[1]徐丹,许真真.火龙罐联合复方羌桂止痛软膏治疗肩周炎疗效观察[J].西部中医药,2025,38(09):144-147.[doi:10.12174/j.issn.2096-9600.2025.09.28]
　XU Dan,XU Zhenzhen.Fire-dragon Cup Combined with Compound Qianggui Pain-relieving Ointment in the Treatment of Scapulohumeral Periarthritis[J].Western Journal of Traditional Chinese Medicine,2025,38(09):144-147.[doi:10.12174/j.issn.2096-9600.2025.09.28]
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火龙罐联合复方羌桂止痛软膏治疗肩周炎疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年09期
页码:
144-147
栏目:
特色医疗
出版日期:
2025-09-15

文章信息/Info

Title:
Fire-dragon Cup Combined with Compound Qianggui Pain-relieving Ointment in the Treatment of Scapulohumeral Periarthritis
作者:
徐丹, 许真真
河南省中西医结合医院，河南 郑州 450004
Author(s):
XU Dan, XU Zhenzhen
Henan Integrative Medicine Hospital, Zhengzhou 450004, China
关键词:
肩周炎; 火龙罐; 疼痛; 肩关节活动度; 炎症因子; 复方羌桂止痛软膏
Keywords:
scapulohumeral periarthritis; fire-dragon cup; pain; shoulder joint mobility; inflammatory factors; compound pain-relieving ointment
分类号:
R245.8
DOI:
10.12174/j.issn.2096-9600.2025.09.28
文献标志码:
B
摘要:
目的观察火龙罐联合复方羌桂止痛软膏治疗肩周炎临床疗效。 方法将116例肩周炎血瘀气滞证患者按随机数字表法分为两组，每组58例。对照组予常规饮食、运动护理及火龙罐治疗；观察组在对照组基础上应用复方羌桂止痛软膏治疗。治疗12周后比较两组患者临床疗效、中医证候积分、简化McGill疼痛问卷（short-form McGill pain questionnaire，SF-MPQ）评分、血清炎症因子水平、肩关节活动度及不良反应发生情况。 结果总有效率观察组为94.83%（55/58），对照组为82.76%（48/58），观察组高于对照组（P＜0.05）。治疗后两组患者肩部剧烈疼痛、肩部肿胀、疼痛拒按、夜间加重积分及总积分均较治疗前降低（P＜0.05），观察组低于对照组（P＜0.05）。治疗后两组患者SF-MPQ疼痛强度、疼痛情感、单维度VAS评分及总分均较治疗前降低（P＜0.05），观察组低于对照组（P＜0.05）。治疗后两组患者C反应蛋白（C-reactive protein，CRP）、白细胞介素1β（interleukin-1β，IL-1β）、肿瘤坏死因子α（tumor necrosis factor-α，TNF-α）水平均较治疗前降低（P＜0.05），观察组低于对照组（P＜0.05）。治疗后两组患者肩关节外展、内收、外旋、内旋活动度较治疗前提高（P＜0.05），观察组高于对照组（P＜0.05）。两组患者不良反应发生情况比较差异无统计学意义（P＞0.05）。 结论火龙罐联合复方羌桂止痛软膏可有效改善肩周炎血瘀气滞证患者疼痛、肿胀等症状，降低血清炎症因子水平，改善肩关节活动度，安全性良好。
Abstract:
ObjectiveTo observe clinical effects of fire-dragon cup joined with compound Qianggui pain-relieving ointment in the treatment of scapulohumeral periarthritis (SP). MethodsAll 116 patients with blood stasis and Qi stagnation type of SP were allocated to two groups using random number table method with 58 cases in each group. The control group was treated with regular diet, sport care and fire-dragon cup; and the observation group was applied with compound Qianggui pain-relieving ointment on the foundation of the therapy that the control group accepted. To compare clinical effects, TCM syndrome integrals, SF-MPQ scores, the levels of serum inflammatory factors, shoulder joint mobility and the incidence of adverse reaction between the two groups after 12 weeks of the treatment. ResultsTotal effective rate of the observation group was 94.83% (55/58), higher than 82.76% (48/58) of the control group (P<0.05). After the treatment, the scores of severe shoulder pain, shoulder swelling, tenderness on palpation and worsening at night, and total scores were reduced compared with before the treatment (P<0.05), the observation group was lower than the control group (P<0.05). After the treatment, SF-MPQ pain intensity, pain emotion and single-dimensional VAS scores and total scores between the two groups were lower than before the treatment (P<0.05), and the observation group was lower than the control group (P<0.05). After the treatment, the levels of CRP, IL-1β and TNF-α of the two groups were lower than before the treatment (P<0.05), and the observation group was lower than the control group (P<0.05). Range of motion of shoulder abduction, adduction, external rotation and internal rotation were improved in the two groups after the treatment compared with before the treatment (P<0.05), and the observation group was higher than the control group (P<0.05). The difference had no statistical meaning in the incidences of adverse reaction between both groups (P>0.05). ConclusionFire-dragon cup joined with compound Qianggui pain-relieving ointment could effectively improve the patients’ symptoms such as pain, swelling, lower the levels of serum inflammatory factors and improve shoulder joint mobility with good safety.

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备注/Memo

备注/Memo:
徐丹（1986—），女，副主任护师。研究方向：中医外治技术在临床中的应用。Email：15838091822@163.com。河南省非物质文化遗产科研课题（24HNFY-LX198）；河南省中西医结合医院基本科研业务（2304032，2404043）。
更新日期/Last Update: 2025-09-15