腕踝针配合体针对冻结肩肩痛止痛效果及其作用机制研究  

Analgesic Effects of Wrist-ankle Acupuncture Combined with Body Acupuncture on Frozen Shoulders and Mechanisms

作　　者：韩盈盈 张潇文 王洋[3] 林文馨 张素琴[1] 周建华[1] HAN Yingying;ZHANG Xiaowen;WANG Yang;LIN Wenxin;ZHANG Suqin;ZHOU Jianhua(Department of Traditional Chinese Medicine,Shanghai Eighth People′s Hospital,Shanghai 200235,China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Department of Physical Examination,Shanghai Eighth People′s Hospital,Shanghai 200235,China)

机构地区：[1]上海市第八人民医院中医科,上海200235 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]上海市第八人民医院体检科,上海200235

出　　处：《世界中医药》2023年第6期844-848,共5页World Chinese Medicine

基　　金：上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)中医(针灸)专科培育项目;上海市徐汇区医学科研项目中医项目(SHXH201829)。

摘　　要：目的:观察腕踝针对冻结肩肩痛止痛效果,及其对血浆P物质(SP)、β-内啡肽(β-EP)水平影响,探讨其作用机制。方法:选取2019年2月至2021年6月在上海市第八人民医院针灸科就诊的冻结肩肩痛患者90例作为研究对象,按随机方法分为观察组和对照组,每组45例。观察组给予腕踝针联合体针治疗;对照组采用体针治疗。10次为1个疗程,共治疗2个疗程。评估2组治疗前后简式麦吉尔疼痛问卷评分、血浆SP和β-EP水平、Constant-Murley肩关节功能评分等。结果:治疗后,2组患者疼痛强度评分均显著降低(均P<0.05),且观察组均低于对照组(均P<0.05);2组患者血浆SP水平均下降(均P<0.05),且观察组低于对照组(P<0.05);2组患者血浆β-EP水平均升高,且观察组高于对照组(P<0.05);2组患者Constant-Murley肩关节功能评分均提高(均P<0.05),且观察组高于对照组(P<0.05)。2组均未出现不良事件。结论:腕踝针配合体针可以降低患者血浆SP水平,增加β-EP水平,从而有效缓解肩痛症状,改善肩关节活动度,提高患者生命质量。Objective:To observe the analgesic effect of wrist-ankle acupuncture combined with body acupuncture on frozen shoulders and its influence on the levels of plasma substance P(SP)andβ-endorphin(β-EP),and to examine the mechanisms of wrist-ankle acupuncture in treating patients with frozen shoulder.Methods:Ninety patients with frozen shoulders treated in the Department of Acupuncture and Moxibustion of Shanghai Eighth People′s Hospital from February 2019 to June 2021 were randomly divided into a treatment group(45 cases)and a control group(45 cases).The treatment group was given wrist-ankle acupuncture combined with body acupuncture,and the control group was only given body acupuncture,10 times as a course of treatment and lasting 2 courses.The short-form McGill pain questionnaire,the levels of plasma substance P andβ-endorphin,and the Constant-Murley shoulder joint function score were evaluated before and after treatment in the two groups.Results:After treatment,the pain intensity scores of the two groups were significantly decreased(both P<0.05),and the treatment group was lower than the control group(both P<0.05).The plasma SP levels of the two groups were decreased(both P<0.05),and the treatment group was lower than the control group(P<0.05).The plasmaβ-EP levels in both groups were increased,and the treatment group was higher than the control group(P<0.05).The Constant-Murley shoulder joint function scores of the two groups were higher increased(P<0.05),and the treatment group was higher than the control group(P<0.05).There were no adverse events in either group.Conclusion:Wrist-ankle acupuncture effectively alleviates frozen shoulder pain,improves the shoulder joint functional mobility,reduces the SP level,and increases theβ-EP level.

关 键 词：腕踝针 体针 冻结肩 肩痛 止痛 P物质 β-内啡肽 

分 类 号：R246[医药卫生—针灸推拿学]