理筋牵张手法联合靳氏肩三针针刺对肩峰下撞击综合征疼痛及肩关节功能的影响  

Effects of tendon-regulating and stretching manipulation combined with JIN’s three-needle therapy for the shoulder on pain and shoulder joint function in subacromial impingement syndrome

作　　者：潘中强 徐晶 李金霞 朱成林 傅瑞阳 PAN Zhongqiang;XU Jing;LI Jinxia;ZHU Chenglin;FU Ruiyang(Department of Acupuncture and Massage,Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Huzhou,313000,China)

机构地区：[1]Department of Acupuncture and Massage,Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Huzhou,313000,China

出　　处：《Journal of Acupuncture and Tuina Science》2023年第2期142-148,共7页针灸推拿医学（英文版）

基　　金：浙江省中医药科技计划项目,No.2021ZB279;湖州市科技计划项目,No.2018GY22;傅瑞阳全国老中医药专家学术经验继承工作建设项目,国中医药人教发(2017)29号;浙江省傅瑞阳名老中医专家传承工作室建设项目,浙中医药(2017)28号。

摘　　要：目的:观察理筋牵张手法联合靳氏肩三针针刺对肩峰下撞击综合征(SIS)疼痛及肩关节功能的影响.方法:选取SIS患者80例,采用随机数字表法分为对照组与治疗组,每组40例.对照组给予靳氏肩三针针刺治疗,治疗组在对照组的基础上加用理筋牵张手法治疗.观察两组患者治疗前后疼痛的视觉模拟量表(VAS)评分、Constant-Murley肩关节功能评定量化表评分(CMS)变化以及总有效率.结果:治疗组的总有效率为92.5%,对照组为70.0%,差异有统计学意义(P<0.05).两组治疗后的VAS评分及CMS与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组的改善程度明显优于对照组(P<0.05).结论:理筋牵张手法联合靳氏肩三针针刺对SIS患者疼痛的缓解及肩关节功能的改善均产生积极影响.Objective To observe the effects of tendon-regulating and stretching manipulation plus JIN’s three-needle therapy for the shoulder on pain and shoulder joint function in subacromial impingement syndrome(SIS).Methods Eighty patients with SIS were recruited and divided into a control group and a treatment group by the random number table method,with 40 cases in each group.The control group was given JIN’s three-needle therapy for the shoulder,and the treatment group received additional tendon-regulating and stretching manipulation.The visual analog scale(VAS)score and constant-Murley score(CMS)were observed before and after the intervention,and the total effective rate was also observed.Results The total effective rate was 92.5%in the treatment group versus 70.0%in the control group,and the difference was statistically significant(P<0.05).The VAS score and CMS changed notably after treatment in both groups(P<0.05),and the improvements were markedly greater in the treatment group than in the control group(P<0.05).Conclusion Tendon-regulating and stretching manipulation plus JIN’s three-needle therapy for the shoulder can facilitate the relief of pain and the improvement of shoulder joint function in SIS patients.

关 键 词：推拿 按摩 针刺疗法 理筋牵张手法 靳三针 肩峰下撞击综合征 视觉模拟量表 肩关节功能 

分 类 号：R246.2[医药卫生—针灸推拿学]