摘要
目的:观察吲哚美辛巴布膏治疗冻结肩的疗效。方法:将广州市正骨医院收治的50例冻结肩患者随机分为治疗组和对照组各25例,对照组采用臂丛麻醉下肩关节手法松解术,术后给予肩关节功能锻炼,治疗组在对照组的基础上联合使用吲哚美辛巴布膏贴敷。疗程为4周。比较两组患者治疗后的临床疗效,治疗前后疼痛视觉模拟评分法(Visual Analogue Scale,VAS)、美国肩肘外科评分(American Shoulder and Elbow Surgeons,ASES)、Constant-Murley肩关节功能评分以及肩关节活动度。结果:治疗后治疗组的总有效率显著高于对照组(P<0.05);治疗后两组患者的VAS评分均较治疗前降低(P<0.05),且治疗组VAS评分低于对照组(P<0.05);治疗后两组的ASES、Constant-Murley评分均较治疗前升高(P<0.05),且治疗组ASES、Constant-Murley评分高于对照组(P<0.05);治疗后两组的肩关节活动度均较治疗前增加(P<0.05),且治疗后治疗组的肩关节活动度高于对照组(P<0.05)。结论:吲哚美辛巴布膏可以减轻冻结肩松解术后疼痛,促进患者肩关节功能恢复。
Objective:To observe the effects of indomethacin pasters on frozen shoulder.Methods:50 cases admitted to our hospital were randomly divided into the treatment group and the control group,25 cases in each.The control group underwent brachial plexus anesthesia for shoulder joint manipulation,and received shoulder joint functional exercises after operation.The treatment lasted for 4 weeks.Results:The total efficiency in the treatment group after treatment was significantly higher than that in the control group(P<0.05).The VAS scores in the groups after treatment were decreased(P<0.05),and in the treatment group was lower than the control group(P<0.05).The ASES and Constant-Murley scores in both groups after treatment were increased(P<0.05),and in the treatment group were higher than the control group(P<0.05).After treatment,the shoulder joint mobility in both groups was increased compared with before treatment(P<0.05),and in the treatment group was higher than the control group(P<0.05).Conclusion:Indomethacin plasters can reduce pain after shoulder manipulation and promote the recovery of shoulder function of patients.
出处
《中医临床研究》
2021年第7期140-143,共4页
Clinical Journal Of Chinese Medicine
关键词
冻结肩
松解术后
疼痛
吲哚美辛巴布膏
Frozen shoulder
Postoperative loosening
Pain
Indomethacin pasters