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痛点弹拨法及拔罐治疗肩周炎的临床效果

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目的:探究痛点弹拨法及拔罐治疗肩周炎患者的临床效果。方法:选择 2021 年 8 月—2022 年 8 月武威市中医医院收治的 96 例肩周炎患者作为研究对象,按随机数表法将患者分为对照组和观察组,各 48 例。对照组采用常规西药治疗,观察组在对照组基础上予以痛点弹拨法及拔罐治疗,两组均持续治疗 1 个月。比较两组临床疗效、中医症候积分、炎症因子水平、肩部疼痛程度、肩关节活动度及不良反应。结果:治疗后,两组中医症候积分、肿瘤坏死因子-α(TNF-α)水平、肩部视觉模拟评分法(VAS)评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0。05);治疗后,两组白细胞介素-10(IL-10)水平较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0。05);治疗后,两组肩关节前屈、外展、外旋、内旋角度较治疗前增大,且观察组大于对照组,差异有统计学意义(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05);观察组治疗总有效率较对照组高,差异有统计学意义(P<0。05)。结论:痛点弹拨法及拔罐治疗肩周炎患者可有效减轻炎症反应、肩部疼痛程度,提高肩关节活动度,且具有较高安全性。
Clinical Efficacy of Pain Point Plucking Method and Cupping in the Treatment of Scapulohumeral Periarthritis
Objective:To explore the clinical effect of pain point plucking and cupping therapy in the treatment of patients with scapulohumeral periarthritis.Method:A total of 96 patients with scapulohumeral periarthritis who admitted to Wuwei Traditional Chinese Medicine Hospital from August 2021 to August 2022 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 48 cases in each group.The control group was given conventional western medicine treatment,the observation group was given pain point plucking and cupping therapy on the basis of the control group,two groups were treated for 1 month.The clinical efficacy,traditional Chinese medicine symptom score,inflammatory factor level,shoulder pain degree,shoulder joint mobility and adverse reactions were compared between two groups.Result:After treatment,the traditional Chinese medicine symptom scores,tumor necrosis factor-α(TNF-α)and shoulder visual analogue scale(VAS)in two groups were lower than those before treatment,and which in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after treatment,the levels of interleukin-10(IL-10)in two groups were higher than those before treatment,and that in the observation group was higher than the control group,the differences were statistically significant(P<0.05);after treatment,the angles of shoulder flexion,abduction,external rotation and internal rotation in two groups were larger than those before treatment,and which in the observation group were larger than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between two groups(P>0.05);the total effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Pain point plucking and cupping therapy in the treatment of patients with scapulohumeral periarthritis can effectively alleviate inflammatory reactions and pain,improve shoulder joint mobility,and have high safety.

Scapulohumeral periarthritisPain point plucking methodCuppingTraditional Chinese medicine syndromeInflammatory factorsShoulder painShoulder joint mobility

骆成贤、胡新萍

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武威市中医医院 甘肃 武威 733000

肩周炎 痛点弹拨法 拔罐 中医症候 炎症因子 肩部疼痛 肩关节活动度

武威市市列科技计划项目

WW2101169

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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