经穴疏导加痛点揉拨手法对急性期冻结肩患者肩关节活动度及炎症因子的影响  

Effects of Meridian and Acupoint Regulation Combined with Trigger Point Kneading and Pulling Techniques on Shoulder Joint Mobility and Inflammatory Factors in Patients with Frozen Shoulder in Acute Phase

作　　者：赵欣[1] 熊和然 陈美龄 高扬[1] 龙炽慧 向超 胡艳平[1] ZHAO Xin;XIONG Heran;CHEN Meiling;GAO Yang;LONG Chihui;XIANG Chao;HU Yanping(Wuhan Traditional Chinese Medicine Hospital,Wuhan 430014,China)

机构地区：[1]武汉市中医医院,湖北武汉430014

出　　处：《中医药学报》2024年第12期89-92,共4页Acta Chinese Medicine and Pharmacology

基　　金：武汉市医学科研项目(WZ20Q09)。

摘　　要：目的:探究经穴疏导加痛点揉拨手法对急性期冻结肩患者的治疗效果,以及肩关节活动度和血清炎症因子的影响。方法:采用随机数字表法将2021年7月—2023年7月于武汉市中医医院接受治疗的120例急性期冻结肩患者分为常规组和联合组,每组60例。常规组给予常规推拿治疗;联合组在常规组的基础上给予经穴疏导加痛点揉拨手法治疗。比较两组治疗前后疼痛评分(VAS评分)、ADL评分、肩关节活动度以及血清白细胞介素-10(IL-10),转化生长因子-β(TGF-β),肿瘤坏死因子-α(TNF-α)水平。结果:联合组的临床有效率为90.00%(54/60),高于常规组的71.67%(43/60),(P<0.05);与本组治疗前比较,两组患者的VAS评分、血清TGF-β、TNF-α水平显著下降(P<0.05),ADL评分、肩关节活动度、血清IL-10显著升高(P<0.05);治疗后联合组VAS评分、血清TGF-β、TNF-α低于常规组(P<0.05),ADL评分、肩关节活动度、血清IL-10高于常规组(P<0.05)。结论:经穴疏导加痛点揉拨手法对急性期冻结肩患者的治疗效果显著,且改善了患者的肩关节活动度,抑制了炎症反应。Objective:To explore the therapeutic effects of meridian and acupoint regulation combined with trigger point kneading and pulling techniques on patients with frozen shoulder in acute phase,as well as its impact on shoulder joint mobility and serum inflammatory factors.Methods:From July 2021 to July 2023,120 patients with frozen shoulder in acute phase treated at Wuhan Traditional Chinese Medicine Hospital were randomly divided into a conventional treatment group and a combination treatment group,with 60 patients in each group.The conventional group received standard massage therapy,while the combination group received meridian and acupoint regulation combined with trigger point kneading and pulling techniques in addition to the conventional treatment.Pain scores(VAS),activities of daily living(ADL)scores,shoulder joint mobility,and serum levels of interleukin-10(IL-10),transforming growth factor-β(TGF-β),and tumor necrosis factor-α(TNF-α)were compared before and after treatment between the two groups.Results:The clinical effective rate in the combination group was 90.00%(54/60),which was higher than the 71.67%(43/60)in the conventional group(P<0.05).Compared to pre-treatment values,both groups showed significant reductions in VAS scores,serum TGF-β,and TNF-αlevels(P<0.05),along with significant increases in ADL scores,shoulder joint mobility,and serum IL-10 levels(P<0.05).After treatment,the combination group showed lower VAS scores,serum TGF-β,and TNF-αlevels and higher ADL scores,shoulder joint mobility,and serum IL-10 levels compared to the conventional group(P<0.05).Conclusion:Meridian and acupoint regulation combined with trigger point kneading and pulling techniques is effective in treating frozen shoulder in acute phase,significantly improving shoulder joint mobility and suppressing inflammatory responses.

关 键 词：经穴疏导 痛点揉拨 冻结肩 肩关节活动度 炎症因子 

分 类 号：R245.9[医药卫生—针灸推拿学] R255.6[医药卫生—中医临床基础]