温针灸联合臂丛麻醉下肩关节松解术治疗风寒湿阻型肩关节周围炎疗效观察

目的 观察温针灸联合臂丛麻醉下肩关节松解术治疗风寒湿阻型肩关节周围炎的疗效。方法 选取风寒湿阻型肩关节周围炎患者90例，采用随机数字表法将其分为温针灸组、臂丛麻醉下肩关节松解术组（关节松解组）、温针灸联合臂丛麻醉下肩关节松解术组（联合组），每组30例。采用视觉模拟评分法（visual analogue scale, VAS）评价肩关节疼痛程度，采用Constant-Murley肩关节功能量表评价肩关节功能。结果 与治疗前比较，3组患者治疗后VAS评分均显著降低（P<0.05），Constant-Murley评分均显著升高（P<0.05），联合组VAS评分降低值和Constant-Murley评分升高值均显著大于温针灸组和关节松解组（P<0.05）。结论 温针灸联合臂丛麻醉下肩关节松解术治疗风寒湿阻型肩关节周围炎的疗效优于单一治疗方式。

Clinical Effect of Warming Acupuncture-Moxibustion Combined with Shoulder Arthrolysis Under Brachial Plexus Anesthesia in Treatment of Scapulohumeral Periarthritis with Wind-Cold-Damp Retention

Objective To investigate the clinical effect of warming acupuncture-moxibustion combined with shoulder arthrolysis under brachial plexus anesthesia in the treatment of scapulohumeral periarthritis with wind-cold-damp retention. Methods A total of 90 patients with scapulohumeral periarthritis with wind-cold-damp retention were enrolled and divided into warming acupuncture-moxibustion group, shoulder arthrolysis group (treated with shoulder arthrolysis under brachial plexus anesthesia), and combination group (treated with warming acupuncture-moxibustion combined with shoulder arthrolysis under brachial plexus anesthesia) using a random number table, with 30 patients in each group. The Visual Analogue Scale (VAS) was used to evaluate the degree of shoulder pain, and the Constant-Murley shoulder function scale was used to assess shoulder function. Results After treatment, all three groups had a significant reduction in VAS score (P<0.05) and a significant increase in Constant-Murley score (P<0.05), and the combination group had significantly greater reduction in VAS score and increase in Constant-Murley score than the warming acupuncture-moxibustion group and the shoulder arthrolysis group (P<0.05). Conclusion Warming acupuncture-moxibustion combined with shoulder arthrolysis under brachial plexus anesthesia has a better clinical effect than warming acupuncture-moxibustion or shoulder arthrolysis alone in the treatment of scapulohumeral periarthritis with wind-cold-damp retention.