内热针疗法治疗粘连性肩关节囊炎的临床研究  

Clinical Study of Internal Heat Acupuncture in the Treatment of Adhesive Shoulder Bursitis

作　　者：张彦明[1] 郭丽荣[1] 许建峰[1,2] ZHANG Yan-ming;GUO Li-rong;XU Jian-feng(General Hospital of Ningxia Medical University,Ningxia Yinchuan 750004;Hui Medicine Modernization Key Laboratory of Ministry of Education of Ningxia Medical University,Ningxia Yinchuan 750004)

机构地区：[1]宁夏医科大学总医院,宁夏银川750004 [2]宁夏医科大学回医药现代化教育部重点实验室,宁夏银川750004

出　　处：《深圳中西医结合杂志》2021年第16期3-5,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：宁夏重点研发项目资助课题(2019BEB04027)。

摘　　要：目的:探讨内热针疗法结合关节松动术治疗粘连性肩关节囊炎的临床效果。方法:选取2018年2月至2019年2月在宁夏医科大学总医院就诊的136例粘连性肩关节囊炎患者,采取随机数表法将其划分成观察组和对照组,各68例。观察组采取内热针疗法结合关节松动术治疗,对照组采取关节松动术治疗,比较分析两组患者临床疗效、Constant–Murley评分和血清炎症因子水平。结果:观察组患者治疗总有效率为94.12%,高于对照组的79.41%,差异具有统计学意义(P<0.05);治疗前两组患者的Constant–Murley评分比较,差异无统计学意义(P>0.05);治疗后观察组患者的Constant–Murley评分均高于对照组,差异具有统计学意义(P<0.05)。治疗前两组患者的血清炎症因子水平比较,差异无统计学意义(P>0.05);治疗后观察组患者的炎症因子水平均低于对照组,差异具有统计学意义(P<0.05)。结论:内热针疗法结合关节松动术治疗粘连性肩关节囊炎临床效果较佳,可以较大程度上改善患者的肩关节功能,减轻患者疼痛感,帮助患者最大程度上恢复与提升肩关节肌力、关节活动能力以及生活活动能力。Objective To explore the clinical effect of internal heat acupuncture combined with joint mobilization in the treatment of adhesive shoulder bursitis.Methods 136 patients with adhesive shoulder bursitis treated in the General Hospital of Ningxia Medical University from February 2018 to February 2019 were randomly divided into observation group and control group,with 68 cases in each group.The observation group was treated with internal heat acupuncture combined with joint loosening,and the control group was treated with conventional therapy.The clinical efficacy,constant Murley score and serum inflammatory factor level of the two groups were compared and analyzed.Results The total effective rate of the observation group was 94.12%,higher than 79.41%of the control group(P<0.05);There was no significant difference between the two groups before treatment(P>0.05).After treatment,the constant–Murley scores of the observation group were significantly higher than those of the control group(P<0.05);There was no significant difference in the level of serum inflammatory factors between the two groups before treatment(P>0.05).After treatment,the levels of inflammatory factors in the observation group were better than those in the control group(P<0.05).Conclusion The clinical effect of internal heat acupuncture combined with joint loosening in the treatment of adhesive shoulder arthritis is better.It can greatly improve the shoulder joint function,reduce the pain of patients,and help patients recover and improve the shoulder joint muscle strength,joint activity and life activity to the greatest extent.

关 键 词：粘连性肩关节囊炎 内热针疗法 关节松动术 

分 类 号：R684.3[医药卫生—骨科学]