循经取穴针刺对肱二头肌长头肌腱鞘炎患者压痛阈值及肩关节功能的影响  

Effects of acupuncture with along-meridian point selection on pressure pain threshold and shoulder joint function in patients with tenosynovitis of the long head of the biceps brachii

作　　者：刘亚楠 李欢 范琳 张敏[1] 陈文英 王渊[1,2] 王强 乔海法[1,2] LIU Yanan;LI Huan;FAN Lin;ZHANG Min;CHEN Wenying;WANG Yuan;WANG Qiang;QIAO Haifa(Shaanxi University of Chinese Medicine,Xianyang 712046,China;Shaanxi Provincial Key Laboratory of Acupuncture Combined with Medication,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,咸阳712046 [2]陕西省针药结合重点实验室,咸阳712046

出　　处：《上海针灸杂志》2023年第1期46-49,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点研发计划中医药现代化研究重点专项(2018YFC1704606);陕西中医药大学经脉-脏腑相关研究创新团队(2019-YL09)。

摘　　要：目的 观察循经取穴针刺对肱二头肌长头肌腱鞘炎患者压痛阈值及肩关节功能的影响。方法 将60例肱二头肌长头肌腱鞘炎患者随机分为治疗组(31例)和对照组(29例)。治疗组采用基础治疗点与患侧列缺或尺泽穴电针治疗,未电针刺激的列缺或尺泽穴采用手法行针;对照组采用基础治疗点与患侧灵道或少海穴电针治疗,未电针刺激的灵道或少海采用手法行针。观察治疗前后基础治疗点的压痛阈值及治疗前后、第1次随访(治疗后第4周)、第2次随访(治疗后第12周)的视觉模拟量表(visual analog scale, VAS)评分、肩关节功能评分(constant-murley score, CMS)和健康调查简表(36-item short-form health survey, SF-36)评分变化。结果两组治疗后基础治疗点的压痛阈值均升高(P<0.05)。两组治疗后及随访VAS评分较治疗前降低(P<0.05);治疗组随访VAS评分低于对照组(P<0.05)。两组治疗后及随访CMS和SF-36评分均升高(P<0.05)。结论 针刺肺经穴和心经穴均能有效改善肱二头肌长头肌腱鞘炎疼痛、肩关节功能和生活质量;但在改善疼痛症状方面,针刺肺经穴优于心经穴。Objective To observe the effects of acupuncture with points selected along meridians on pressure pain threshold and shoulder joint function in patients with tenosynovitis of the long head of the biceps brachii. Method Sixty patients with tenosynovitis of the long head of the biceps brachii were randomly divided into a treatment group(31 cases) and a control group(29 cases). The treatment group was intervened by electroacupuncture at the basic points together with Lieque(LU7) or Chize(LU5) on the affected side, and needling manipulations were applied to Lieque or Chize when it was not receiving electroacupuncture. The control group was treated with electroacupuncture at the basic points together with Lingdao(HT4) or Shaohai(HT3) on the affected side, and needling manipulations were offered to Lingdao or Shaohai when it was not receiving electroacupuncture. The pressure pain threshold at the basic points was observed before and after the treatment, as well as the visual analog scale(VAS), constant-murley score(CMS),and 36-item short-form health survey(SF-36) before and after the treatment, at the first follow-up visit(the 4th week after the treatment), and the second follow-up visit(the 12th week after the treatment). Result The pressure pain threshold at the basic points increased in both groups after the treatment(P<0.05). The VAS score declined after the treatment and at the follow-ups in both groups compared with that before the treatment(P<0.05);the VAS score was lower in the treatment group than in the control group at the two follow-up visits(P<0.05). The CMS and SF-36scores increased in the two groups after the treatment and at the follow-ups(P<0.05). Conclusion Acupuncture,either at Lung Meridian points or Heart Meridian points, can effectively improve pain, shoulder joint function, and quality of life in patients with tenosynovitis of the long head of the biceps brachii;acupuncture at Lung Meridian points shows an advantage in reducing pain over acupuncture at Heart Meridian points.

关 键 词：电针 肺经 心经 取穴 腱鞘炎 肩痛 

分 类 号：R246.2[医药卫生—针灸推拿学]