放血疗法对肩关节周围炎的疗效分析(1)
[摘要] 目的 探析对肩关节周围炎患者采取放血疗法的临床效果。方法 随机选取该院2014年1月—2016年12月期间收治的60例肩关节周围炎患者，根据入院先后顺序将其随机分为研究组和对照组，各30例，对照组采取常规治疗方法，研究组在对照组基础上采取巨刺加点刺放血疗法，比较两组治疗效果。结果 研究组治愈14例，显效7例，有效6例，無效3例，其总有效率为90.00%；对照组治愈8例，显效7例，有效5例，无效10例，其总有效率为66.67%；两组在总有效率上进行统计学比较差异有统计学意义(P<0.05)。结论 对肩关节周围炎患者通过采取放血疗法治疗，其临床效果显著，明显促进炎症吸收，患者青睐，值得临床进一步进行推广使用。
[关键词] 肩关节周围炎；放血疗法；临床效果
[中图分类号] R246 [文献标识码] A [文章编号] 1674-0742(2017)06(b)-0177-03
[Abstract] Objective To study the clinical effect of blood-letting therapy of periarthritis of shoulder. Methods Random selection 60 cases of patients with periarthritis of shoulder admitted and treated in our hospital from January 2014 to December 2016 were selected and randomly divided into two groups with 30 cases in each according to the admission order， the control group and the research group respectively adopted the routine therapy and opposing needling and thorn blood therapy， and the treatment effect was compared between the two groups. Results In the research group， 14 cases were cured， 7 cases were markedly effective， 6 cases were effective and 3 cases were ineffective and the total effective rate was 90.00%， in the control group， 8 cases were cured， 7 cases were markedly effective， 5 cases were effective and 10 cases were ineffective and the total effective rate was 90.0%， and the difference in the total effective rate between the two groups was statistically significant(P<0.05). Conclusion The clinical effect of blood-letting therapy of periarthritis of shoulder is obvious， which can obviously promote the inflammatory absorption， and it is well received by patients， and it is worth further promotion and application in clinic.
[Key words] Periarthritis of shoulder； Blood-letting therapy； Clinical effect
肩关节周围炎在临床上非常常见，主要是指肩关节周围韧带、滑膜、肌腱发生的慢性特异性炎症，多是因肩关节周围软组织损伤、发生退行性病变等导致，其患者主要症状为肩关节活动功能障碍、肩关节疼痛等[1]。病情处于中晚期的患者，常常伴有肩关节软组织黏连症状，导致其活动明显受限，对患者日常生活及工作造成一定程度上的影响。该疾病的病变特点在于疼痛广泛、压痛广泛、功能受限广泛等。高发人群为50岁左右的中老年患者，也被临床上称为“五十肩”。在患者患病之后，肩关节活动受到限制，不能运动，像是被凝固或者冻结，因此也被称为“肩凝症”及“冻结肩”[2]。现代医学对该疾病的治疗主要是采取止痛药口服，严重者给予手术治疗，不过治疗效果欠佳。中医认为肩关节周围炎是外感风寒湿邪、气血不足导致发病，采取巨刺加点刺放血疗法可缓解患者疼痛，缓解肩关节活动受限，为进一步探析对肩关节周围炎患者采取放血疗法的临床效果，该文将2014年1月—2016年12月期间收治的60例肩关节周围炎患者，作为研究对象，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的60例肩关节周围炎患者，均伴有不同程度上的临床症状，主要表现为：肩部疼痛，在受到碰撞或者牵拉时，呈撕裂样剧痛；肩关节活动受限，如洗脸、穿衣等动作上难以完成；肩部不敢吹风；在三角肌等部位出现痉挛；肱二头肌头腱沟的压痛感加剧。根据入院先后顺序将其随机分为研究组和对照组，各30例，对照组：男性16例，女性14例，年龄45～65岁，平均(55.3±4.2)岁；病程2个月～5年，平均(2.5±0.3)年；研究组：男性14例，女性16例，年龄46～65岁平均(55.8±3.6)岁，病程3个月～5年，平均(2.3±0.5)年；两组在一般资料比较差异无统计学意义(P>0.05)，有可比性。, 百拇医药(周渲芸)
[关键词] 肩关节周围炎；放血疗法；临床效果
[中图分类号] R246 [文献标识码] A [文章编号] 1674-0742(2017)06(b)-0177-03
[Abstract] Objective To study the clinical effect of blood-letting therapy of periarthritis of shoulder. Methods Random selection 60 cases of patients with periarthritis of shoulder admitted and treated in our hospital from January 2014 to December 2016 were selected and randomly divided into two groups with 30 cases in each according to the admission order， the control group and the research group respectively adopted the routine therapy and opposing needling and thorn blood therapy， and the treatment effect was compared between the two groups. Results In the research group， 14 cases were cured， 7 cases were markedly effective， 6 cases were effective and 3 cases were ineffective and the total effective rate was 90.00%， in the control group， 8 cases were cured， 7 cases were markedly effective， 5 cases were effective and 10 cases were ineffective and the total effective rate was 90.0%， and the difference in the total effective rate between the two groups was statistically significant(P<0.05). Conclusion The clinical effect of blood-letting therapy of periarthritis of shoulder is obvious， which can obviously promote the inflammatory absorption， and it is well received by patients， and it is worth further promotion and application in clinic.
[Key words] Periarthritis of shoulder； Blood-letting therapy； Clinical effect
肩关节周围炎在临床上非常常见，主要是指肩关节周围韧带、滑膜、肌腱发生的慢性特异性炎症，多是因肩关节周围软组织损伤、发生退行性病变等导致，其患者主要症状为肩关节活动功能障碍、肩关节疼痛等[1]。病情处于中晚期的患者，常常伴有肩关节软组织黏连症状，导致其活动明显受限，对患者日常生活及工作造成一定程度上的影响。该疾病的病变特点在于疼痛广泛、压痛广泛、功能受限广泛等。高发人群为50岁左右的中老年患者，也被临床上称为“五十肩”。在患者患病之后，肩关节活动受到限制，不能运动，像是被凝固或者冻结，因此也被称为“肩凝症”及“冻结肩”[2]。现代医学对该疾病的治疗主要是采取止痛药口服，严重者给予手术治疗，不过治疗效果欠佳。中医认为肩关节周围炎是外感风寒湿邪、气血不足导致发病，采取巨刺加点刺放血疗法可缓解患者疼痛，缓解肩关节活动受限，为进一步探析对肩关节周围炎患者采取放血疗法的临床效果，该文将2014年1月—2016年12月期间收治的60例肩关节周围炎患者，作为研究对象，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院收治的60例肩关节周围炎患者，均伴有不同程度上的临床症状，主要表现为：肩部疼痛，在受到碰撞或者牵拉时，呈撕裂样剧痛；肩关节活动受限，如洗脸、穿衣等动作上难以完成；肩部不敢吹风；在三角肌等部位出现痉挛；肱二头肌头腱沟的压痛感加剧。根据入院先后顺序将其随机分为研究组和对照组，各30例，对照组：男性16例，女性14例，年龄45～65岁，平均(55.3±4.2)岁；病程2个月～5年，平均(2.5±0.3)年；研究组：男性14例，女性16例，年龄46～65岁平均(55.8±3.6)岁，病程3个月～5年，平均(2.3±0.5)年；两组在一般资料比较差异无统计学意义(P>0.05)，有可比性。, 百拇医药(周渲芸)