穴位针刺联合物理疗法治疗肩周炎76例  

Acupoint acupuncture combined with physiotherapy for the treatment of periarthritis in 76 cases

作　　者：杨志军[1] 白瑞雪[1] 王京[1] 贾小红[1] YANG Zhijun;BAI Ruixue;WANG Jing;JIA Xiaohong(Rehabilitation Centre,Handan Mingren Hospital,Handan,Hebei 056001,China)

机构地区：[1]邯郸明仁医院康复中心,河北邯郸056001

出　　处：《安徽医药》2023年第2期285-287,共3页Anhui Medical and Pharmaceutical Journal

基　　金：河北省中医药管理局科研计划项目(2021478)。

摘　　要：目的探讨穴位针刺联合物理疗法治疗肩周炎临床疗效及作用机制。方法纳入邯郸明仁医院2018年1月至2020年3月收治肩周炎病人152例,采用随机抽签法分为对照组和观察组,每组各76例;其中对照组给予单纯物理疗法治疗;观察组则在此基础上加用穴位针刺治疗;比较两组治疗总有效率、治疗前后肩关节后伸角、疼痛视觉模拟评分(VAS)、白细胞介素-1β(IL-1β)及肿瘤坏死因子-α(TNF-α)水平。结果观察组治疗总有效率为96.05%,显著高于对照组的82.89%(P<0.05);观察组治疗后肩关节后伸角为(33.49±5.36)°,显著大于对照组的(27.32±3.78)°、治疗前的(23.89±2.72)°(P<0.05);观察组治疗后疼痛VAS评分为(1.37±0.23)分,显著小于对照组的(2.59±0.58)分、治疗前的(4.70±1.13)分(P<0.05);观察组治疗后IL-1β和TNF-α水平分别为(22.18±4.87)ng/L,(1.98±0.54)ng/L,均显著低于对照组的(35.45±7.94)ng/L,(3.15±0.77)ng/L、治疗前的(74.92±17.26)ng/L,(7.62±1.33)ng/L(P<0.05)。结论穴位针刺联合物理疗法治疗肩周炎可有效缓解临床症状,改善关节活动度,而这一优势形成可能与其能够更为显著抑制炎症反应有关。Objective To investigate the clinical efficacy and mechanism of action of acupoint acupuncture combined with physiotherapy in the treatment of periarthritis.Methods A total of 152 patients with periarthritis admitted to Handan Mingren Hospital from January 2018 to March 2020 were included and were divided into control and observation groups by a random sampling method,with 76 cases each.The control group was treated with physiotherapy alone;the observation group was treated with acupuncture points on top of that.The total effective rate,posterior extension angle of the shoulder joint,visual analog score(VAS)of pain,interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)levels before and after treatment were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.05%,which was significantly higher than 82.89% in the control group(P<0.05).The shoulder extension angle after treatment in the observation group was(33.49±5.36)°,which was significantly greater than that in the control group(27.32±3.78)°and before treatment(23.89±2.72)°(P<0.05).The VAS score of the observation group after treatment was(1.37±0.23),which was significantly lower than that of the control group(2.59±0.58)and before treatment(4.70±1.13)(P<0.05).The levels of IL-1β and TNF-α in the observation group after treatment were(22.18±4.87)ng/L and(1.98±0.54)ng/L,respectively,which were significantly lower than(35.45±7.94)ng/L and(3.15±0.77)ng/L in the control group and(74.92±17.26)ng/L and(7.62±1.33)ng/L in the pretreatment group.Conclusion Acupoint acupuncture combined with physiotherapy can effectively relieve clinical symptoms and improve joint mobility in the treatment of periarthritis,and this advantage may be related to its ability to more significantly inhibit the inflammatory response.

关 键 词：肩痛 电刺激疗法 穴位针刺 物理疗法 肩周炎 疗效 作用机制 

分 类 号：R246.9[医药卫生—针灸推拿学]