中医优势疗法结合冲击波促进运动性肩袖损伤功能康复的临床研究  

Clinical Observation on the Functional Rehabilitation of Sports-related Rotator Cuff Injuries Using Traditional Chinese Medicine Preferred Therapies Combined with Shock Wave Therapy

作　　者：殷志颖 武圣超 程韶[1,2,3] 朱云麒 胡昆鹏 王上增 Yin Zhiying;Wu Shengchao;Cheng Shao;Zhu Yunqi;Hu Kunpeng;Wang Shangzeng(Henan University of Traditional Chinese Medicine,Henan,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南省中医院,河南中医药大学第二附属医院,河南郑州450002 [3]河南省工程研究中心,河南郑州450002

出　　处：《中国中医急症》2025年第2期223-226,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：河南省高校科技创新团队支持计划资助项目(24IRTSTHN040);河南省体育局体育课题(202301)。

摘　　要：目的 观察中医优势疗法(针刺、中医功法锻炼)结合冲击波对运动性肩袖损伤的临床疗效。方法 62例患者随机分为观察组与对照组各31例。对照组接受冲击波治疗,观察组在对照组基础上应用中医优势疗法(针刺、中医功法锻炼),疗程4周。分别评估患者治疗前及治疗后14、28 d后的临床疗效。结果 观察组临床总有效率为93.33%,显著高于对照组的79.97%(P <0.05)。治疗后14、28 d,观察组在数字疼痛评分表(NRS)评分、Constant-Murley评分,前屈、外展、外旋关节活动度(ROM)方面均优于对照组(P <0.05)。结论 针对运动性肩袖损伤,中医优势疗法(针刺、中医功法锻炼)结合冲击波能更有效地减轻肩袖损伤的疼痛、改善肩关节功能和增强肌力,优于单纯冲击波治疗。Objective:To observe the clinical efficacy of traditional Chinese medicine(TCM)preferred therapies(acupuncture,TCM exercises)combined with shock wave therapy for sports-related rotator cuff injuries.Meth-ods:A total of 62 patients were randomly divided into an observation group and a control group,31 cases each.The control group received shock wave therapy,while the observation group was added with TCM preferred thera-pies based on the treatment of the control group.The treatment cycle lasted 4 weeks.Clinical efficacies were as-sessed and analyzed before treatment,and 14 and 28 days after treatment.Results:The overall clinical effective rate in the observation group was 93.33%,which was significantly higher than 79.97%in the control group(P<0.05).At various assessment time points(before treatment,14 days after treatment,and 28 days after treatment),the observation group showed better outcomes in NRS scores,Constant-Murley scores,and range of motion(ROM)in flexion,abduction,and external rotation(P<0.05).Conclusion:For sports-related rotator cuff injuries,TCM preferred therapies(acupuncture,TCM exercises)combined with shock wave therapy can more efectively reduce pain,improve shoulder joint function,and enhance muscle strength compared with shock wave therapy alone.

关 键 词：运动性肩袖损伤 针刺 中医功法锻炼 冲击波 功能康复 

分 类 号：R686.5[医药卫生—骨科学]