火龙罐综合灸联合虎符铜砭循经刮痧在寒湿痹阻型肩周炎患者中的应用  

Application of Huolongguan comprehensive moxibustion combined with Hufu copper bi-stone meridian scraping therapy in patients with shoulder periarthritis of cold-dampness and blockage type

作　　者：刘青青 魏婷婷 李弯 董方圆 水根会 宋懿泽 LIU Qing-qing;WEI Ting-ting;LI Wan;DONG Fang-yuan;SHUI Gen-hui;SONG Yi-ze(First Department of Neck,Shoulder,Waist and Leg Pain(Massage),Henan Luoyang Orthopaedic Hospital,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)一科,河南郑州450000

出　　处：《海南医学》2025年第3期360-365,共6页Hainan Medical Journal

基　　金：河南省中医药科学研究专项课题(编号:2023ZY2127)。

摘　　要：目的探究火龙罐综合灸联合虎符铜砭循经刮痧对寒湿痹阻型肩周炎的治疗效果。方法选取2023年3月至2024年2月河南省洛阳正骨医院收治的168例寒湿痹阻型肩周炎患者作为研究对象,按随机数表法分为对照1组、对照2组和观察组各56例。对照1组采取火龙罐综合灸治疗,对照2组采取虎符铜砭循经刮痧治疗,观察组采取火龙罐综合灸联合虎符铜砭循经刮痧治疗,治疗时间4周。治疗后比较三组患者的临床疗效,以及治疗前后的肩关节功能(CMS)评分、疼痛程度(NRS)评分、肩关节活动度、肩关节周围肌力[肌群的峰力矩(PT)、平均功率(AP)]、实验室指标[前列腺素E2(PGE2)、5-羟色胺(5-HT)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)]和生活质量综合评定问卷-74(GQOLI-74)评分。结果治疗4周后,观察组患者的总有效率为92.86%,明显高于对照1组的75.00%和对照2组的76.79%,差异均有统计学意义(P<0.05);治疗4周后,观察组患者NRS评分为(2.56±0.54)分,明显低于对照1组的(3.74±0.62)分以及对照2组的(3.98±0.71)分,差异均有统计学意义(P<0.05),CMS量表中关节活动度、疼痛、肌力、日常活动能力评分分别为(32.15±5.33)分、(11.02±2.18)分、(21.56±3.12)分、(16.20±3.41)分,明显高于对照1组的(26.52±4.17)分、(9.33±2.40)分、(19.05±3.26)分、(12.02±2.76)分以及对照2组的(27.13±4.5)分、(8.96±1.79)分、(19.27±2.98)分、(11.78±3.19)分,差异均有统计学意义(P<0.05);治疗4周后,观察组患者外展、前屈、后伸肩关节活动度分别为(127.58±13.56)°、(155.26±20.46)°、(38.25±6.77)°,明显大于对照1组的(101.32±12.98)°、(141.75±23.18)°、(30.12±4.56)°以及对照2组的(103.07±14.18)°、(143.16±24.63)°、(31.75±5.18)°,差异均有统计学意义(P<0.05);治疗4周后,观察组患者外展、前屈、后伸PT分别为(49.36±5.45)N/m、(50.42±5.18)N/m、(52.32±4.59)N/m,明显高于对照1组的(40.65±4.96)N/m、(41.75±4.Objective To explore the therapeutic effects of Huolongguan comprehensive moxibustion combined with Hufu copper bi-stone meridian scraping therapy on shoulder periarthritis of cold-dampness and blockage type.Methods A total of 168 patients with shoulder periarthritis of cold-dampness and blockage type admitted to Henan Luoyang Orthopedic Hospital from March 2023 to February 2024 were selected as the research subjects.They were randomly divided into control group 1,control group 2,and the observation group according to the random number table method,with 56 cases in each group.The control group 1 applied the Huolongguan comprehensive moxibustion,the control group 2 used Hufu copper bi-stone meridian scraping therapy,and the observation group used Huolongguan comprehensive moxibustion combined with Hufu copper bi-stone meridian scraping therapy,with treatment lasting for four weeks.After treatment,the clinical efficacy,shoulder joint function score(Constant-Murley Shoulder Score[CMS]),pain level score(Numerical Rating Scale[NRS]),shoulder joint mobility,shoulder joint peripheral muscle strength(peak torque[PT],average power[AP]of muscle groups),laboratory indicators(prostaglandin E2[PGE2],5-hydroxytryptamine[5-HT],tumor Necrosis Factor-α[TNF-α],interleukin-6[IL-6]),and scores from the General Quality of Life Inventory-74(GQOLI-74)were analyzed before and after treatment across all groups.Results After 4 weeks of treatment,the total effective rate of patients in the observation group was 92.86%,significantly higher than 75.00%in control group 1 and 76.79%in control group 2(P<0.05).After 4 weeks of treatment,the NRS score of patients in the observation group was(2.56±0.54)points,which was significantly lower than(3.74±0.62)points in the control group 1 and(3.98±0.71)points in the control group 2,with statistically significant differences(P<0.05).The scores of joint mobility,pain,muscle strength,and daily activity ability in the CMS scale were(32.15±5.33)points,(11.02±2.18)points,(21.56±3.12)points,and(16.20±

关 键 词：火龙罐综合灸 刮痧 肩周炎 肩关节功能 

分 类 号：R684[医药卫生—骨科学]