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运动调神针刺联合穴位贴敷对风寒湿阻型肩周炎患者的影响

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目的:探究运动调神针刺联合穴位贴敷对风寒湿阻型肩周炎患者的影响.方法:选取2022年1月—2023年1月厦门航空有限公司门诊部收治的 90 例风寒湿阻型肩周炎患者为研究对象,利用随机数表法将患者分为对照组(n=45)、研究组(n=45).对照组患者给予穴位贴敷,研究组在对照组基础给予运动调神针刺.比较两组临床疗效、疼痛情况、肩关节功能、肩关节活动度、疼痛介质[P物质(SP)、血清前列腺素E2(PGE2)]和症候积分.结果:研究组总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,两组SP、PGE2 均降低,且研究组低于对照组,差异有统计学意义(P<0.05).治疗后,两组外展、外旋、内旋、前屈、后伸活动度均增大,且研究组大于对照组,差异有统计学意义(P<0.05).治疗后,两组中医症候积分、视觉模拟评分法(VAS)评分均降低,且研究组低于对照组,两组Neer评分升高,且研究组高于对照组,差异有统计学意义(P<0.05).结论:运动调神针刺联合穴位贴敷可减轻风寒湿阻型肩周炎患者的疼痛介质水平,进而减轻疼痛程度,促进临床症状改善,提高肩关节功能和临床疗效.
Effect of Movement Tiaoshen Acupuncture Combined with Acupoint Application in Patients with Frozen Shoulder of Wind Cold Damp Resistance Type
Objective:To explore the effect of movement Tiaoshen acupuncture combined with acupoint application in patients with frozen shoulder of wind cold damp resistance type.Method:A total of 90 patients with frozen shoulder of wind cold damp resistance type admitted to Outpatient Department of Xiamen Airlines Co.,Ltd.from January 2022 to January 2023 were selected and divided into control group(n=45)and study group(n=45)by random number table method.The control group was given acupoint application,and the study group was given movement Tiaoshen acupuncture on the basis of the control group.The clinical efficacy,pain,shoulder joint function,shoulder joint activity,pain mediators[substance P(SP),serum prostaglandin E2(PGE2)]and symptom score were compared between the two groups.Result:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,SP and PGE2 were decreased in both groups,and the indexes in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,abduction,external rotation,internal rotation,anterior flexion and posterior extension were increased in both groups,and the indexes of the shoulder joint activity in the study group were greater than those in the control group,the differences were statistically significant(P<0.05).After treatment,traditional Chinese medicine syndrome score and visual analogue scale(VAS)score of the two groups were decreased,and the scores in the study group were lower than those in the control group,and the Neer scores of the two groups were increased,and the study group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Movement Tiaoshen acupuncture combined with acupoint application can reduce the level of pain mediators in patients with frozen shoulder of wind cold damp resistance type,thereby reduce the degree of pain,promote the improvement of clinical symptoms,and improve the shoulder joint function and clinical efficacy of patients.

Movement Tiaoshen acupunctureAcupoint applicationWind cold damp resistance typeFrozen shoulderMediators of pain

李艳

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厦门航空有限公司门诊部 福建 厦门 361009

运动调神针刺 穴位贴敷 风寒湿阻型 肩周炎 疼痛介质

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(20)