|
|
Effect of traditional Chinese medicine bath of Honghua Huayu Decoction on shoulder joint function recovery and quality of life after rotator cuff injury surgery |
WANG Tao LIU Xuejiao SHAO Mingxing GE Wenlong WU Wenyuan |
The Second Department of Trauma, Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Hebei Province, Cangzhou 061000, China |
|
|
Abstract Objective To investigate the effect of traditional Chinese medicine bath of Honghua Huayu Decoction on shoulder joint function recovery and quality of life after rotator cuff injury surgery. Methods A total of 124 patients with rotator cuff injury who underwent arthroscopic rotator cuff repair in Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine of Hebei Province from March 2018 to July 2020 were selected. According to the envelope drawing method, the patients were divided into control group and study group, with 62 cases in each group. The control group was given routine rehabilitation treatment, and the study group was combined with Honghua Huayu Decoction for traditional Chinese medicine bath on the basis of the control group. Both groups were treated continuously for eight weeks. Clinical efficacy was compared beeween two groups. University of California shoulder system score (UCLA), functional independence scale (FIM), visual analog scale (VAS), inflammatory cytokines and quality of life scores were compared between the two groups before and after treatment. Results The total effective rate of the study group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the UCLA and FIM scores of the two groups were higher than those before treatment, and the VAS was lower than that before treatment, and the UCLA and FIM scores of the study group were higher than those in the control group, and the VAS was lower than that in the control group, the differences were statistically significant (all P < 0.05). After treatment, the levels of hypersensitive C-reactive protein, interleukin-8 and tumor necrosis factor-α in both groups were lower than those before treatment, and study group were lower than the control group, with statistical significance (all P < 0.05). After treatment, scores of social function, physical pain, physiological enginery, physiological function, emotional function, mental health, vitality and health status in both groups were higher than those before treatment, and the study group was higher than the control group, the differences were statistically significant (all P < 0.05). Conclusion After surgery, the patients with rotator cuff injury are given Honghua Huayu Decoction for traditional Chinese medicine bath treatment, which can effectively promote the recovery of shoulder joint function, improve the quality of life of patients, and reduce inflammation, with definite curative effect.
|
|
|
|
|
[1] 刘沛东,冯江峰,徐文杰,等.肩袖损伤后脂肪浸润基因表达谱及关键通路的生物信息学分析[J].中国组织工程研究,2021,25(11):1773-1778.
[2] 赵丽,黄宏艳,金婷.超声引导下选择性颈神经根阻滞联合全麻对肩袖损伤肩关节镜手术患者血流动力学及术后镇痛效果的影响[J].海南医学,2020,31(4):446-449.
[3] 李述文,田向东,李荣西,等.中药膏摩配合功能锻炼在肩袖损伤术后康复的疗效观察[J].辽宁中医杂志,2020, 47(5):116-118.
[4] 王涛,顾景辉.红花化瘀汤辅助肩关节镜手术对肩袖损伤患者肩关节功能及疼痛的影响[J].世界中医药,2019, 14(3):705-708,712.
[5] 中华医学会.中华医学会第六次全国骨科学术会议论文摘要汇编[M].北京:中华医学会,2000.
[6] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[7] 孙国芳.PERIE护理模式在肩袖损伤术后早期康复中的应用[C]//浙江省医学会骨科学分会.2015年浙江省骨科学学术年会论文汇编——护理专题,2015:1.
[8] 宫大伟,王飞,谢波.针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者视觉模拟评分法和生命质量评分及关节功能的影响[J].世界中医药,2018,13(12):3138-3141.
[9] 杨廷彦,唐虹,常有军,等.操作性肌电生物反馈疗法联合康复训练对胸腰段不完全性脊髓损伤患者功能独立性的影响[J].四川医学,2016,37(5):480-482.
[10] 田金翌,黄雷.SF-36量表在胫骨骨搬运术患者生存质量分析中的应用[J].中华创伤骨科杂志,2016,18(12):1046-1049.
[11] 肖红梅,张爽,万巧琴.肩袖损伤患者术后康复锻炼依从性现状调查及影响因素分析[J].中华现代护理杂志,2020,26(1):70-75.
[12] 朱雪坤,徐斌,徐洪港,等.肩关节镜下单排缝合技术治疗不同程度肩袖损伤的效果评估[J].现代生物医学进展,2016,16(7):1309-1313.
[13] 薛辉,周医斋,帖小佳,等.关节镜下松解术结合肩袖修复术治疗肩袖损伤合并冻结肩疗效分析[J].中国临床医生杂志,2020,48(4):469-472.
[14] 郭伟康,黄健,刘松浪,等.肩关节镜下双滑轮结合缝线桥技术固定修复肩袖损伤的应用研究[J].中华实用诊断与治疗杂志,2020,34(2):173-176.
[15] 王家辉,林立国,周细作,等.关节镜下肩袖修补术联合复方当归饮治疗肩袖损伤的疗效观察[J].浙江临床医学,2019,21(9):1193-1194,1197.
[16] 李述文,田向东,李荣西,等.中药膏摩配合功能锻炼在肩袖损伤术后康复的疗效观察[J].辽宁中医杂志,2020, 47(5):116-118.
[17] 于国胜,胡艳昭,刘颜华,等.红花化瘀汤熏洗治疗膝关节镜术后康复效果及对患者疼痛和膝关节功能的影响[J].陕西中医,2020,41(4):477-480.
[18] 刘颜华,胡艳昭,刘长利,等.红花化瘀汤熏洗对膝关节镜术后康复治疗的临床疗效评价[J].湖北中医药大学学报,2020,22(3):92-94.
[19] 胡艳昭,崔丽红,刘长利,等.关节镜下关节清理术联合红花化瘀汤熏蒸对膝关节骨关节炎患者的近远期疗效及血液流变学的影响[J].中国内镜杂志,2020,26(3):7-12.
[20] 郑荣宗,楼超,童勇骏,等.IL-1β、IL-6和TNF-α在肩袖损伤大鼠肩峰下滑囊中的表达及作用[J].浙江医学,2016,38(11):814-817.
[21] 郭锐,董云,杨勇,等.炎症因子在肩袖损伤大鼠中的表达及其临床意义[J].暨南大学学报:自然科学与医学版,2020,41(5):455-460,467.
[22] 陈驾君,杨帆,解杰,等.负压封闭引流技术干预兔骨骼肌缺血再灌注损伤后炎性反应的实验研究[J].重庆医学,2019,48(4):564-568.
[23] 陈玉兵.负压封闭引流联合皮瓣移植在四肢大面积皮肤缺损中的应用[J].国际医药卫生导报,2017,23(19):3037-3039.
[24] 卢旭亚,李品川,孙俊超,等.生肌象皮膏对难愈性创面点状植皮后伤口分泌物炎症因子的影响[J].中医杂志,2018,59(16):1386-1390.
[25] 周婷,丁琳.中药热敷、按摩结合康复训练对轻中度肩袖损伤患者疼痛及肩关节功能的影响[J].四川中医,2019,37(10):165-167. |
|
|
|