发散式体外冲击波与针刺治疗肩周炎的疗效对比观察  

Clinical efficacy observation of radial extracorporeal shock wave therapy and acupuncture therapy for patients with scapulohumeral periarthritis

作　　者：白硕 白伟 盛黎 朱前拯[3] 葛瑞东[4] BAI Shuo;BAI Wei;SHENG Li(Rehabilitation Department of Taiyanggong Community Health Service Center,Chaoyang District,Beijing 100028,China)

机构地区：[1]北京市朝阳区太阳宫社区卫生服务中心康复医学科,北京100028 [2]北京体育大学运动医学与康复学院,北京100091 [3]中日友好医院创伤骨科,北京100029 [4]中日友好医院康复医学科,北京100029

出　　处：《中日友好医院学报》2025年第1期13-17,共5页Journal of China-Japan Friendship Hospital

基　　金：中央高水平医院临床科研业务费资助(2023-NHLHCRF-YYPPLC-TJ-19)。

摘　　要：目的:比较发散式体外冲击波(rESW)与针刺治疗肩周炎的疗效。方法:将肩周炎患者随机分为对照组、针刺组和ESW组,最终每组纳入20例,对照组患者行常规理疗,针刺组、ESW组患者分别在常规理疗基础上增加针刺、rESW治疗,2次/周,治疗8周。治疗前、治疗后4周、治疗后8周分别评估Constant-Murley肩关节评分(CMS)、美国肩肘外科评分(ASES)、SF-12简明生存质量量表评分。结果:与对照组相比,针刺组和ESW组在治疗4周和治疗8周时的CMS、ASES和SF-12评分提高,差异有统计学意义(均P<0.05);与针刺组相比,治疗8周时ESW组CMS和ASES评分更高。结论:经筋理论下rESW治疗肩周炎患者,可有效缓解肩疼痛、改善肩功能和日常生活活动能力。Objective:To compare the efficacy of radial extracorporeal shock wave(rESW)with acupuncture in the treatment of scapulohumeral periarthritis.Methods:Patients with scapulohumeral periarthritis were randomly divided into three groups:control,acupuncture,and rESW groups,with 20 cases in each ultimately.All groups received routine physiotherapy,while the acupuncture and rESW groups received additional treatments(2 sessions/week for 8 weeks).Outcomes were assessed using Chinese version of the Constant-Murley shoulder scoring scale(CMS),American shoulder and elbow surgeons scale(ASES),and 12-item short form health survey(SF-12)scores at baseline,4 weeks and 8 weeks after the therapy.Results:Compared to the control group,the acupuncture and rESW groups showed significant improvements in CMS,ASES,and SF-12 scores at both 4 and 8 weeks.At 8 weeks,the rESW group demonstrated higher CMS and ASES scores than the acupuncture group.Conclusion:rESW therapy based on meridian theory effectively relieves shoulder pain and improves function after 8 weeks.

关 键 词：肩周炎 临床疗效观察 体外冲击波 

分 类 号：R493[医药卫生—康复医学]