朱氏一指禅推法联合肩三针治疗风寒湿型肩周炎冻结期的随机对照研究  

Zhu's One-Finger Pushing Manipulation Combined with Shoulder Three Needles Therapy for Frozen Shoulder Periarthritis of Wind Cold Dampness Type:A Randomized Controlled Study

作　　者：吴耀持[1] 胡安华 朱鼎成[3] 郑明岳 WU Yaochi;HU Anhua;ZHU Dingcheng;ZHENG Mingyue(The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Health Service Center of Jing'an-Temple Community,Shanghai 200040,China;Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]上海交通大学附属第六人民医院,上海200233 [2]上海市静安区静安寺街道社区卫生服务中心 [3]复旦大学附属华东医院

出　　处：《中国中医骨伤科杂志》2025年第1期17-21,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：上海市中医药学会“凯宝”青年医师海派中医传承研究项目(2023-HPZY-10)。

摘　　要：目的:比较朱氏一指禅推法联合肩三针与单用肩三针治疗风寒湿型肩周炎冻结期的临床疗效差异。方法:将80名肩周炎受试者按抽取信封内随机数字分为观察组和对照组,对照组采用单纯肩三针治疗,观察组采用朱氏一指禅推法联合肩三针治疗。于第一次治疗前、治疗(28±2)d后、治疗结束3个月后随访UCLA评分、VAS评分并测量肩关节前屈、后伸及外展活动度。结果:两组受试者治疗(28±2)d后和治疗结束3个月后随访UCLA评分、VAS评分、肩关节前屈、后伸及外展活动度均较治疗前改善,差异有统计学意义(P<0.05);治疗(28±2)d后,两组受试者UCLA评分、VAS评分及肩关节外展活动度组间比较差异无统计学意义(P>0.05),观察组肩关节前屈和后伸活动度均优于对照组,差异有统计学意义(P<0.05);治疗结束3个月后随访,两组间肩关节外展活动度差异无统计学意义(P>0.05),观察组UCLA评分、VAS评分、肩关节前屈及后伸活动度观察组均优于对照组,差异有统计学意义(P<0.05);治疗(28±2)d后,两组间总有效率差异无统计学意义(P>0.05),治疗结束3个月后随访时,观察组优于对照组,差异有统计学意义(P<0.05)。结论:朱氏一指禅推法联合肩三针治疗风寒湿型肩周炎冻结期效果优于单纯肩三针治疗,远期随访时效果更加明显。Objective:To compare the clinical efficacy of Zhu's one-finger pushing manipulation combined with shoulder three needles and shoulder three needles alone in the treatment of frozen stage of wind cold dampness frozen shoulder.Methods:A total of 80 patients with frozen shoulder were divided into observation group and control group according to the random numbers in the selected envelope,the control group was treated with shoulder three needles therapy alone,and the observation group was treated with Zhu's one-finger pushing manipulation combined with shoulder three needles,and the UCLA score and VAS score were followed up before the first treatment,(28±2)d after treatment,and 3 months after the end of treatment,and the shoulder flexion,extension and abduction range of motion were measured.Results:After(28±2)d of treatment and 3 months after the end of treatment,the UCLA score,VAS score,shoulder flexion,extension and abduction range of motion were improved compared with those before treatment(P<0.05),and after(28±2)d of treatment,there was no difference in UCLA score,VAS score and shoulder abduction range of motion between the two groups(P>0.05).The observation group of shoulder flexion and extension of range of motion was better than that of the control group(P<0.05),and there was no difference in shoulder abduction range of motion between the two groups at 3 months of follow-up after treatment(P>0.05),and the UCLA score,VAS score,and the observation group of shoulder flexion and extension range of motion were better than those of the control group(P<0.05),and there was no difference in total effective rate between the two groups after(28±2)d of treatment(P>0.05),and at the follow-up at 3 months after the end of treatment,the observation group was better than the control group(P<0.05).Conclusion:The effect of Zhu's one-finger pushing manipulation combined with shoulder three needles in the treatment of frozen stage of wind cold dampness frozen shoulder is better than that of shoulder three needles treatment of

关 键 词：肩周炎冻结期 朱氏一指禅推法 肩三针 

分 类 号：R684.3[医药卫生—骨科学]