肩痛穴平衡针法配合运动留针法治疗对寒湿痹阻型肩周炎患者肩关节活动度及功能的影响

Effect of Balanced Acupuncture at Shoulder Pain Points Combined with Exercise Retention Acupuncture on Shoulder Joint Range of Motion and Shoulder Joint Function in Patients with Cold Dampness Obstruction Type Shoulder Periarthritis

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摘要目的:分析肩痛穴平衡针法配合运动留针法治疗对寒湿痹阻型肩周炎患者肩关节活动度及功能的影响。方法:选取2020年12月—2022年12月福州市第二医院收治的115例寒湿痹阻型肩周炎患者作为研究对象,按随机数表法分为观察组和对照组。观察组58例,在常规治疗的基础上应用肩痛穴平衡针法配合运动留针法治疗,对照组57例,实施常规治疗,比较两组患者中医证候、肩关节活动度、肩关节功能及炎症反应情况。结果:观察组治疗2个疗程后,肩部窜痛、肩部伴有沉重感及畏风恶寒评分均低于对照组,差异有统计学意义(P<0.05);治疗2个疗程后的前屈、内旋、外旋及外展活动度高于对照组,差异有统计学意义(P<0.05);治疗2个疗程后Constant-Murley肩关节功能评分量表(CMS)中肩关节活动度、日常生活能力、疼痛及肌力评分均高于对照组,差异有统计学意义(P<0.05);观察组治疗2个疗程后的肿瘤坏死因子α(TNF-α)和白细胞介素6(IL-6)均低于对照组,差异有统计学意义(P<0.05)。结论:肩痛穴平衡针法配合运动留针法治疗对寒湿痹阻型肩周炎患者肩关节活动度及功能具有改善作用,且能减轻症状和炎症反应。 Objective:To analyze the effect of balanced acupuncture at shoulder pain points combined with exercise retention acupuncture on shoulder joint range of motion and shoulder joint function in patients with cold dampness obstruction type periarthritis of the shoulder.Method:115 patients with cold dampness obstruction type periarthritis of the shoulder who visited Fuzhou Second Hospital from December 2020 to December 2022 were selected as the research subjects.They were randomly divided into two groups according to the number table method.The observation group consisted of 58 patients,who were treated with shoulder pain point balance acupuncture combined with exercise needle retention method on the basis of routine treatment.The control group consisted of 57 patients,who received routine treatment.The traditional Chinese medicine syndrome,shoulder joint range of motion,shoulder joint function and inflammatory response of the two groups of patients were compared.Result:After two courses of treatment,the scores of shoulder pain,shoulder heaviness and fear of wind and cold in observation group were lower than those in the control group,the difference was statistically significant(P<0.05).After two courses of treatment,the range of forward flexion,internal rotation,external rotation,and abduction activity was higher than those of the control group,the difference was statistically significant(P<0.05).After two courses of treatment,the Constant-Murley Shoulder Function Scale(CMS)showed that the scores of shoulder joint activity,daily living ability,pain,and muscle strength were higher than those of the control group.Tumor necrosis factorα(TNF-α)and the levels of(IL-6)in the control group were significantly lower than those in the control group(P<0.05).Conclusion:The balanced acupuncture method of shoulder pain points combined with the exercise retention acupuncture method had an improvement effect on the shoulder joint range of motion and shoulder joint function in patients with cold dampness obstruction type shoulder periarthritis,and can alleviate symptoms and inflammatory reactions.

作者张铃 ZHANG Ling(Fuzhou Second Hospital,Fuzhou 350007,China)

机构地区福州市第二医院

出处《中外医学研究》 2024年第21期111-115,共5页 CHINESE AND FOREIGN MEDICAL RESEARCH

基金福建省科技创新平台项目(2020Y2014)。

关键词肩周炎寒湿痹阻肩痛穴平衡针法运动留针法肩关节活动度肩关节功能 Shoulder periarthritis Cold dampness obstruction Shoulder pain point balance acupuncture method Movement needle retention method Shoulder joint mobility Shoulder joint function

分类号 R246.9 [医药卫生—针灸推拿学]