基于经筋理论探讨小针刀经筋层松解术治疗肩袖损伤的临床疗效  

Clinical Study on the Treatment of Shoulder Sleeve Injury with Small Needle Knife Tendon Release Technique Based on the Theory of Meridian

作　　者：李彪[1] 万长浩 邹龙华 LI Biao(Hongdu Traditional Chinese Medicine Hospital,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院,江西南昌330000

出　　处：《牡丹江医学院学报》2023年第5期57-59,69,共4页Journal of Mudanjiang Medical University

基　　金：江西省中医药管理局科技计划项目(2022B361)。

摘　　要：目的探讨基于经筋理论小针刀经筋层松解术治疗肩袖损伤的临床疗效。方法根据随机数字表法将我院2021年1月至2022年12月期间收治的肩袖损伤患者90例分为2组,各45例。对照组给予休息制动和药物注射治疗,观察组于对照组基础上联合小针刀经筋层松解术治疗,两组连续干预4个疗程。观察并比较两组患者治疗前后的加州大学肩关节评分系统评分、关节功能活动度、视觉模拟评分、各项炎症因子水平以及临床疗效。结果治疗后两组肿瘤坏死因子(Tumor necrosis factor,TNF-α)、白细胞介素-6(Interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)水平降低,且观察组低于对照组(P<0.05);治疗后两组加州大学肩关节评分系统(University of California,Los Angeles,UCLA)评分、肩关节活动度评分提高,视觉模拟评分法(Visual analogue scale,VAS)评分降低,且观察组UCLA评分、肩关节活动度评分高于对照组,VAS评分低于对照组(P<0.05);观察组治疗总有效率高于对照组(P<0.05)。结论基于经筋理论小针刀经筋层松解术治疗肩袖损伤患者效果显著,可降低患者躯体炎症因子水平,缓解关节袖肩疼痛,促进肩关节功能恢复,且安全性较高。Objective To explore the clinical efficacy of small needle knife release through the tendon layer based on the tendon theory in the treatment of rotator cuff injury.Methods According to the random number table method,90 patients with rotator cuff injury admitted to our hospital from January 2021 to December 2022 were divided into two groups,with 45 patients in each group.The control group was treated with rest immobilization and drug injection,while the observation group was treated with a combination of small needle knife release through the tendon layer on the basis of the control group.The two groups were continuously intervened for 4 courses of treatment.Observe and compare the University of California Shoulder Joint Scoring System scores,joint function range of motion,visual simulation scores,levels of various inflammatory factors,and clinical efficacy of two groups of patients before and after treatment.Results After treatment,tumor necrosis factor(TNF-α),The levels of interleukin-6(IL-6)and C-reactive protein(CRP)decreased,and the observation group was lower than the control group(P<0.05).After treatment,the University of California,Los Angeles(UCLA)score and shoulder joint activity score increased in both groups,while the Visual Analog Scale(VAS)score decreased.The UCLA score and shoulder joint activity score in the observation group were higher than those in the control group,while the VAS score was lower than those in the control group(P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Based on the theory of meridian,the small needle knife meridian layer release surgery has a significant effect on treating patients with rotator cuff injury.It can reduce the level of inflammatory factors in the patients’body,alleviate joint sleeve and shoulder pain,promote the recovery of shoulder joint function with high safety.

关 键 词：经筋理论 针刀 经筋层松解术 肩袖损伤 

分 类 号：R687.4[医药卫生—骨科学]