温针灸联合体外冲击波治疗冈上肌肌腱炎临床研究  

Clinical Study on Warming-Needle Moxibustion Combined with Extracorporeal Shock Wave for Supraspinatus Tendinitis

作　　者：施左军 王燕琼 王敏 胡斌[2] SHI Zuojun;WANG Yanqiong;WANG Min;HU Bin

机构地区：[1]中国人民解放军联勤保障部队第九〇六医院神经内科高压氧康复科,浙江宁波315000 [2]齐齐哈尔医学院附属第二医院康复科,黑龙江齐齐哈尔161000

出　　处：《新中医》2022年第23期168-171,共4页New Chinese Medicine

摘　　要：目的:观察温针灸联合体外冲击波治疗冈上肌肌腱炎的临床疗效及对损伤程度的改善情况。方法:选取112例冈上肌肌腱炎患者,按随机数字表法分为观察组及对照组各56例。对照组口服洛索洛芬钠片治疗,观察组在对照组基础上采用温针灸联合体外冲击波治疗。比较2组临床疗效,比较2组治疗前后肩关节功能障碍(CMS)评分、疼痛视觉模拟评分法(VAS)评分及肩关节外展肌力的变化。结果:观察组临床疗效总有效率为89.29%,对照组为75.00%,2组比较,差异有统计学意义(P<0.05)。治疗后、随访3个月,2组CMS评分均较治疗前升高(P<0.05),观察组高于同一时间段的对照组(P<0.05)。治疗后、随访3个月,2组VAS评分均较治疗前下降(P<0.05),观察组低于同一时间段的对照组(P<0.05)。治疗后、随访3个月,2组肩关节外展肌力均较治疗前升高(P<0.05),观察组高于同一时间段的对照组(P<0.05)。结论:温针灸联合体外冲击波治疗冈上肌肌腱炎疗效确切,可改善患者疼痛状态,提高肩关节活动度,增加肩关节外展肌力。Objective:To observe the clinical effect of warming-needle moxibustion combined with extracorporeal shock wave for supraspinatus tendinitis and its effect on the improvement of injury.Methods:A total of 112 cases of patients with supraspinatus tendinitis were divided into the observation group and the control group according to the random number table method,with 56 cases in each group.The control group was given the oral administration of loxoprofen sodium tablets,and the observation group was additionally treated with warming-needle moxibustion combined with extracorporeal shock wave based on the treatment of the control group.The changes in Constant-Murley Score(CMS),Visual Analogue Scale(VAS) scores of pain and abductor muscle strength of shoulder joint before and after treatment as well as the clinical effects in the two groups were compared.Results:The total effective rate of clinical effect was 89.29% in the observation group,and 75.00% in the control group,the difference being significant(P<0.05).After treatment and follow-up for three months,the CMS scores in the two groups were increased when compared with those before treatment(P<0.05),and the CMS score in the observation group was higher than that in the control group at the same time(P<0.05).After treatment and follow-up for three months,the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the VAS score in the observation group was lower than that in the control group at the same time(P<0.05).After treatment and follow-up for three months,the abductor muscle strength of shoulder joint in the two groups was increased when compared with that before treatment(P<0.05),and the abductor muscle strength of shoulder joint in the observation group was higher than that in the control group at the same time(P<0.05).Conclusion:The therapy of warming-needle moxibustion combined with extracorporeal shock wave for supraspinatus tendinitis has a definite curative effect,which can improve the pain state of patients,enh

关 键 词：冈上肌肌腱炎 温针灸 体外冲击波 疼痛视觉模拟评分法 肩关节功能障碍 肩关节外展肌力 

分 类 号：R246.9[医药卫生—针灸推拿学]