基于肌骨超声技术循经远取动法结合扬刺治疗肱二头肌长头腱鞘炎  

Long head biceps tenosynovitis treated with kinetic acupuncture on the distal points of the affected meridians combine with yang thorn therapy

作　　者：祝鹏宇[1] 许娜[1] 刘彦麟 范程欣 宋英楠 陈东 ZHU Pengyu;XU Na;LIU Yanlin;FAN Chengxin;SONG Yingnan;CHEN Dong(Heilongjiang University of Chinese Medicine, Harbin 150040, China;Daqing Universal Chinese Medicine Hospital, Daqing 163000, Heilongjiang Province, China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]大庆普济中医医院,黑龙江大庆163000

出　　处：《吉林中医药》2018年第5期601-605,共5页Jilin Journal of Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20号)

摘　　要：目的观察采用肌骨超声技术评价循经远取动法结合扬刺法治疗肱二头肌长头腱鞘炎的临床疗效。方法78例符合纳入标准的患者随机分为治疗组(循经远取动法结合扬刺)和对照组(单纯扬刺法),采用VAS视觉模拟评分评价治疗前、治疗1次及治疗后患者肩关节疼痛程度变化,采用CMS肩关节评分评价治疗前、治疗1次及治疗后患者肩关节综合评分变化,采用肌骨超声技术评价治疗前、治疗后患者肩关节结节间沟处肱二头肌长头腱肌腱厚度、腱鞘厚度及积液情况的变化。结果治疗组和对照组均可显著改善肱二头肌长头腱鞘炎患者局部疼痛VAS评分及CMS评分,差异具有统计学意义(P<0.01);其中治疗组在治疗1次时VAS评分及CMS评分均较疗前有显著改善,差异具有统计学意义(P<0.05);治疗组和对照组均可明显减少患者肱二头肌长头肌腱厚度、腱鞘厚度及积液,与治疗前相比,差异具有统计学意义(P<0.05)。结论循经远取动法结合扬刺治疗肱二头肌长头腱鞘炎在快速改善疼痛及活动受限症状方面具有显著优势。Objective To evaluate the clinical therapeutic effects on the long head biceps tenosynovitis by kinetic acupuncture on the distal points of the affected meridians with yang thorn therapy. Methods 78 patients who met the inclusion criteria were randomly divided into two groups： treatment group（combined with acupuncture along meridian and distal meridian） and control group（simple acupuncture）. VAS visual analogue score was used to evaluate the pain degree of shoulder joint before treatment once and after treatment. CMS＇s shoulder score was used to evaluate the changes of shoulder joint comprehensive score before and after treatment, and the thickness of long head tendon of biceps brachii muscle was evaluated before and after treatment by the technique of musculoskeletal ultrasound, and the thickness of tendon of long head of biceps brachii muscle was evaluated before and after treatment. Changes of thickness of tendon sheath and accumulation of fluid. Results The VAS score and CMS score of local pain in patients with long head tenosynovitis of biceps brachii muscle were significantly improved in treatment group and control group（P 〈0.01）, and the VAS score and CMS score in treatment group were significantly improved compared with those before treatment. The difference was statistically significant（P 〈0.05）, the thickness of tendon, tendon sheath and hydrops of the biceps brachii longhead were significantly decreased in both the treatment group and the control group, and the difference was statistically significant compared with that before treatment（P 〈0.05）. Conclusion The treatment of long head tenosynovitis of biceps brachii with the method of meridian distal removal combined with acupuncture has a significant advantage in improving the symptoms of pain and limited movement.

关 键 词：循经远取动法 扬刺 肱二头肌长头腱鞘炎 肌骨超声 

分 类 号：R246.9[医药卫生—针灸推拿学]