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改良补阳还五汤联合肩袖修复术治疗肩袖损伤的临床观察。

Clinical Observation on the Treatment of Rotator Cuff Injury with Modified Buyang Huanwu Decoction and Rotator Cuff Repair.

机构信息

The First People's Hospital of Xiaoshan District, Xiaoshan District, Hangzhou 311200, China.

The Second Clinical Medical College, Zhejiang Chinese Medicine University, Hangzhou 310053, China.

出版信息

J Healthc Eng. 2021 Oct 25;2021:3088160. doi: 10.1155/2021/3088160. eCollection 2021.

Abstract

In this paper, we have evaluated the clinical efficacy of rotator cuff surgery combined with Chinese medicine Buyang Huanwu Decoction (adding medicine) in the treatment of patients with rotator cuff injury. For this purpose, sixty patients with rotator cuff injury and shoulder arthroscopic surgery were selected in this hospital (where 57 cases were finally screened). The patients were divided into a control group (28 cases) and a study group (29 cases) by the envelope method. The control group received conventional treatment after the operation, whereas the study group was combined with Buyang Huanwu Decoction after the operation. The clinical efficacy of the two groups, particularly after treatment, was compared in terms of self-care ability and Constant-Murley scores before and after treatment, that is, 4 w, 8 w, and 12 w. The total effective rate of treatment in the study group was significantly higher than that of the control group after 4 weeks of treatment ( < 0.05). There was no significant difference in the FIM self-care scores of the two groups before treatment ( > 0.05). In the study group patients, after treatment for 4 w and 8 w, the FIM self-care score was significantly improved ( < 0.05). The FIM self-care score of the patients in the study group, after 12 w of treatment, had no significant difference compared with the control group ( > 0.05). The Constant-Murley scores of the two groups were compared before treatment where no significant difference is observed ( > 0.05) and the Constant-Murley score of the study group patients was significantly higher than that of the control group, after 4 w and 8 w treatment ( < 0.05). Additionally, Constant-Murley score of the study group was not significantly higher than that of the control group after 12 w of treatment difference ( > 0.05). The proposed combined treatment program has value of promotion and implementation in the clinical treatment of patients with rotator cuff injury.

摘要

在本文中,我们评估了肩袖损伤患者关节镜手术后联合使用中药补阳还五汤(加味)的临床疗效。为此,该医院选择了 60 例肩袖损伤和肩关节镜手术患者(最终筛选出 57 例),采用信封法将患者分为对照组(28 例)和观察组(29 例)。对照组术后给予常规治疗,观察组术后加用补阳还五汤。比较两组患者的临床疗效,特别是治疗后 4w、8w、12w 的自理能力和 Constant-Murley 评分。治疗 4 周后,观察组总有效率明显高于对照组(<0.05)。两组治疗前 FIM 自理评分比较,差异无统计学意义(>0.05)。观察组患者治疗 4w 和 8w 后 FIM 自理评分明显提高(<0.05)。治疗 12w 后,观察组 FIM 自理评分与对照组比较,差异无统计学意义(>0.05)。两组治疗前 Constant-Murley 评分比较,差异无统计学意义(>0.05)。观察组患者治疗 4w 和 8w 后 Constant-Murley 评分明显高于对照组(<0.05)。治疗 12w 后,观察组 Constant-Murley 评分与对照组比较,差异无统计学意义(>0.05)。该联合治疗方案在肩袖损伤患者的临床治疗中具有推广和实施价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ad/8560238/6b5e5e2ef039/JHE2021-3088160.001.jpg

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