龙氏正骨手法结合肌内效贴治疗颈源性肩周炎的临床效果  

Clinical efficacy of Long’s bone-setting manipulation combined with Kinesio tape on cervicogenic scapulohumeral periarthritis

作　　者：曹志贤 邓思慧 罗卫 李豪 闵瑜 屈菲 CAO Zhixian;DENG Sihui;LUO Wei;LI Hao;MIN Yu;QU Fei(Department of Acupuncture and Moxibustion and Massage,the Affiliated Panyu Central Hospital,Guangzhou Medical University,Guangdong,Guangzhou 511400,China;Department of Rehabilitation Medicine,Guangzhou Twelfth People’s Hospital,Guangdong,Guangzhou 510000,China;Department of Rehabilitation Medicine,the Affiliated Panyu Central Hospital,Guangzhou Medical University,Guangdong,Guangzhou 511400,China)

机构地区：[1]广州医科大学附属番禺中心医院针灸推拿科,广东广州511400 [2]广州市第十二人民医院康复医学科,广东广州510000 [3]广州医科大学附属番禺中心医院康复医学科,广东广州511400

出　　处：《中国医药科学》2024年第23期96-99,172,共5页China Medicine And Pharmacy

基　　金：广东省广州市番禺区科技计划一般医疗卫生项目(2023-Z04-089)。

摘　　要：目的观察龙氏正骨手法结合肌内效贴治疗颈源性肩周炎的疗效。方法选取2023年6月至2024年6月广州医科大学附属番禺中心医院收治的符合诊断标准和纳入标准的颈源性肩周炎患者共90例,采用随机数表法分为龙氏组、肌贴组和对照组,每组各30例,龙氏组采用龙氏正骨手法结合肌内效贴同时采用普通针刺治疗,肌贴组采用肌内效贴结合普通针刺治疗,对照组采用单纯普通针刺治疗,分别比较三组治疗前后的红外热成像图变化、临床疗效、视觉模拟评分法(VAS)评分、日本骨科协会肩关节功能评分(JOA)的数据变化。结果三组患者总有效率比较,龙氏组总有效率均高于肌贴组及对照组,差异有统计学意义(P<0.05);三组患者治疗后VAS、JOA评分比较,龙氏组VAS评分低于肌贴组及对照组,JOA评分高于肌贴组及对照组,差异有统计学意义(P<0.05)。三组红外热成像图温度比较,龙氏组治疗后穴位温度低于肌贴组及对照组,差异有统计学意义(P<0.05)。结论无论是单纯普通针刺治疗或肌内效贴结合普通针刺治疗或龙氏正骨结合肌内效贴同时采用普通针刺治疗,均能改善颈源性肩周炎的症状。而龙氏正骨结合肌内效贴同时采用普通针刺治疗效果更显著,在临床上推广具有积极意义。Objective To observe the therapeutic efficacy of Long’s bone-setting manipulation combined with Kinesio tape on cervicogenic scapulohumeral periarthritis.Methods A total of 90 patients with cervicogenic scapulohumeral periarthritis meeting diagnostic criteria and inclusion criteria admitted to and treated in the Affiliated Panyu Central Hospital,Guaangzhou Medical University from June 2023 to June 2024 were selected and divided into Long’s group(n=30),the Kinesio tape group(n=30)and the control group(n=30)according to the random number table method.The Long’s group was treated with Long’s bone-setting manipulation combined with Kinesio tape and common acupuncture,the Kinesio tape group was treated with Kinesio tape and common acupuncture,while the control group was treated with simple common acupuncture.The data changes of infrared thermography,clinical efficacy,visual analogue scale(VAS)score and Japanese Orthopedic Association Score(JOA)in the three groups before and after treatment were compared respectively.Results Comparing the total response rates of the three groups of patients,the total response rates of Long’s group were all higher than those of the Kinesio tape group and the control group,with statistically significant differences(P<0.05).After treatment,the VAS score and JOA score of the three groups of patients were compared.The VAS score of Long’s group was lower than that of the Kinesio tape group and the control group,and the JOA score was higher than that of the Kinesio tape group and the control group,with statistically significant differences(P<0.05).Three groups of infrared thermography were selected to compare the temperature changes of acupoints.After treatment,the temperature of acupoints in Long’s group were all lower than those in the Kinesio tape group and the control group,with statistically significant differences(P<0.05).Conclusion Whether it is simple common acupuncture treatment or Kinesio tape combined with common acupuncture treatment or Long’s bone-setting and Kine

关 键 词：龙氏正骨 肌内效贴 普通针刺 颈源性肩周炎 

分 类 号：R244.1[医药卫生—针灸推拿学]