基于经络辨证的表里经取穴法结合扬刺治疗肱二头肌长头肌腱炎临床研究  

Clinical Study of Needling Exterior-Interior Meridians Points Based on Meridian Syndrome Differentiation Combined with Quintuple Puncture in Treating Myotenositis of Long Head of Biceps Brachii

作　　者：王琳晶[1] 范程欣 祝鹏宇[1] 井天依 张一鸣 WANG Linjing;FAN Chengxin;ZHU Pengyu;JING Tianyi;ZHANG Yiming(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China;Heilongjiang University of Chinese Medicine, Harbin 150040, China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2020年第8期41-44,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家重点研发计划,编号:2018YFC1704100,2018YFC1704105;黑龙江省中医药管理局重点科研项目,编号:ZHY18-065;黑龙江中医药大学研究生创新科研项目,编号:2018yjscx047;孙申田全国名中医实施方案,编号:国中医药办人教函(2018)119号;全国中医临床特色技术传承骨干人才培训项目,编号:国中医药(2019)36号。

摘　　要：目的:观察基于经络辨证的表里经取穴法结合扬刺治疗肱二头肌长头肌腱炎的临床疗效。方法:纳入64例符合诊断标准的患者按照门诊尾号奇偶数随机分为治疗组(表里经取穴法结合扬刺)与对照组(单纯扬刺法),采用VAS疼痛评分评价治疗前、治疗1次及治疗后患者肩关节疼痛程度变化,采用肩关节活动评分评价治疗前、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:两组患者治疗后疼痛均有不同程度改善,其中治疗组在治疗1次时VAS评分及肩关节评分均较疗前有显著改善,差异具有统计学意义(P<0.05);与治疗前相比,治疗后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,差异具有统计学意义(P<0.05)。结论:表里经取穴法结合扬刺治疗肱二头肌长头肌腱炎在改善患者疼痛及活动受限症状方面具有显著优势。Objective:To observe the clinical curative effect of needling exterior-interior meridians points based on meridian syndrome differentiation combined with quintuple puncture in the treatment of myotenositis of long head of biceps brachii.Methods:64 patients met the diagnostic criteria were randomly divided into the treatment group(exterior-interior meridians points selecting combined with quintuple puncture)and the control group(quintuple puncture alone)according to the even and odd of outpatient number.VAS pain scores and shoulder joint activities scores were used to evaluate the improvements of shoulder pain and shoulder joint motility.The musculoskeletal ultrasound technology was applied to evaluate the changes of the tendon thickness,the tendon sheath thickness and effusion condition of the biceps brachii at the intertubercular groove of the shoulder joint.Results:The pain in both groups improved to varying degrees after the treatment,VAS scores and shoulder joint scores were significantly improved after single treatment compared to those before the treatment in the treatment group(P<0.05).Compared to those before the treatment,the tendon thickness,the tendon sheath thickness and the effusion of long head biceps brachii were significantly reduced in the two groups(P<0.05).Conclusion:The therapy of needling exterior-interior meridians points combined with quintuple puncture has a significant advantage in improving the symptoms of pain and limited activity in the treatment of myotenositis of long head of biceps brachii.

关 键 词：表里经取穴法 扬刺 肱二头肌长头肌腱炎 经络辨证 

分 类 号：R246.2[医药卫生—针灸推拿学]