新肩三针透刺电针法联合一指禅理筋法治疗粘连期肩周炎的临床疗效价值分析  

Clinical Efficacy and Value Analysis of New Shoulder Three Needle Penetration Electro-Acupuncture and One Finger Zen Regulating Tendon Method in Treatment of Adhesive Scapulohumeral Periarthritis

作　　者：张洪坤[1] 李丹妮 蔡烨谦 张天羽 ZHANG Hongkun;LI Danni;CAI Yeqian;ZHANG Tianyu(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《针灸临床杂志》2024年第5期21-25,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省中医药管理局项目,编号:ZHY2020-140。

摘　　要：目的:应用新肩三针透刺电针法联合一指禅理筋法对粘连期肩周炎的临床疗效进行价值分析。方法:将86例粘连期肩关节周围炎随机患者分为对照组及治疗组,各43例。对照组选用新肩三针透刺电针法加常规推拿法,观察组选用新肩三针透刺电针法联合一指禅理筋法,治疗后,对两组患者临床疗效进行综合分析。结果:观察组治疗后的VAS、JOA、Constant-Murley评分、血清CRP、IL-1β、TNF-α、COX-2水平及三角肌表面肌电数值改善程度优于对照组,差异具有统计学意义(P<0.05)。观察组总有效率90.70%(39/43),高于对照组的总有效率83.72%(36/43),差异具有统计学意义(P<0.05)。结论:新肩三针透刺电针法联合一指禅理筋法治疗粘连期肩周炎,能减轻粘连期肩周炎患者疼痛情况及肩关节活动度,还能明显缩短疗程并提高疗效。Objective:To conduct a value analysis of the clinical efficacy of new shoulder three needle penetration electro-acupuncture(EA)combined with one finger Zen regulating tendon method in treatment of adhesive scapulohumeral periarthritis.Methods:86 cases of scapulohumeral periarthritis in adhesive stage were randomly divided into the control group(n=43)and the study group(n=43).The control group was treated with new shoulder three needle penetration EA combined with conventional Tuina method,whereas the study group was treated with new shoulder three needle penetration EA combined with one finger Zen regulating tendon method.After completing the stage treatment,a comprehensive analysis of the clinical efficacy was conducted in the two groups.Results:The scores of VAS,JOA and Constant-Murley,the serum levels of CRP,IL-1β,TNF-αand COX-2,and the deltoid surface electromyography value were all improved after the treatment in the two groups;of which the improvements were more significant in the study group than those in the control group(P<0.05).The total effective rate of the study group was 90.70%(39/43),which was higher than 83.72%(36/43)of the control group(P<0.05).Conclusion:The new shoulder three needle penetration EA combined with one finger Zen regulating tendon method can reduce the pain and improve the range of motion of the shoulder joint of the patients with adhesive scapulohumeral periarthritis,it can significantly shorten the course of treatment,improve the curative effect,and has a high clinical application value.

关 键 词：新肩三针 电针 一指禅理筋法 肩关节周围炎 

分 类 号：R246.2[医药卫生—针灸推拿学]