揿针联合加味骨痹汤治疗肩袖损伤(气滞血瘀证)临床观察  

Clinical Observation of Press Needles Combined with Modified Gubi Decoction for Treating Rotator Cuff Injury(Syndrome of Qi Stagnation and Blood Stasis)

作　　者：付泽佳 朱光宇 尹岳桐[1] 田向东 王荣田 张伟[2,3] 谭冶彤 薛志鹏 胡元一[2,3] Fu Zejia;Zhu Guangyu;Yin Yuetong;Tian Xiangdong;Wang Rongtian;Zhang Wei;Tan Yetong;Xue Zhipeng;Hu Yuanyi(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029 [3]北京中医药大学“中医骨伤治疗与运动康复智能化”教育部工程研究中心,北京100029

出　　处：《中国中医急症》2024年第9期1618-1622,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：北京中医药大学重点攻关项目(2020-JYB-ZDGG-142-5)。

摘　　要：目的观察揿针联合加味骨痹汤治疗肩袖损伤(气滞血瘀证)的临床疗效,为肩袖损伤治疗提供一种简单、有效的方法。方法对2022年6月至2023年6月收治的66名肩袖损伤患者进行回顾性分析,并根据治疗方法将其分为观察组与对照组各33例。观察组采用了揿针联合加味骨痹汤,对照组仅使用加味骨痹汤,两组患者均配合功能锻炼。以视觉模拟疼痛(VAS)评分、Constant-Murley肩关节评分量表、美国加州大学(UCLA)肩关节评分系统及关节活动度(ROM)及总有效率为观察指标,记录患者肩关节疼痛、肩关节功能和患者整体满意度,比较治疗前及治疗后4周各项指标的变化。结果观察组的总有效率显著高于对照组,治疗后4周,2组的VAS评分均有所下降,Constant-Murley评分、UCLA肩关节评分和ROM均有所提高,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论揿针联合加味骨痹汤可有效缓解肩袖损伤(气滞血瘀证)患者疼痛症状,在改善肩关节活动度方面治疗效果更佳。Objective:To observe the clinical efficacy of press needles combined with Modified Gubi Decoction in treating rotator cuff injury(qi stagnation and blood stasis syndrome)and to provide a simple and effective method for the treatment of rotator cuff injury.Methods:A retrospective analysis was conducted on 66 patients with rotator cuff injury who were treated between June 2022 and June 2023.They were divided into an observation group and a control group,with 33 patients in each group.The observation group was treated with press needles combined with Modified Gubi Decoction,while the control group received only Modified Gubi Decoction.Both groups also performed functional exercises.The visual analog scale(VAS)score,Constant-Murley shoulder score,UCLA shoulder rating system,range of motion(ROM),and overall effective rate were used as observation indicators to record the shoulder pain,shoulder function,and overall satisfaction of the patients.The changes in these indicators before and 4 weeks after treatment were compared.Results:The overall effective rate in the observation group was significantly higher than in the control group.4 weeks after treatment,the VAS scores decreased,and the Constant-Murley scores,UCLA shoulder scores,and ROM improved in both groups,with the observation group showing better results than the control group.The differences were statistically significant(P<0.05).Conclusion:The combination of press needles and Modified Gubi Decoction can effectively relieve pain symptoms in patients with rotator cuff injury(qi stagnation and blood stasis syndrome)and improve shoulder joint mobility.This treatment method is worthy of clinical promotion and use.

关 键 词：肩袖损伤 气滞血瘀 揿针 加味骨痹汤 经筋理论 

分 类 号：R684[医药卫生—骨科学]