| 引用本文:王涛1，顾景辉2.红花化瘀汤辅助肩关节镜手术对肩袖损伤患者肩关节功能及疼痛的影响[J].世界中医药,2019,(03):. |
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| 红花化瘀汤辅助肩关节镜手术对肩袖损伤患者肩关节功能及疼痛的影响 |
| Effects of Honghua Huayu Decoction Assisted Shoulder Arthroscopic Surgery on Shoulder Joint Function and Pain in Patients with Rotator Cuff Injuries |
| 投稿时间：2018-10-29 |
| DOI：10.3969/j.issn.1673-7202.2019.03.037 |
| 中文关键词: 肩袖损伤 肩关节镜手术 红花化瘀汤 熏洗 常规治疗 关节功能 疼痛 疗效 |
| English Keywords:Rotator cuff injuries Shoulder arthroscopic surgery Honghua Huayu Decoction Fumigation Conventional western medicine Joint function Pain Curative effect |
| 基金项目:北京市中医管理局青年基金项目（QN2015-16） |
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| 中文摘要: |
| 目的：探究红花化瘀汤辅助肩关节镜手术对肩袖损伤患者肩关节功能及疼痛的影响。方法：选取2016年1月至2018年1月河北省沧州市中西医结合医院收治的肩袖损伤患者67例作为研究对象，按照随机数字表法分为对照组（n＝33）和观察组（n＝34），2组均进行肩关节镜下肩袖重建术。术后对照组给予常规西医治疗；观察组在对照组的基础上于术后2周内采用红花化瘀汤熏洗患处，熏洗4周。术后6周评价2组临床疗效，比较2组手术前后关节功能及疼痛情况。结果：术后6周观察组临床总有效率88.24%，高于对照组的63.64%（P<0.05）；与术前比较，术后4～6周2组患者疼痛、肩关节功能、主动向前屈曲活动、前屈力量、主观满意度评分均升高（均P<0.05），且观察组显著高于对照组（P<0.05）；与术前比较，术后6周2组患者前屈、后伸、内旋、外旋各角度均显著增加（均P<0.05），且观察组显著大于对照组（P<0.05）；与术前比较，术后2～6周2组患者肩关节VAS评分呈逐渐降低趋势（P<0.05），且术后4、6周观察组肩关节VAS评分均显著低于对照组（均P<0.05）。结论：红花化瘀汤辅助肩关节镜手术可显著改善肩袖损伤患者关节功能，缓解关节疼痛，疗效明显优于术后冰敷消肿治疗，值得临床推广应用。 |
| English Summary: |
| To explore the effects of Honghua Huayu Decoction assisted shoulder arthroscopic surgery on shoulder joint function and pain in patients with rotator cuff injuries.Methods:A total of 67 patients with rotator cuff injuries admitted to，Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine from January 2016 to January 2018 were selected，and divided into the control group (n＝33) and treatment group (n＝34) according to random number table method.Both 2 groups underwent shoulder arthroscopic rotator cuff reconstruction surgery，and control group received conventional western medicine after surgery.The affected part of patients in treatment group was fumigated with Honghua Huayu Decoction at 2 weeks after surgery on the basis of control group，which was fumigated with 4 weeks.The clinical efficacy in 2 groups after 6 weeks surgery was counted.The situation of joint function and pain in 2 groups before and after surgery were evaluated and compared.Results:The clinical total effective rate in treatment group 6 weeks after surgery was 88.24%，which was higher than that 63.64% in control group (P<0.05).Compared with pre-surgery，the pain，shoulder joint function，active forward flexion，anteflexion power and subjective satisfaction scores from 4 weeks to 6 weeks after surgery increased (P<0.05).Treatment group was significantly higher than control group (P<0.05).Compared with pre-surgery，the angle of anteflexion，rear protraction，internal rotation and extorsion increased significantly 6 weeks after surgery in 2 groups (P<0.05)，and treatment group was significantly higher than control group (P<0.05).The joint of VAS scores 2 weeks to 6 weeks after surgery decreased in 2 groups (P<0.05)，and treatment group was significantly lower than control group 4 weeks，6 weeks after surgery compared with pre-surgery (P<0.05).Conclusion:Honghua Huayu Decoction assisted shoulder arthroscopic surgery can significantly improve the joint function of patients with rotator cuff injuries，alleviate joint pain.The efficacy is significantly better than that of conventional western medicine，which is worthy of clinical application. |
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