超声波联合中药盐敷包治疗风寒湿痹型肩周炎的疗效观察

Efficacy of Ultrasonic Combined with Chinese Medicine Salt Compress in the Treatment of Wind-Cold-Dampness Arthralgia Type of Frozen Shoulder

摘要: 目的：观察超声波联合中药盐敷包治疗风寒湿痹型肩周炎的临床疗效。方法：选取2024年5月至2025年5月本院收治的60例风寒湿痹型肩周炎患者，随机分为对照组与治疗组，各30例。对照组接受常规超声波治疗联合功能锻炼；治疗组在对照组基础上加用自拟中药盐敷包(含干姜、细辛、制川乌、制草乌、桂枝)外敷，疗程均为2周。比较两组治疗前后视觉模拟评分(VAS)、中医症状评分、肩关节功能评分(日常生活能力、关节活动度)及临床疗效。结果：治疗后，治疗组VAS评分显著降低(1.83 ± 0.94 vs 3.76 ± 1.30)，中医症状(肩部窜痛、遇风寒痛增、畏风恶寒)明显缓解，肩关节功能各项指标改善幅度均优于对照组(P < 0.05)；总有效率达93.3%，显著高于对照组的66.7% (P < 0.05)。结论：超声波联合中药盐敷包治疗风寒湿痹型肩周炎疗效确切，能有效缓解疼痛、改善中医证候和肩关节功能，体现了中医“内外合治、标本兼顾”的治疗优势，是一种安全、有效、值得推广的综合疗法。

Abstract: Objective: To observe the clinical efficacy of ultrasound combined with traditional Chinese medicine (TCM) salt-compress packs in the treatment of scapulohumeral periarthritis of wind-cold-dampness obstruction type. Methods: Sixty patients with scapulohumeral periarthritis of wind-cold-dampness obstruction type, admitted to our hospital from May 2024 to May 2025, were selected and randomly divided into a control group and a treatment group, with 30 cases in each group. The control group received conventional ultrasound therapy combined with functional exercise; the treatment group received additional external application of a customized TCM salt-compress pack (containing dried ginger, asarum, processed aconite root, processed monkshood, and cassia twig) on the basis of the control group’s treatment. Both groups underwent a 2-week treatment course. Visual Analogue Scale (VAS) scores, TCM symptom scores (including shoulder pain radiating upon movement, aggravated pain upon exposure to wind and cold, aversion to wind and cold), shoulder joint function scores (daily living ability, range of motion), and clinical efficacy were compared between the two groups before and after treatment. Results: After treatment, the treatment group showed a significant reduction in VAS scores (1.83 ± 0.94 vs 3.76 ± 1.30), notable alleviation of TCM symptoms, and greater improvement in all shoulder joint function indicators compared to the control group (P < 0.05). The total effective rate in the treatment group was 93.3%, significantly higher than the 66.7% in the control group (P < 0.05). Conclusion: Ultrasound combined with TCM salt-compress packs is an effective treatment for scapulohumeral periarthritis of wind-cold-dampness obstruction type. It can effectively relieve pain, improve TCM symptoms and shoulder joint function, demonstrating the therapeutic advantage of TCM in “combining internal and external treatment while addressing both symptoms and root causes.” This approach represents a safe, effective, and worthy-of-promotion comprehensive therapy.