火龙罐疗法对胸外科结核性脓胸术后气虚血瘀型肩痹患者肩关节疼痛及睡眠质量的影响

梅英; 毛潇潇; 江茜; 黄金鹏

文章摘要

火龙罐疗法对胸外科结核性脓胸术后气虚血瘀型肩痹患者肩关节疼痛及睡眠质量的影响

Effect of Huolong pot therapy on shoulder pain and sleep quality in patients with shoulder arthralgia of Qi deficiency and blood stasis after tuberculous empythorax operation in thoracic surgery

投稿时间：2024-08-17 修订日期：2024-08-17

DOI：

中文关键词: 【关键词】火龙罐气虚血瘀肩痹肩关节疼痛睡眠质量

英文关键词: 【 Key words 】 Fire dragon pot Qi deficiency and blood stasis Shoulder impediment

基金项目:①杭州市红十字会医院院内青年基金课题(编号:HHQN2021009)；②浙江省中医药科技计划项目(编号:2023ZL549)

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中文摘要:

【摘要】目的探讨火龙罐疗法对胸外科结核性脓胸术后气虚血瘀型肩痹患者肩关节疼痛及睡眠质量的影响。方法回顾性选取2021年7月至2023年12月在我院行胸外科结核性脓胸术治疗的气虚血瘀型肩痹患者112例，设置2021年7月至2022年7月接受常规治疗的56例患者为对照组，2022年8月至2023年12月采用火龙罐疗法辅助治疗的56例患者为实验组，使用医院电子病例系统收集患者治疗前后的临床表现、中医证候积分、Constant-Murley肩功能评分量表（Constant-Murley Shoulder Outcome Score，CMS）、简化FMA量表上肢部分（Fugl-Meyer Assessment Upper-Extremity Section，FMA-UE）、疼痛评分指标（Visual Analogue Scale，VAS）、现有疼痛强度（Present Pain Intensity，PPI）、匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index,PSQI) 的得分情况。结果治疗后两组患者气虚血瘀型肩痹的临床疗效良好，中医证候积分均降低，肩关节功能及上肢功能恢复良好，且实验组疗效显著优于对照组（P＜0.05）。两组患者治疗后的肩关节疼痛得到明显缓解，睡眠质量显著改善，VAS、PSI及PSQI的各项评分均降低，且实验组的恢复情况显著优于对照组（P＜0.05）。结论使用火龙罐疗法能有效治疗行胸外科结核性脓胸术后患者的气虚血瘀型肩痹，可以恢复肩关节及上肢功能，减轻患者疼痛并改善睡眠质量，为气虚血瘀型肩痹患者提供了一种新的治疗选择。

英文摘要:

[Abstract] Objective To investigate the effects of Huolong pot therapy on shoulder pain and sleep quality in patients with shoulder obstruction of Qi-deficiency and blood-stasis type after tuberculous empythorax surgery. Methods A total of 112 patients with shoulder arthralgia of Qi deficiency and blood stasis who underwent tuberculous empythorma in thoracic surgery in our hospital from July 2021 to December 2023 were retrospectively selected, and 56 patients who received routine treatment from July 2021 to July 2022 were set as the control group. From August 2022 to December 2023, 56 patients receiving adjuvant treatment with dragon pot therapy were the experimental group. Clinical manifestations, TCM syndrome scores, and Constant-Murley Shoulder Outcome Score before and after treatment were collected using the hospital electronic medical record system. CMS), Fugl-Meyer Assessment Upper-Extremity Section (FMA-UE), pain score index (Visual Analogue Scale, FMA-UE) VAS, Present Pain Intensity (PPI), and Pittsburgh Sleep Quality Index (PSQI) scores. Results After treatment, the clinical effect of Qi-deficiency and blood-stasis type shoulder arthralgia in both groups was good, the TCM syndrome scores were reduced, the shoulder joint function and upper limb function recovered well, and the curative effect of the experimental group was significantly better than that of the control group (P < 0.05). After treatment, shoulder joint pain was significantly relieved, sleep quality was significantly improved, VAS, PSI and PSQI scores were decreased, and the recovery of the experimental group was significantly better than that of the control group (P < 0.05). Conclusion The use of Huolongtin therapy can effectively treat Qi-deficiency and blood-stasis type shoulder arthralgia in patients with tuberculous empythorax after thoracic surgery. It can restore the function of shoulder joint and upper limb, reduce pain and improve sleep quality, and provide a new treatment option for Qi-deficiency and blood-stasis type shoulder arthralgia patients.

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