首页|筋针疗法结合关节松动术治疗冻结肩疗效研究

筋针疗法结合关节松动术治疗冻结肩疗效研究

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目的 探讨筋针疗法结合关节松动术治疗冻结肩疗效.方法 选取2020年8月1日-2022年11月30日桐乡瑞金中西医结合医院康复科收治的86例冻结肩患者,按照随机数字表法分为观察组和对照组,均为43例.对照组行关节松动术,观察组在进行关节松动术前行筋针疗法,比较两组患者临床疗效、视觉模拟评分(VAS)、Constant-Murley肩关节评分以及血清前列腺素E2(PGE2)和缓激肽水平.结果 治疗后观察组优良率为92.86%,高于对照组85.37%(Fisher精确概率检验结果,P=0.313);两组VAS评分的时间效应、组间效应及交互效应有统计学意义(F=854.400、95.610、30.150,均P<0.05);与治疗前比较,两组治疗1个疗程和2个疗程时点的VAS评分均显著降低,且观察组均低于对照组(P<0.05);治疗后疼痛、关节活动度等评分较治疗前均显著提高,且观察组各评分高于对照组(P<0.05);治疗后两组患者血清PGE2和缓激肽水平均显著降低,且观察组低于对照组(P<0.05).结论 筋针疗法结合关节松动术可以有效改善冻结肩临床疗效、降低疼痛感并提高关节活动功能,值得临床推广.
Therapeutic Effect of Tendon Acupuncture Combined with Joint Mobilization on Frozen Shoulder
Objective To investigate the therapeutic effect of tendon acupuncture combined with joint mobilization on frozen shoulder.Methods A total of 86 patients with frozen shoulder who were admitted to the Rehabilitation Department of Tongxiang Ruijin Integrated Traditional Chinese and Western Medicine Hospital from August 1,2020 to November 30,2022 were divided into an observation group and a control group by random number table method with 43 patients in each group.The control group under-went joint mobilization,while the observation group underwent tendon acupuncture before joint mobilization.Clinical effects,visual analogue scale(VAS)scores,Constant-Murley scores,the levels of serum prostaglandin E2(PGE2)and bradykinin were com-pared between groups.Results After treatment,the excellent and good rate of clinical effects in the observation group(92.86%)was higher than that in the control group(85.37%)(Fisher's exact probability test,P=0.313).There were statistically signifi-cant differences in VAS scores in terms of time effect,inter-group effect and interaction effect(F=854.400,95.610,30.150,all P<0.05).After 1 and 2 courses of treatment,the VAS scores of the two groups decreased significantly,and the observation group had lower scores than the control group(P<0.05).After treatment,the scores for pain and joint range of motion were significantly improved,and the scores in the observation group were higher than those in the control group(P<0.05).After treatment,the lev-els of serum PGE2 and bradykinin in both groups decreased significantly,and the levels in the observation group were lower than those in the control group(P<0.05).Conclusion Tendon acupuncture combined with joint mobilization can effectively improve the clinical effect in treating frozen shoulder,relieve pain and improve joint range of motion.

frozen shouldertendon acupuncturejoint mobilizationvisual analogue scaleConstant-Murley score

武建福、王丽凤、陈英杰、施婧怡、陈凤娟

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桐乡瑞金中西医结合医院康复科,浙江桐乡 314511

冻结肩 筋针疗法 关节松动术 视觉模拟评分法 Constant-Murley肩关节功能评分

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)