经络调气法治疗手阳明经型肩周炎的临床疗效分析  

Analysis Clinical of Effect of Regulating Qi through Channels and Collater⁃als in the Treatment of Hand Yangming Channel Type Periarthritis of Shoulder

作　　者：饶诗聪 李建军 黄雯芳 RAO Shicong;LI Jianjun;HUANG Wenfang(Department of Acupuncture and moxibustion,Longyan Hospital of Traditional Chinese Medicine,Longyan,Fujian,364000,China;Department of Rehabilitation,Longyan Hospital of Traditional Chinese Medicine,Longyan,Fujian,364000,China)

机构地区：[1]龙岩市中医院针灸科,福建龙岩364000 [2]龙岩市中医院康复科,福建龙岩364000

出　　处：《中外医疗》2024年第30期165-169,共5页China & Foreign Medical Treatment

摘　　要：目的 研究经络调气法治疗手阳明经型肩周炎的临床疗效。方法 随机选取2021年1月—2022年6月就诊于龙岩市中医院康复科的120例手阳明经型肩周炎患者为研究对象,按照不同治疗方法分为对照组、观察组,各60例。对照组应用常规针刺治疗,观察组通过经络调气法进行治疗,比较两组患者治疗前后的徒手肌力、疼痛情况、肩关节功能、临床症状、肩关节活动度、日常生活能力以及治疗总有效率。结果 治疗前,两组患者的徒手肌力检查法(Manual Muscle Test, MMT)评分、视觉模拟评分法(Visual Analogue Scale, VAS)评分、肩关节功能评分比较,差异无统计学意义(P均>0.05);治疗后,两组患者的MMT评分、VAS评分、肩关节功能评分均优于治疗前,观察组优于对照组,差异有统计学意义(P均<0.05)。治疗前,两组患者的临床症状评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的临床症状评分低于治疗前,观察组肩部刺痛、抬举受限、局部肿胀评分均低于对照组,差异有统计学意义(P均<0.05)。治疗前,两组患者的肩关节活动度(range of motion, ROM)、日常生活能力量表(Activity of Daily Living Scale, ADL)比较,差异无统计学意义(P均>0.05);治疗后,两组患者的ROM、ADL评分均高于治疗前,观察组高于对照组,差异有统计学意义(P均<0.05)。观察组治疗总有效率为96.67%(58/60),高于对照组的83.33%(50/60),差异有统计学意义(χ^(2)=5.926,P<0.05)。结论 手阳明经型肩周炎患者通过经络调气法治疗,可提升其临床效果,缓解疼痛,改善肩关节功能。Objective To study the clinical effect of meridian regulating qi method in the treatment of scapulohumeral periarthritis of hand yangming meridian type.Methods From January 2021 to June 2022,120 patients with scapulo⁃humeral periarthritis of hand yangming meridian type who were treated in the rehabilitation department of Longyan Hospital of Traditional Chinese Medicine were randomly selected as the research objects.According to different treat⁃ment methods,they were divided into control group and observation group,with 60 cases in each group.The control group was treated with routine acupuncture,and the observation group was treated with meridian qi-regulating method.The unarmed muscle strength,pain,shoulder joint function,clinical symptoms,shoulder joint mobility,daily living ability and total effective rate of treatment were compared between the two groups before and after treatment.Results Before treatment,there was no significant differences in manual muscle test(MMT)score,visual analogue scale(VAS)score and shoulder joint function score between the two groups(all P>0.05).After treatment,the MMT score,VAS score and shoulder function score of the two groups were better than those before treatment,and the obser⁃vation group were better than the control group,the differences were statistically significant(all P<0.05).Before treat⁃ment,there was no significant difference in clinical symptom scores between the two groups(P>0.05);after treatment,the clinical symptom scores of the two groups were lower than those before treatment,and the scores of shoulder tin⁃gling,lifting limitation and local swelling in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Before treatment,there was no significant difference in range of motion(ROM)and activity of daily living scale(ADL)between the two groups(P>0.05);after treatment,the ROM and ADL scores of the two groups were higher than those before treatment,and the observation group was higher

关 键 词：经络调气法 手阳明经型肩周炎 临床疗效 

分 类 号：R4[医药卫生—临床医学]