针刺联合推拿治疗肩周炎的疗效观察及对肌力的影响  

Observations on the efficacy of acupuncture plus tuina therapy for scapulohumeral periarthritis and its effect on myodynamia

作　　者：王红 姜宇琴 蓝敏 罗丹 唐余浪 WANG Hong;JIANG Yuqin;LAN Min;LUO Dan;TANG Yulang(Zigong Fourth People’s Hospital,Zigong 643000,China;Sichuan Anyue County People’s Hospital,Ziyang 642350,China;Chongqing Liangjiang New Area Kangmei Community Health Center,Chongqing 401123,China)

机构地区：[1]自贡市第四人民医院,自贡643000 [2]四川省安岳县人民医院,资阳642350 [3]重庆市两江新区康美社区卫生服务中心,重庆401123

出　　处：《上海针灸杂志》2025年第3期267-271,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：四川省中医药管理局科学技术研究专项课题(2020CP0035)。

摘　　要：目的观察针刺联合推拿治疗肩关节周围炎(肩周炎)的临床疗效及对肌力的影响。方法将80例肩周炎患者随机分为联合组和推拿组,每组40例。推拿组采用推拿治疗,联合组采用针刺联合推拿治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、肩关节活动范围和Constant-Murley肩关节功能评分(Constant-Murley score,CMS)的变化,并比较两组临床疗效。结果联合组的总有效率为95.0%,高于推拿组的77.5%(P<0.05)。治疗后,两组VAS评分均降低(P<0.05),且联合组低于推拿组(P<0.05)。治疗后,两组肩关节活动范围均扩大(P<0.05),且联合组大于推拿组(P<0.05)。治疗后,两组CMS中肌力、肩关节活动度、日常生活能力评分均升高,且联合组高于推拿组,差异有统计学意义(P<0.05);两组疼痛程度评分降低,且联合组低于推拿组,差异有统计学意义(P<0.05)。结论针刺联合推拿治疗肩周炎能够改善患者肩关节功能,提高患者肌力,疗效显著。Objective To observe the clinical efficacy of acupuncture plus tuina therapy for scapulohumeral periarthritis and its effect on myodynamia.Method Eighty patients with scapulohumeral periarthritis were randomized to combination and tuina groups,with 40 cases in each group.The Tuina group received tuina therapy and the combination group,acupuncture plus tuina therapy.The pain visual analog scale(VAS)score,shoulder range of motion and the constant-murley score(CMS)were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 95.0%in the combination group,which was higher than 77.5%in the Tuina group(P<0.05).After treatment,the VAS score decreased in the two groups(P<0.05)and was lower in the combination group than in the Tuina group(P<0.05).After treatment,shoulder range of motion increased in the two groups(P<0.05)and was larger in the combination group than in the Tuina group(P<0.05).After treatment,myodynamia,shoulder joint mobility and the activities of daily living score of CMS increased in the two groups and were higher in the combination group than in the Tuina group,with statistically significant differences(P<0.05);the pain severity score of CMS decreased in the two groups and was lower in the combination group than in the Tuina group,with statistically significant differences(P<0.05).Conclusion Acupuncture plus tuina therapy for scapulohumeral periarthritis can improve shoulder joint function and increase myodynamia in the patients with a marked effect.

关 键 词：肩周炎 肩凝症 针刺疗法 推拿 肩关节功能 肌力 

分 类 号：R246.2[医药卫生—针灸推拿学]