中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
3期
24-27
,共4页
肩周炎%推拿%手法%辨证论治%辨证分型
肩週炎%推拿%手法%辨證論治%辨證分型
견주염%추나%수법%변증론치%변증분형
Periarthritis of shoulder%Tuina%Manipulation%Treatment based on syndrome differentiation%Syndrome differentiation of TCM
目的：观察推拿疗法对不同证型肩周炎的疗效并分析其治疗机理。方法：将150例肩周炎患者辨证分为风寒湿型、气滞血瘀型及气血虚型三组，予相同推拿手法，以肩关节疼痛和功能活动度为主要观察指标对比三组的临床疗效。结果：三组均有远期效应（P＜0.05）。风寒湿型和气滞血瘀型的镇痛疗效、改善肩周炎患者远期总分数及疼痛分数方面均优于气血虚型（P＜0.05），三组改善肩关节功能活动疗效差异不明显（P>0.05）。风寒湿型、气滞血瘀型及气血虚型的总体有效率分别为87.3%、71.5%和51.3%。结论：辨证论治是中医理论体系的特色，手法治疗肩周炎应按中医特点辨证分型。手法对风寒湿型和气滞血瘀型肩周炎更有效，而对气血虚型肩周炎的疗效欠佳。
目的：觀察推拿療法對不同證型肩週炎的療效併分析其治療機理。方法：將150例肩週炎患者辨證分為風寒濕型、氣滯血瘀型及氣血虛型三組，予相同推拿手法，以肩關節疼痛和功能活動度為主要觀察指標對比三組的臨床療效。結果：三組均有遠期效應（P＜0.05）。風寒濕型和氣滯血瘀型的鎮痛療效、改善肩週炎患者遠期總分數及疼痛分數方麵均優于氣血虛型（P＜0.05），三組改善肩關節功能活動療效差異不明顯（P>0.05）。風寒濕型、氣滯血瘀型及氣血虛型的總體有效率分彆為87.3%、71.5%和51.3%。結論：辨證論治是中醫理論體繫的特色，手法治療肩週炎應按中醫特點辨證分型。手法對風寒濕型和氣滯血瘀型肩週炎更有效，而對氣血虛型肩週炎的療效欠佳。
목적：관찰추나요법대불동증형견주염적료효병분석기치료궤리。방법：장150례견주염환자변증분위풍한습형、기체혈어형급기혈허형삼조，여상동추나수법，이견관절동통화공능활동도위주요관찰지표대비삼조적림상료효。결과：삼조균유원기효응（P＜0.05）。풍한습형화기체혈어형적진통료효、개선견주염환자원기총분수급동통분수방면균우우기혈허형（P＜0.05），삼조개선견관절공능활동료효차이불명현（P>0.05）。풍한습형、기체혈어형급기혈허형적총체유효솔분별위87.3%、71.5%화51.3%。결론：변증론치시중의이론체계적특색，수법치료견주염응안중의특점변증분형。수법대풍한습형화기체혈어형견주염경유효，이대기혈허형견주염적료효흠가。
Objective:To observe the clinical efficacy of tuina therapy on different types of periarthritis of shoulder,and analysis its therapeutic mechanism. Methods: 150 patients with periarthritis of shoulder dialectical type was divided into three groups :wind cold dampness type, qi stagnancy and blood stasis type, deficiency of qi and blood type. to the same manipulation, shoulder joint pain and functional activity as the main observation indexes to compare the clinical efficacy of three groups. Results:all of the three groups have long-term effect (P<0.05). Efficacy of wind cold dampness type and qi stagnancy and blood stasis type in analgesia, improving forward total scores and pain scores are better than deficiency of qi and blood type (P<0.05), efficacy of the three groups to improve the functional activity have not obvious difference (P>0.05). Wind cold dampness, qi stagnancy and blood stasis type, deficiency of qi and blood have overall effective rate of 87.3%, 71.5% and 51.3% respectively. Conclusion: treatment based on syndrome differentiation is the characteristics of TCM theoretical system, syndrome differentiation of TCM should be according to the treatment of periarthritis of shoulder. wind cold dampness type and qi stagnation and blood stasis type are more effective than the deficiency of qi and blood type.
