温针灸联合康复训练治疗肩袖损伤的疗效观察  

Efficacy of Warm Acupuncture and Moxibustion Combined with Rehabilitation Training in Treatment of Rotator Cuff Injury

作　　者：肖鸿伟 谷俊刚 林荣 曾晓霞 童华卿 何坚[1,2] XIAO Hongwei;GU Jungang;LIN Rong;TONG Huaqing;HE Jian(Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122;Zhangzhou Health Career College,Zhangzhou,Fujian 363000)

机构地区：[1]福建中医药大学,福建福州350122 [2]漳州卫生职业学院,福建漳州363000

出　　处：《中医康复》2025年第2期10-15,共6页Traditional Chinese Medicine Rehabilitation

基　　金：国家重点研发计划(No.2022YFC2009704)。

摘　　要：目的:观察温针灸结合康复训练治疗肩袖损伤的疗效。方法:选取2019年1月~2020年1月在福建中医药大学附属康复医院门诊就诊的肩袖损伤患者70例,按照随机数字表法分为治疗组和对照组各35例。对照组予以康复训练治疗,治疗组在对照组基础上联合温针灸治疗,疗程均为14天。比较两组治疗前后疼痛视觉模拟量表(VAS)评分、等速肌力测试速度30°/s和60°/s时肩关节峰力矩、患侧与健侧峰力矩差值比及肩关节主动肌与拮抗肌峰力矩比的变化情况。结果:与治疗前比较,两组治疗后的疼痛VAS评分均显著降低(P<0.05),与对照组治疗后比较,治疗组疼痛VAS评分较显著降低(P<0.05)。肩关节等速肌力测试结果显示,与治疗前相比,两个角速度下(角速度为30°/s和60°/s),治疗后肩关节各动作下峰力矩增大、患侧与健侧峰力矩差值比降低。相比于对照组,治疗组肩关节前屈、后伸、外展时峰力矩(角速度30°/s时)及内收峰力矩(角速度60°/s时)表现出更明显的增加(P<0.05)。治疗组治疗后患侧与健侧肩关节前屈、后伸、内收、外展时峰力矩差值比与治疗前比降幅更大,差异有统计学意义(P<0.05),内外旋未见显著差异(P>0.05)。对照组患侧与健侧肩关节各个动作峰力矩差值治疗前后未见显著差异(P>0.05)。两个角速度下,治疗组和对照组做各个动作时,肩关节主动肌与拮抗肌峰力矩比约等于1;治疗后,肩关节前屈、后伸、内收、外展、内外旋时主动肌与拮抗肌峰力矩比差异无统计学意义(P>0.05)。结论:温针灸结合康复训练能有效减轻肩袖损伤患者的疼痛症状,促进肩关节肌肉力量恢复,改善肩关节功能,值得临床运用与推广。Objective:To observe the efficacy of warm acupuncture combined with rehabilitation training in the treatment of rotator cuff injury.Methods:70 patients with rotator cuff injury who attended the outpatient clinic of Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2019 to January 2020 were selected,and were divided into 35 cases each in the treatment group and the control group by randomized numerical table method.The control group was treated with rehabilitation training,and the treatment group was treated with warm acupuncture and moxibustion on the basis of the control group for a period of 14 d.The changes in visual analog scale(VAS)scores of pain,the peak torque of the shoulder joint,the difference ratio of the peak torque between the affected side and the healthy side,and the peak torque ratio of the active muscle and the antagonistic muscle at isokinetic speeds of 30°/s and 60°/s were compared between the two groups before and after the treatment.Results:Compared with before treatment,the pain VAS scores of the two groups after treatment were significantly lower(P<0.05).Compared with the control group after treatment,the pain VAS score of the treatment group was significantly lower(P<0.05).The results of isokinetic muscle strength testing of the shoulder joint showed an increase in peak moments and a decrease in the difference between the peak moments of the affected and healthy sides of the shoulder joint for each movement at both angular velocities(angular velocities of 30°/s and 60°/s)after treatment compared to the pre-treatment period.Compared with the control group,the peak torque(angular velocity 30°/s)and adduction peak torque(angular velocity 60°/s)of shoulder joint flexion,extension and abduction in the treatment group showed a more significant increase(P<0.05).In the treatment group,the difference of peak torque between the affected side and the healthy side of shoulder joint flexion,extension,adduction and abduction after treatment was gr

关 键 词：肩袖损伤 温针灸 康复训练 等速肌力测试 疼痛 峰力矩 

分 类 号：R274.9[医药卫生—中西医结合]