CAJ | 학술논문

目的：探讨改良隔姜灸治疗风寒湿型冻结肩的临床疗效及其护理优越性。方法：选取我院60例骨科门诊和病房的风寒湿型冻结肩患者，按就诊时间的先后顺序随机分为改良隔姜灸组30例，传统隔姜灸组30例，两组均采取阿是穴结合经络穴隔姜炙治疗，隔日1次，每次10～15 min，7 d为1个疗程。两组患者分别于治疗3个疗程后参照肩周炎疗效评定标准及疼痛视觉模拟评分量表(VAS)进行疗效评定。结果：传统炙法中有8例退出，改良隔姜灸组30例总有效率达93.3%，传统隔姜灸组22例有效率达77.3%，两组疗效比较差异有统计学意义（P <0.05）。结论：改良隔姜灸组疗效优于传统隔姜灸组，改良隔姜灸操作取材方便，价格低廉，无毒副作用，护理操作更具安全性，便于在社区医疗机构和家庭中推行，进一步改善风寒湿型冻结肩患者的生活质量。
목적：탐토개량격강구치료풍한습형동결견적림상료효급기호리우월성。방법：선취아원60례골과문진화병방적풍한습형동결견환자，안취진시간적선후순서수궤분위개량격강구조30례，전통격강구조30례，량조균채취아시혈결합경락혈격강자치료，격일1차，매차10～15 min，7 d위1개료정。량조환자분별우치료3개료정후삼조견주염료효평정표준급동통시각모의평분량표(VAS)진행료효평정。결과：전통자법중유8례퇴출，개량격강구조30례총유효솔체93.3%，전통격강구조22례유효솔체77.3%，량조료효비교차이유통계학의의（P <0.05）。결론：개량격강구조료효우우전통격강구조，개량격강구조작취재방편，개격저렴，무독부작용，호리조작경구안전성，편우재사구의료궤구화가정중추행，진일보개선풍한습형동결견환자적생활질량。
Objective: To explore clinical effect and nursing advantages of improved ginger moxibustion for treating frozen shoulder of wind-cold dampness type. Methods 60 outpatients and inpatients with frozen shoulder of wind-cold dampness type in orthopedic department from Aug.2013 to Jan. 2014 were randomly divided into improved ginger moxibustion group(n=30) and traditional ginger moxibustion group(n=30) according to the treatment time.Both groups received respective treatment 10~15 mins per day for 7 days as a period of treatment, one day apart. The efficacy of two groups was evaluated after 3 courses according to the frozen shoulder evaluation criteria and VAS. Results The differences of two groups had statistical significance (P<0.05). The total effective rate of improved ginger moxibustion group reached 93.33%, superior to 77.27%of traditional ginger moxibustion group. Conclusion Improved ginger moxibustion,with its advantages of convenient operation, low cost, non-toxic side effects and safe nursing procedure, is worthy of promotion within social institution and household to improve life quality of patients with frozen shoulder of wind-cold dampness type.