腕四针结合悬垂钟摆运动治疗原发性冻结肩的随机单盲对照研究  

A Randomized Single-Blind Controlled Study of Primary Frozen Shoulder with Four Wrist Needles Combined with Pendulous Pendulum Movement

作　　者：倪寿晨 张磊 乐轶 叶秀兰[2] 邢韵 赵怡 何润娜 NI Shouchen;ZHANG Lei;LE Yi;YE Xiulan;XING Yun;ZHAO Yi;HE Runna(Changbai Community Health Service Center in Yangpu District District,Shanghai 200093,China;Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海市杨浦区长白社区卫生服务中心,上海200093 [2]上海中医药大学附属龙华医院

出　　处：《中国中医骨伤科杂志》2022年第8期27-31,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：上海市卫生健康委员会中医药科研项目(2020LP026)。

摘　　要：目的:观察腕四针结合悬垂钟摆运动治疗原发性冻结肩的临床疗效。方法:依据随机单盲对照试验要求共纳入90例患者,治疗组和对照组各45例。治疗组采用针刺腕部四穴,留针20min,带针完成悬垂钟摆运动300次。对照组采用常规局部取穴,留针20min后完成悬垂钟摆运动300次。通过观察两组治疗前后VAS评分、主动及被动关节活动度进行疗效评价。结果:经过4周治疗后两组患者各项指标较治疗前均有改善(P<0.01);两组的VAS评分在不同观察节点差异无统计学意义(P>0.05);首次治疗后、治疗2周后治疗组主动及被动关节活动度的改善均优于对照组(P<0.01);治疗4周后治疗组前屈、后伸、外展、外旋的主动及被动关节活动度的改善优于对照组(P<0.01),内旋的主动及被动关节活动度的改善与对照组差异无统计学意义(P>0.05)。结论:腕四针结合悬垂钟摆运动治疗原发性冻结肩较常规局部取穴疗效好,且单次治疗时间和关节活动度恢复时间短。Objective:To observe the clinical efficacy of wrist four-needle combined with pendulous pendulum movement on the treatment of primary frozen shoulder.Methods:A total of 90patients were enrolled according to the requirements of the randomized single-blind controlled trial.There were 45cases in the treatment group and 45cases in the control group.In the treatment group,the four points of the wrist were needled,the needles were kept for 20min,and the suspension pendulum movement was completed 300times with the needles.In the control group,300times of pendulous pendulum movement were completed after 20 min of routine local acupoint selection.The curative efficacy was evaluated by observing the VAS scores,active and passive joint motion before and after treatment.Results:All parameters of the two groups were improved after 4weeks of treatment(P<0.01),and there was no significant difference in VAS scores between the two groups(P>0.05).The improvement of active and passive joint motion in the treatment group was better than that in the control group after the first treatment after the first treatment and 2weeks after treatment(P<0.01).The improvement of the active and passive range of motion of external rotation was better than that of the control group after 4weeks of treatment(P<0.01),while the improvement of the active and passive range of motion of internal rotation was the same as that of the control group(P>0.05).Conclusion:The treatment of primary frozen shoulder with wrist four-needle combined with pendulous pendulum is more effective than routine local acupoint selection and the recovery time of joint motion is shorter.

关 键 词：中医学 腕四针 悬垂钟摆运动 原发性冻结肩 

分 类 号：R684[医药卫生—骨科学]