温针灸联合经筋推拿治疗寒湿痹阻型肩周炎的效果及对患者肩关节活动度的影响  

Effect of Warm Acupuncture and Moxibustion Combined with Meridian Massage in the Treatment of Cold Dampness Arthralgia Type Shoulder Periarthritis and Its Influence on Patients' Shoulder Joint Range of Motion

作　　者：何伟新 HE Weixin(Department of Acupuncture and Massage,Dao County Hospital of Traditional Chinese Medicine,Yongzhou 425000,China)

机构地区：[1]道县中医医院针灸推拿科,湖南永州425000

出　　处：《反射疗法与康复医学》2024年第19期30-33,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 分析温针灸联合经筋推拿治疗寒湿痹阻型肩周炎的效果。方法 选取2022年4月—2024年4月道县中医医院收治的84例寒湿痹阻型肩周炎患者为研究对象,按随机数字表法将其分为对照组和观察组,每组42例。对照组采用常规西医治疗,观察组在对照组的基础上采用温针灸联合经筋推拿治疗。比较两组患者的临床疗效、中医证候评分、疼痛程度、肩关节活动度、肩关节功能及不良反应发生情况。结果 观察组的治疗总有效率为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05)。治疗后,观察组的肩部窜痛、得温痛缓、遇寒加重、畏风恶寒评分分别为(1.54±0.18)分、(1.16±0.09)分、(1.37±0.10)分、(1.33±0.15)分,疼痛视觉模拟评分为(1.46±0.39)分,均低于对照组的(2.37±0.26)分、(1.89±0.14)分、(2.25±0.18)分、(2.17±0.29)分、(2.38±0.53)分,组间差异有统计学意义(P<0.05);观察组的肩关节前屈、外展、后伸活动度分别为(136.71±13.88)°、(141.58±14.98)°、(48.32±6.42)°,均大于对照组的(120.54±10.69)°、(115.95±12.54)°、(39.84±4.97)°,组间差异有统计学意义(P<0.05);观察组的Constant-Murley肩关节功能评定量表评分为(79.76±8.57)分,高于对照组的(70.55±6.49)分,差异有统计学意义(P<0.05)。两组治疗期间均无不良反应发生。结论 温针灸联合经筋推拿可缓解寒湿痹阻型肩周炎患者的疼痛,增加肩关节活动度,改善其肩关节功能。Objective To analyze the effect of warm acupuncture and moxibustion combined with meridian massage on cold dampness arthralgia type shoulder periarthritis.Methods Eighty-Four patients with shoulder periarthritis cold dampness obstruction type admitted to Dao County Hospital of Traditional Chinese Medicine from April 2022 to April 2024were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received conventional Western medicine treatment,and the observation group was treated with warm acupuncture and moxibustion combined with meridian massage on the basis of the control group.The clinical efficacy,TCM syndrome scores,pain degree,shoulder joint range of motion,shoulder function and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.24%,which was higher than 80.95% of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of shoulder pain,mild pain,severe cold,fear of wind and cold in the observation group were(1.54±0.18) points,(1.16±0.09) points,(1.37±0.10) points,(1.33±0.15) points,respectively,and the pain Visual Analogue Scale score was(1.46±0.39) points,which were lower than(2.37 ±0.26) points,(1.89±0.14) points,(2.25±0.18) points,(2.17 ±0.29) points,(2.38±0.53) points in the control group,and the differences between the groups were statistically significant(P<0.05);the flexion,abduction and extension of shoulder in the observation group were(136.71±13.88)°,(141.58±14.98)° and(48.32±6.42)°,respectively,which were greater than(120.54±10.69)°,(115.95±12.54)°,(39.84±4.97)° in the control group,and the differences between the groups were statistically significant(P <0.05);the Constant-Murley shoulder joint function rating scale score in the observation group was(79.76±8.57) points,which was higher than(70.55±6.49) points in the contro

关 键 词：肩周炎 寒湿痹阻 温针灸 经筋推拿 

分 类 号：R246.9[医药卫生—针灸推拿学]