，且观察组显著优于对照组(

0.01)；观察组临床总有效率为96.61%(57/59)，明显高于对照组的82.76%(48/58)(

＝4.685，

0.05)。

结论：

麻桂温经汤加味联合关节松动术治疗肩周炎血虚寒凝证，能有效改善患者的疼痛、肩关节活动度，提高疗效，改善患者的血流动力学和下调疼痛介质PGE

，SP，5-HT水平可能与其疗效有关。

Abstract

Objective:

To explore the clinical efficacy of Magui Wenjingtang combined with joint mobilization in the treatment of periarthritis of the shoulder and the effect on hemodynamics and serum pain media.

Method:

A total of 120 patients with scapulohumeral periarthritis were enrolled in Tianjin Ninghe Hospital from July 2016 to July 2018.All cases were divided into control group and observation group

with 60 patients in each group. The control group received shoulder joint loosening operation (

)

and celecoxib capsules for oral administration. The observation group was treated with Magui Wenjingtang in addition to the shoulder joint loosening operation

1 dose/d

2 times/d. After 4 weeks of continuous treatment

the subjects were compared for the subjective pain level McGill Pain Questionnaire (SF-MPQ) score

shoulder mobility hemodynamic changes

and serum prostaglandin E

(PGE

)

substance P (SP)

serotonin (5-HT) level and clinical efficacy.

Result:

Compared with before treatment

visual pain score (VAS)

current pain status (PPI)

and pain rating index (PRI) scores of the two groups were significantly lower after 4 weeks of treatment

and those of the observation group was significantly lower than the control group (

0.01). The range of shoulder joint activity was significantly higher than that of the control group (

0.01)

erythrocyte sedimentation rate (ESR)

fibrinogen (Fb)

whole blood viscosity and serum were compared between the two groups after 4 weeks of treatment and before treatment. The levels of PGE

SP and 5-HT were significantly lower (

0.01)

and the observation group was significantly better than the control group (

0.01). The total effective rate of the observation group was 96.61%(57/59)

which was significantly higher than 82.76% (48/58) of the control group(

=4.685

0.05).

Conclusion:

Magui Wenjingtang combined with shoulder joint loosening operation in treating periarthritis of shoulder with syndrome of blood deficiency and cold coagulation can effectively improve the pain and shoulder joint mobility

increase the curative effect

and improve the hemodynamics

and down-regulatie pain mediator of PGE

5-HT

which may be related to the curative effect.

关键词

Keywords

references

吕永波，庄苗 . 推拿结合针灸对肩周炎患者局部血供的改善效果研究 [J]．中国保健营养， 2017 ， 20 ( 2 )： 187 - 188 .

刘步云，胡松，史梦龙 . 关节松动技术治疗肩周炎的临床疗效观察 [J]．临床检验杂志：电子版， 2018 , 7 ( 1 )： 60 - 62 .

王依倩，陈飞 . 关节松动术治疗肩周炎的效果 [J]．养生保健指南， 2018 ， 9 ( 3 ): 242 .

黄刚，彭育新．尪痹胶囊联合关节松动术治疗肩周炎效果观察 [J]．中国乡村医药， 2017 ， 24 ( 20 ): 64 - 65 .

冯继华，陈久毅，徐远坤，等 . 中药热各色自己合推拿治疗血虚寒凝型冻结期肩周炎25例的报告 [J]．贵阳中医学院学报， 2012 ，， 34 ( 2 ): 139 - 140 .

李伟．陆念祖论治肩周炎的学术经验 [J]．中国中医骨伤科杂志， 2017 ， 25 ( 10 )： 65 - 66 .

蒋为华．中西医结合综合治疗肩周炎的疗效临床效果分析 [J]．特别健康， 2019 ， 15 ： 104 .

中华中医药学会．肩关节周围炎 [J]．风湿病与关节， 2013 ， 2 ( 2 )： 73 - 75 .

中华中医药学会．中医骨伤科常见病诊疗指南 [M]．北京：中国中医药出版社， 2012 ： 25 - 27 .

D M GUI , Y L JIN , Y K DA , et al . Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders [J]. J Phys Ther Sci , 2015 , 27 ( 5 )： 1391 - 1395 .

罗跃嘉．简化McGill疼痛评分表的临床应用评价 [J]．中国康复， 1992 ( 4 )： 160 - 164 .

南登崑．康复医学 [M]. 3版．北京：人民卫生出版社， 2005 ： 278 - 282 .

陆巍．陆执中主任治疗肩周炎经验介绍 [J]．中国中医药现代远程教育， 2018 ， 16 ( 24 )： 72 - 74 .

李伟，徐洪亮，王慧芳，等 . 100例肩周炎的中医证型规律分析 [J]．中国中医骨伤科杂志， 2017 ， 25 ( 9 )： 58-60，64 .

豆均平，李现林，李文生．李现林教授运用通痹舒筋丸治疗风寒湿型肩周炎经验总结 [J]．中国民族民间医药， 2018 ， 27 ( 17 )： 91 - 93 .

谢凌锋，黄晓琳，岳翔，等． Mulligan动态关节松动术结合牵伸疗法治疗肩周炎的疗效观察 [J]．中国康复医学杂志， 2015 ， 30 ( 5 )： 476 - 478 .

王延武，王翀敏，陈华德，等．电针配合Mulligan动态关节松动术治疗肩袖损伤后肩关节疼痛：随机对照研究 [J]．中国针灸， 2018 ， 38 ( 1 )： 17 - 21 .

张增富 . 针刀与局部封闭法治疗肩周炎患者的疼痛介质及炎性因子影响的研究 [J]. 中医临床研究， 2018 , 10 ( 8 )： 82 - 84 .

潘祥龙，郝二伟，谢金玲，等．活血化瘀中药调节血瘀证的分子机制研究进展 [J]．中国实验方剂学杂志， 2018 ， 24 ( 24 )： 227 - 234 .

孙华堂，万欢，张录杰，等减压放血针加电针治疗急性期肩周炎临床疗效观察 [J]．中国针灸， 2016 ， 36 ( 9 )： 933 - 937 .

王春成，李明哲，彭晓松．颈舒颗粒联合铍针治疗慢性肩周炎76例近期临床疗效分析 [J]．重庆医学， 2017 ， 46 ( 7 )： 950 - 953 .

韩永亮，孙伟琦，霍尚飞，等．针刀松解辅助治疗寒湿痹阻型肩周炎患者的近期疗效及机制 [J]．世界中医药， 2018 ， 13 ( 5 )： 1254 - 1257 .

张其镇，苗雨，王大力，等．独活寄生汤配合温针灸治疗风寒湿痹型膝骨关节炎患者的疗效及对血清疼痛介质、炎症介质、白三烯的影响 [J]．中国实验方剂学杂志， 2018 ， 24 ( 18 )： 153 - 158 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

AI问答

Postal code：100700
Tel：010-84076882 Email：syfjx_2010@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备11006657号-10 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰