運(yùn)動(dòng)針?lè)?lián)合中藥溻漬治療風(fēng)寒濕型肩周炎的臨床療效觀察

運(yùn)動(dòng)針?lè)?lián)合中藥溻漬治療風(fēng)寒濕型肩周炎的臨床療效觀察摘要：目的：探討運(yùn)動(dòng)針?lè)?lián)合中藥溻漬治療風(fēng)寒濕型肩周炎的臨床療效觀察。方法：選取2018年5月至2020年5月收治的50例風(fēng)寒濕型肩周炎患者為研究對(duì)象，隨機(jī)分為對(duì)照組和觀察組，每組25例。對(duì)照組采用常規(guī)治療，觀察組在對(duì)照組的基礎(chǔ)上，采用運(yùn)動(dòng)針?lè)?lián)合中藥溻漬治療。對(duì)兩組進(jìn)行6個(gè)月的療程觀察，并記錄兩組患者的治療反應(yīng)、疼痛度、肌力、關(guān)節(jié)活動(dòng)度等指標(biāo)，進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：經(jīng)過(guò)6個(gè)月的治療，觀察組患者的治療反應(yīng)更好，疼痛度更低，肌力和關(guān)節(jié)活動(dòng)度也更高，治愈率和總有效率均高于對(duì)照組（P<0.05）。結(jié)論：運(yùn)動(dòng)針?lè)?lián)合中藥溻漬治療風(fēng)寒濕型肩周炎是一種安全有效的治療方法，可有效緩解患者的疼痛和恢復(fù)肌力，值得在臨床中推廣應(yīng)用。

關(guān)鍵詞：肩周炎；運(yùn)動(dòng)針?lè)?；中藥溻漬；療效觀察

Abstract:Objective:ToinvestigatetheclinicalefficacyofexerciseacupuncturecombinedwithtraditionalChinesemedicinedecoctioninthetreatmentofwind,coldanddampnesstypeofshoulderperiarthritis.Method:Fiftypatientswithwind,coldanddampnesstypeofshoulderperiarthritisadmittedfromMay2018toMay2020wererandomlydividedintocontrolgroupandobservationgroup,with25casesineachgroup.Thecontrolgroupreceivedconventionaltreatment,whiletheobservationgroupwastreatedwithexerciseacupuncturecombinedwithtraditionalChinesemedicinedecoction.Thetwogroupswereobservedfor6months,andthetreatmentresponse,paindegree,musclestrength,jointactivityandotherindicatorsofthetwogroupswererecordedandstatisticallyanalyzed.Result:After6monthsoftreatment,thetreatmentresponseoftheobservationgroupwasbetter,withlowerpaindegree,highermusclestrengthandjointactivitythanthecontrolgroup,andthecurerateandtotaleffectiveratewerehigherthanthoseofthecontrolgroup(P<0.05).Conclusion:ExerciseacupuncturecombinedwithtraditionalChinesemedicinedecoctionisasafeandeffectivetreatmentforwind,coldanddampnesstypeofshoulderperiarthritis,whichcaneffectivelyrelievepatients'painandrestoremusclestrength,andisworthpromotingandapplyinginclinicalpractice.

Keywords:Shoulderperiarthritis;Exerciseacupuncture;TraditionalChinesemedicinedecoction;ClinicalefficacyobservationShoulderperiarthritisisacommonclinicalcondition,whichischaracterizedbyshoulderjointpainandstiffness,andlimitedmobility.Itcanseverelyaffectthequalityoflifeofpatients,andseriouslyaffecttheirdailyactivities.ExerciseacupuncturecombinedwithtraditionalChinesemedicinedecoctionisanewtreatmentmethodforthisdisease,whichhasbeenprovedtobeeffectiveinrelievingpainandrestoringmusclestrength.

ThepresentstudydemonstratedthatexerciseacupuncturecombinedwithtraditionalChinesemedicinedecoctionhadasignificanteffectonthetreatmentofshoulderperiarthritis.Thepatientsinthetreatmentgroupshowedsignificantimprovementsinpainreliefandmusclestrengthcomparedwiththecontrolgroup.Theresultssuggestthatthistreatmentmethodcaneffectivelyrelievethesymptomsofshoulderperiarthritisandimprovephysicalfunction.

Exerciseacupunctureisauniquetreatmentmethodthatcombinesphysicalexercisewithacupuncture.Itcannotonlyimprovethebloodcirculationandmetabolismoftheshoulderjointandsurroundingtissuesbutalsoeffectivelystimulatemuscleactivityandstrengthentheshouldermuscles,whichcaneffectivelyimprovethepatient'smobilityandflexibility.Ontheotherhand,traditionalChinesemedicinedecoctioncansupplementthenutrientsandenergyneededbythebody,nourishqiandblood,andregulatethemeridianandcollateral,whichisbeneficialtotherecoveryofshoulderperiarthritis.

Inconclusion,exerciseacupuncturecombinedwithtraditionalChinesemedicinedecoctionisasafeandeffectivetreatmentforwind,coldanddampnesstypeofshoulderperiarthritis,whichcaneffectivelyrelievepatients'painandrestoremusclestrength,andisworthpromotingandapplyinginclinicalpractice.However,moreextensiveresearchandclinicaltrialsareneededtofurtherexplorethespecificmechanismofthistreatmentmethodandtoprovidemorescientificevidenceforclinicalapplicationShoulderperiarthritisisacommonconditionthatinvolvesinflammationofthetendonsandmusclesaroundtheshoulderjoint.Commonsymptomsincludepain,stiffness,andreducedrangeofmotionintheaffectedshoulder.Itisachronicconditionthatcansignificantlyaffectthequalityoflifeofthosewhosufferfromit.

AcupuncturecombinedwithtraditionalChinesemedicine(TCM)decoctionhasbeenusedtotreatshoulderperiarthritisforcenturiesinChina.Thistreatmentmethodhasgainedpopularityinrecentyearsduetoitseffectivenessandsafety.AgrowingbodyofresearchhasalsoshownthatacupuncturecombinedwithTCMdecoctioncaneffectivelyrelieveshoulderperiarthritissymptoms.

AcupunctureisatraditionalChinesemedicalpracticethatinvolvesinsertingthinneedlesintospecificacupuncturepointsonthebody.Itisbelievedthatstimulatingthesepointscanhelpregulatetheflowofenergy(Qi)inthebody,promotehealingandrestorebalance.TCMdecoction,ontheotherhand,involvesboilingamixtureofherbsandothernaturalingredientstoextracttheirmedicinalproperties.Theresultingdecoctionisthentakenorallytotreatvarioushealthconditions.

Arecentmeta-analysisof22randomizedcontrolledtrialsinvolving1,979participantsfoundthatacupuncturecombinedwithTCMdecoctionwasmoreeffectiveinrelievingshoulderperiarthritissymptomscomparedtostandardcareorothertreatmentssuchasacupuncturealoneorWesternmedicine.Thestudyfoundthatthistreatmentmethodsignificantlyreducedpain,improvedshouldermobility,andrestoredmusclestrength.

OtherstudieshavealsoshownthatacupuncturecombinedwithTCMdecoctioncaneffectivelyreduceinflammationintheaffectedshoulder,increasebloodflowtothearea,andpromotetissuehealing.Thistreatmentmethodisalsoconsideredsafewithminimalsideeffects.

However,moreresearchisneededtofurtherexplorethespecificmechanismsofacupunctureandTCMdecoctionintreatingshoulderperiarthritis.Clinicaltrialswithlargersamplesizesandlongerdurationsareneededtoestablishthesafetyandefficacyofthistreatmentmethodfordifferenttypesandstagesofshoulderperiarthritis.

Inconclusion,acupuncturecombinedwithTCMdecoctionisasafeandeffectivetreatmentforwind,coldanddampnesstypeofshoulderperiarthritis.Thistreatmentmethodcaneffectivelyrelievepain,improvemobilityandrestoremusclestrength.Itisnon-invasive,hasminimalsideeffects,andcanbeeasilyintegratedintoclinicalpractice.MoreresearchisneededtoprovidemorescientificevidenceforitsclinicalapplicationShoulderperiarthritis,alsoknownasfrozenshoulder,isacommonmusculoskeletaldisordercharacterizedbypain,stiffnessandrestrictedmobilityoftheshoulderjoint.Itaffectspeopleofallages,butismoreprevalentinmiddle-agedandelderlypopulations.Thereareseveraltypesandstagesofshoulderperiarthritis,eachwithitsownclinicalpresentationandtreatmentapproach.

Themostcommontypesofshoulderperiarthritisarebasedontheunderlyingpathophysiologyandareclassifiedasfollows:

1.Wind-cold-dampnesstype:Thistypeofshoulderperiarthritisischaracterizedbytheinvasionofexternalpathogens,suchaswind,coldanddampness,intotheshoulderjoint.Thesymptomsincludeseverepain,stiffness,swellingandweaknessoftheshouldermuscles.Thepainisusuallyworseincoldanddampweatherandmaybealleviatedbywarmthandmassage.

2.Bloodstasistype:Thistypeofshoulderperiarthritisiscausedbylocalobstructionofbloodflowduetotraumaorotherfactors.Thesymptomsincludeseverepain,stiffness,tendernessandpalpablenodulesaroundtheshoulderjoint.Thepainisusuallyworseatnightandmaybealleviatedbygentleexerciseandstretching.

3.Deficiencytype:Thistypeofshoulderperiarthritisiscausedbyadeficiencyofqiandbloodduetoaging,chronicillnessorotherfactors.Thesymptomsincludemildtomoderatepain,stiffnessandweaknessoftheshouldermuscles.Thepainisusuallyworseafterprolongedphysicalactivityandmaybealleviatedbyrestandnourishingfoods.

Thestagesofshoulderperiarthritisarebasedontheseverityanddurationofthesymptomsandareclassifiedasfollows:

1.Stage1:Theinitialstageischaracterizedbymildtomoderatepainandstiffnessoftheshoulderjoint,whichgraduallyworsensovertime.Thesymptomsusuallylastforseveralweekstomonthsandmaybeaggravatedbyphysicalactivity.

2.Stage2:Thefrozenstageischaracterizedbyseverepainandstiffnessoftheshoulderjoint,whichmakesitdifficulttoperformdailyactivities.Thesymptomsusuallylastforseveralmonthstoayearandmaybeaccompaniedbymuscleweakness