摘要
目的 深入分析埋针治疗联合中药药熨疗法治疗肩周炎的临床疗效，并系统探究与之适配的护理方法。方法 选取2024年1月-2024年12月于本院就诊的80例肩周炎患者，运用数字表法将其均分为观察组与对照组，每组40例。对照组仅接受常规药物治疗及基础护理，观察组在此基础上实施埋针治疗联合中药药熨疗法，并给予全程针对性护理。通过对比两组患者的临床疗效、肩关节功能评分及疼痛程度变化，评估治疗及护理效果。结果 观察组治疗总有效率达92.5%（37/40），显著高于对照组的72.5%（29/40）；治疗后观察组肩关节功能评分显著提升，疼痛视觉模拟评分（VAS）显著降低，且改善程度均优于对照组（P<0.05）。结论 埋针治疗联合中药药熨疗法对肩周炎治疗效果显著，配合针对性护理，可有效缓解患者疼痛，促进肩关节功能恢复。
关键词： 埋针治疗；中药药熨疗法；肩周炎；临床疗效；护理体会
Abstract
Objective To conduct a thorough analysis of the clinical efficacy of acupuncture combined with traditional Chinese medicine (TCM) moxibustion therapy for treating periarthritis of the shoulder, and to systematically explore the appropriate nursing methods. Methods A total of 80 patients with periarthritis of the shoulder who visited our hospital from January to December 2024 were selected and divided into an observation group and a control group using a digital table method, with 40 patients in each group. The control group received only conventional drug treatment and basic nursing care, while the observation group received acupuncture combined with TCM moxibustion therapy, along with comprehensive nursing care. The clinical efficacy, shoulder joint function scores, and pain levels were compared between the two groups to evaluate the effectiveness of the treatment and nursing care. Results The total effective rate of the observation group was 92.5% (37/40), significantly higher than the control group's 72.5% (29/40). After treatment, the observation group showed a significant improvement in shoulder joint function scores and a significant reduction in the visual analog scale (VAS) for pain, with both improvements being more pronounced than those in the control group (P<0.05). Conclusion Acupuncture combined with TCM moxibustion therapy is highly effective in treating periarthritis of the shoulder. When combined with targeted nursing care, it can effectively alleviate patient pain and promote the recovery of shoulder joint function.
Key words： Needle embedding therapy; Chinese medicine fomentation therapy; Periarthritis of shoulder; Clinical efficacy; Nursing experience
参考文献 References
[1] 李洋.针灸联合中药熨敷疗法治疗带状疱疹性神经痛的疗效观察[J].中国社区医师,2024,40(23):71-73.
[2] 刘姝,秦阳阳,杨艳明,等.电热砭石温熨疗法联合手法推拿用于项背肌筋膜炎患者的效果[J].护理学杂志,2024, 39(21): 55-58.
[3] 曹文平,张秀文.中药药熨疗法联合八风八邪滞针法在重型颅脑损伤伴肢体功能障碍患者中的应用效果[J].中国医药导报,2021,18(29):4.
[4] 凌艳燕,蒋娟,赵婷婷,等.循经壮医药物竹罐疗法联合壮药烫熨治疗膝骨关节炎疗效观察[J].现代中西医结合杂志,2023,32(8):1153-1156.
[5] 周玉瑞.中药热奄包热熨联合针刺放血对慢性胃炎急性发作患者应用价值[J].湖北中医杂志,2022,44(2):3.
[6] 吴怡,徐雯,吴耀持,等.一指禅联合烫熨疗法治疗原发性痛经(寒凝瘀滞证)临床研究[J].上海医药,2021,42(18): 30-32.
[7] 曹文平,张秀文.中药药熨疗法联合八风八邪滞针法在重型颅脑损伤伴肢体功能障碍患者中的应用效果[J].中国医药导报,2021(29):18.
[8] 霍景山,杨志林,吴岷翰,等.中药热熨联合针灸在直肠癌术后康复及免疫功能的影响[J].中医外治杂志,2024, 33(4): 289-292.
[9] 姜政男,龙思敏,颜利华,等.金刚杵联合烫熨治疗风寒湿痹型膝痹病疗效观察[J].中国药业,2021(S02):30.