六味祛风活络膏治疗气滞血瘀型肩关节周围炎多中心临床研究
Treatment of periarthritis of shoulder with six-ingredient dispelling wind and activating channel ointment: A multicenter clinical trial
  
DOI:10.3969/j.issn.1006-7108.2019.05.020
中文关键词:  中医中药  肩关节周围炎  六味祛风活络膏  临床研究  安全性
英文关键词:traditional Chinese medicine  periarthritis of shoulder  six-ingredient dispelling wind and activating channel ointment  clinical study  safety
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作者单位
卢敏 邝高艳 * 沈永勤2 张润宁3 高治国4 侯卫征5 .湖南中医药大学第一附属医院湖南 长沙 410007 2.青海省中医院青海 西宁 810000 3.陕西中医药大学第二附属医院陕西 咸阳 712000 4.运城市盐湖区人民医院山西 运城 044000 5.忻州市中医医院山西 忻州 034099 
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中文摘要:
      目的 评价六味祛风活络膏治疗肩关节周围炎的临床疗效及安全性。方法 采用多中心、开放性、观察性临床研究设计方法,计划纳入2 400例肩关节周围炎患者,遴选不同区域、不同级别的21家中西医院参与研究,研究六味祛风活络膏在更广泛人群中应用的有效性(肩关节疼痛计分、肩关节功能活动疗效、单项症状总积分)和安全性。结果 本研究共入组2 111例肩关节周围炎患者,全分析集(full analysis set,FAS)2 111例,占入组病例的100% ;符合方案集(per protocol set,PPS)2 020例,占入组病例的95.68%;安全性分析集(SS) 2 111例,占入组病例的100%。主要疗效指标治疗前后肩关节疼痛计分的改善值FAS(PPS)为4.54±2.00(4.61±1.95),治疗前后肩关节疼痛比较差异有统计学意义(P<0.05)。肩关节功能活动疗效、单项症状总积分治疗前后比较差异有统计学意义(P<0.05)。在安全性方面,2 111例入选病例中试验组有32例发生轻度不良反应,试验期间未做处理且均已缓解或消失。试验前后进行的血、尿、便常规及心、肝、肾功能检测未发现明显异常。结论 六味祛风活络膏治疗肩关节周围炎疗效确切,临床应用安全。
英文摘要:
      Objective To evaluate the clinical efficacy and safety of six-ingredient dispelling wind and activating channel ointment in the treatment of periarthritis of shoulder. Methods A multicenter, open, and observational clinical design method was used. A total of 2400 patients with periarthritis of shoulder were included. Twenty-one Chinese and western medicine hospitals of different regions and different levels were selected. The efficacy and safety of six-ingredient dispelling wind and activating channel ointment (pain score of the shoulder, movement of the shoulder joint, total score of single symptoms) were studied. Results There were 2111 patients with periarthritis of shoulder in this study, including 2111 cases (100%) in full analysis set (FAS), 2020 cases (95.68%) in per protocol set (PPS), and 2111 cases (100%) in the safety set (SS). The change of main outcome indexes before and after treatment FAS (PPS) was 4.54±2.00 (4.61±1.95), and the difference was statistically significant (P< 0.05). There were significant differences in the curative effect of shoulder function and the total score of single symptoms before and after the treatment (P<0.05). In terms of safety, there were 32 cases with mild adverse events in the trial group of 2111 selected cases, who were not treated during the trial and the symptoms were alleviated or disappeared. Blood, urine, and stool routine, and heart, liver and kidney function were not abnormal before and after the test. Conclusion Six-ingredient dispelling wind and activating channel ointment is effective and safe in the treatment of periarthritis of shoulder.
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