李　良，赵绮娜(1.广州市中医医院针灸康复门诊，广东 广州　510000； .广东公安民警培训中心医务室，广东 广州　510000)



关节腔内注射药物配合针灸治疗肩周炎的疗效观察

李良1*，赵绮娜2(1.广州市中医医院针灸康复门诊，广东 广州510000； 2.广东公安民警培训中心医务室，广东 广州510000)

DOI10.14009/j.issn.1672-2124.2016.03.017

摘要目的：观察腔内注射利多卡因、透明质酸纳、曲安奈德混合液联合针灸治疗肩周炎的临床效果。方法：选取广州市中医医院2013年2月—2015年2月收治的100例肩周炎患者作为研究对象，按随机数字表法分为对照组与观察组，每组各50例。对照组患者接受常规药物治疗，观察组患者则采用利多卡因、透明质酸纳、曲安奈德混合药物腔内注射联合针灸方案，比较2组患者临床症状及功能障碍的缓解情况，评估治疗效果。结果：观察组患者总有效率为98.00%(49/50)，明显高于对照组的74.00%(37/50)，差异有统计学意义(P<0.05)；观察组患者治疗后上肢外展、前屈、后伸角度分别为(121.74±3.14)°、(153.44±4.26)°、(36.81±3.41)°，与对照组的(88.14±5.66)、(94.98±6.78)、(22.66±2.49)°比较，差异有统计学意义(P<0.05)。结论：在肩周炎患者的临床干预中，采用腔内注射利多卡因、透明质酸纳、曲安奈德混合液联合针灸方案，临床治疗有效率高，患者上肢功能改善明显，值得推广。

关键词肩周炎； 透明质酸钠； 利多卡因； 曲安奈德； 针灸

Observation on Efficacy of Intracavitary Injection Drugs Combined with Acupuncture in Treatment of Scapulohumeral Periarthritis

LI Liang1， ZHAO Qina2(1.Dept.of Acupuncture Rehabilitation，Guangzhou Municipal Traditional Chinese Medicine Hospital，Guangdong Guangzhou 510000，China； 2.Dept.of Infirmary，Guangdong Public Security Police Training Center，Guangdong Guangzhou 510000，China)

ABSTRACTOBJECTIVE：To observe the clinical effects of intracavitary injection of lidocaine，sodium hyaluronate and triamcinolone acetonide mixed drug combined with acupuncture in treatment of scapulohumeral periarthritis. METHODS: 100 cases of scapulohumeral periarthritis admitted into Guangzhou Municipal Traditional Chinese Medicine Hospital from Feb. 2013 to Feb. 2015 were selected to be divided into control group and observation group via the random number table，with 50 cases in each.The control group were given conventional drug treatment，the observation group received intracavitary injection of lidocaine，sodium hyaluronate and triamcinolone acetonide mixed drug combined with acupuncture scheme. The clinical symptoms and remission status of functional dysfunction were compared between two group of patients and the therapeutic effects were evaluated.RESULTS:In the observation group，the total effective rate was 98.00%(49/50)while in the control group was 74.00%(37/50)，the difference was statistically significant (P<0.05).After treatment，the angles of abduction，anteflexion and rear protraction of the upper limbs in the observation group were respectively (121.74±3.14)°，(153.44±4.26)° and (36.81±3.41)°，compared with the control group (88.14±5.66)°, (94.98±6.78)°， (22.66±2.49)°，the differences were statistically significant(P<0.05).CONCLUSIONS:In the clinical intervention for patients with scapulohumeral periarthritis，the clinical effective rate of intracavitary injection of lidocaine，sodium hyaluronate and triamcinolone acetonide mixed drug combined with acupuncture is relatively high，and there is significant improvement of upper limb function，which is worthy of promotion.

KEYWORDSScapulohumeral periarthritis； Sodium hyaluronate； Lidocaine； Triamcinolone； Acupuncture

肩周炎是临床常见慢性无菌性炎症，多见于中老年群体，临床表现为肩部疼痛及肩部功能障碍，以夜间疼痛更为明显，且病程长，病情顽固[1]。近年来，临床多采用以透明质酸制剂为主的氨基糖类粘性弹性物质对肩周炎患者作补充与预防治疗，收效明显[2]。本研究探讨利多卡因、透明质酸钠、曲安奈德混合液联合针灸治疗肩周炎的临床效果，现报告如下。

1资料与方法

1.1资料来源

选取广州市中医医院2013年2月—2015年2月收治的100例肩周炎患者作为研究对象。所有患者年龄均逾45岁，病程超过6月，就诊前已接受两种以上方案治疗，但无效或呈进行性加重表现。……