CAJ | 학술논문

目的:探讨电针结合中药熏蒸治疗肩周炎的疗效. 方法:将80例肩周炎患者随机分成治疗组(电针联合中药熏蒸治疗)、对照组(电针治疗)各40 例,两组均配合自主功能锻炼. 2 个疗程后运用VAS评分、肩关节ROM和改良Barthel指数评估肩关节疼痛强度、功能活动和ADL,比较两组临床疗效.结果:治疗后两组上述评价指标均比治疗前显著改善(P<0.01),两组比较有显著性差异(P<0.05);治疗组的治愈率75%、总有效率97 .5%;对照组的治愈率50%、总有效率87 .5%,两组比较有显著性差异(P<0.05). 两组均未发现明显的不良反应. 结论:电针联合中药熏蒸治疗肩周炎具有协同作用,可安全、有效缓解疼痛、改善肩部功能活动和提高ADL,配合自主功能锻炼有利于肩周炎的康复,预防复发,故值得临床推广应用.
목적:탐토전침결합중약훈증치료견주염적료효. 방법:장80례견주염환자수궤분성치료조(전침연합중약훈증치료)、대조조(전침치료)각40 례,량조균배합자주공능단련. 2 개료정후운용VAS평분、견관절ROM화개량Barthel지수평고견관절동통강도、공능활동화ADL,비교량조림상료효.결과:치료후량조상술평개지표균비치료전현저개선(P<0.01),량조비교유현저성차이(P<0.05);치료조적치유솔75%、총유효솔97 .5%;대조조적치유솔50%、총유효솔87 .5%,량조비교유현저성차이(P<0.05). 량조균미발현명현적불량반응. 결론:전침연합중약훈증치료견주염구유협동작용,가안전、유효완해동통、개선견부공능활동화제고ADL,배합자주공능단련유리우견주염적강복,예방복발,고치득림상추엄응용.
Objective:To discuss the effect of electric acupuncture combined with Chinese medicine fumigation in the treatment of scapulohumeral periarthritis .Methods:80 cases of scapulohumeral periarthritis were random-ly divided into a treatment group ( electric acupuncture combined with Chinese medicine fumigation ) and a con-trol group ( electric acupuncture treatment ) ,with 40 cases in each group .Both groups were cooperated with in-dependent functional exercise .The VAS score , shoulder joint ROM and modified Barthel index were used to e-valuate the shoulder pain intensity , functional activity and activities of daily living ability after 2 courses , com-pared with the clinical effect in two groups .Results:After treatment, the indexes of two groups were significant-ly improved than those before treatment (P<0.01), and there were significant differences between two groups ( P<0 .05 );in the treatment group the curative rate was 75%,and the total efficiency was 97 .5%;in the con-trol group the curative rate was 50%, and the total effective rate was 87 .5%.Compared between two groups , there was a significant difference (P<0.05).No obvious adverse reactions were found in two groups .Conclu-sion:Electric acupuncture combined with Chinese medicine fumigation in the treatment of scapulohumeral peri -arthritis has a synergistic effect .It can be safe and effective to relieve pain , improve the function of the shoulder movement and the ability of daily life activities, and cooperated with the independent functional exercise , is con-ductive for the rehabilitation of scapulohumeral periarthritis and the prevention of recurrence .Therefore , it is worth popularizing and applying clinically .