针刺联合运动疗法治疗肩袖损伤的疗效观察及对肩外旋角的影响  

Therapeutic observation of acupuncture combined with exercise therapy for rotator cuff injury and its effect on external rotation angle of the shoulder

作　　者：王昭琦[1] 周秋燕 刘元[1] 赵耀[1] WANG Zhaoqi;ZHOU Qiuyan;LIU Yuan;ZHAO Yao(The Second People’s Hospital of Dalian,Dalian 116013,China)

机构地区：[1]大连市第二人民医院,大连116013

出　　处：《上海针灸杂志》2025年第3期272-276,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：大连市医学重点专科建设项目(2021);辽宁省自然科学基金项目(2020-MS-336)。

摘　　要：目的观察苍龟探穴针刺法与肩胛带稳定性训练治疗肩袖损伤的临床疗效及对肩外旋角的影响。方法将100例肩袖损伤患者随机分为单一组和联合组,每组50例。单一组采用肩胛带稳定性训练干预方案,联合组在单一组的基础上采用苍龟探穴针刺法。观察两组治疗前后美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分、疼痛视觉模拟量表(visual analog scale,VAS)评分、肩周激痛点(myofascial trigger point,MTrP)数量、肩关节活动度及健康调查简表(MOS 36-item short-form health survey,SF-36)评分的变化,并比较两组临床疗效。结果联合组的总有效率为92.0%,高于单一组的70.0%(P<0.05)。两组治疗后ASES评分均升高(P<0.05),且联合组高于单一组(P<0.05)。两组治疗后VAS评分均降低(P<0.05),且联合组低于单一组(P<0.05)。两组治疗后MTrPs数量均减少(P<0.05),且联合组少于单一组(P<0.05)。两组治疗后肩关节活动度均增大(P<0.05),且联合组大于单一组(P<0.05)。两组治疗后SF-36评分均升高(P<0.05),且联合组高于单一组(P<0.05)。结论针刺联合肩胛带稳定性训练可有效缓解肩袖损伤患者肩部疼痛,促进肩关节功能恢复。Objective To observe the clinical efficacy of Cang Gui Tan Xue needling combined with scapular stability training in treating rotator cuff injury and its effect on external rotation angle of the shoulder.Method One hundred patients with rotator cuff injury were randomized into a monotherapy group and an integrated group,each consisting of 50 cases.The monotherapy group was intervened by scapular stability training,and the integrated group was additionally treated with Cang Gui Tan Xue needling method.The two groups were observed for the post-treatment changes in the American Shoulder and Elbow Surgeons(ASES)score,pain visual analog scale(VAS)score,the number of myofascial trigger points(MTrPs)around the shoulder,shoulder range of motion(ROM),and the score of the MOS 36-item short-form health survey(SF-36).The clinical efficacy was also compared between the two groups.Result The total effective rate was 92.0%in the integrated group,higher than 70.0%in the monotherapy group(P<0.05).After the treatment,the ASES score increased in both groups(P<0.05)and was higher in the integrated group than in the monotherapy group(P<0.05).The VAS score went down in the two groups after the treatment(P<0.05)and was lower in the integrated group compared to the monotherapy group(P<0.05).After the intervention,both groups showed a decrease in the number of MTrPs(P<0.05),and the integrated group had a smaller number than the monotherapy group(P<0.05).The shoulder ROM increased after the treatment in the two groups(P<0.05)and was larger in the integrated group compared to the monotherapy group(P<0.05).Both groups showed an increase in the SF-36 score after the intervention(P<0.05),and the score was higher in the integrated group than in the monotherapy group(P<0.05).Conclusion Acupuncture plus scapular stability training can alleviate shoulder pain and encourage the recovery of shoulder joint function in patients with rotator cuff injury.

关 键 词：针刺疗法 苍龟探穴 肩袖损伤 肩胛带稳定性训练 关节功能 

分 类 号：R246.2[医药卫生—针灸推拿学]