肌骨超声引导下圆利针温针与传统肩三针温针对肩周炎患者疼痛、肩关节功能的影响  

Effect of Musculoskeletal Ultrasound-Guided Warm Round Sharp Needle Acupuncture Combined with Traditional Warm Acupuncture of Three-Needle Therapy for the Shoulder on Pain and Shoulder Joint Function of Patients with Frozen Shoulder

作　　者：邱昌民 林兵宾 邵辉 潘庆兵 俞建辉 盛培新 鲍建飞 QIU Changmin;LIN Bingbin;SHAO Hui;PAN Qingbing;YU Jianhui;SHENG Peixin;BAO Jianfei(Department of Acupuncture and Moxibustion,Lanxi Hospital of Traditional Chinese Medicine,Jinhua Zhejiang 321100,China;Department of Massage,Lanxi Hospital of Traditional Chinese Medicine,Jinhua Zhejiang 321100,China;Department of Preventive Treatment for Disease,Lanxi Hospital of Traditional Chinese Medicine,Jinhua Zhejiang 321100,China)

机构地区：[1]兰溪市中医院针灸科,浙江兰溪321100 [2]兰溪市中医院推拿科,浙江兰溪321100 [3]兰溪市中医院治未病科,浙江兰溪321100

出　　处：《新中医》2025年第6期76-80,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2023ZL757)。

摘　　要：目的:观察肌骨超声引导下圆利针温针与传统肩三针温针对肩周炎患者疼痛、肩关节功能的影响。方法:选取2022年9月—2024年1月兰溪市中医院收治的80例肩周炎患者作为研究对象,按照随机数字表法分为对照组与观察组各40例。对照组采用传统肩三针温针治疗,观察组采用肌骨超声引导下圆利针温针治疗,均治疗4周。比较2组临床疗效,治疗前后疼痛程度[McGiLL疼痛量表(MPQ)]、肩关节功能[Constant-Murley肩关节评分量表(CMS)],评价治疗安全性。结果:观察组总有效率为95.00%(38/40),对照组为80.00%(32/40),组间比较,差异有统计学意义(P<0.05)。治疗后,2组MPQ各项评分及总分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗后,2组CMS量表中疼痛、肌力关节活动度、日常生活能力评分及总分均较治疗前升高(P<0.05),且观察组上述各项评分均高于对照组(P<0.05)。治疗后,2组安全性分级比较,差异无统计学意义(P>0.05)。结论:肌骨超声引导下圆利针温针及传统肩三针温针治疗肩周炎患者,均可有效缓解患者疼痛程度,改善肩关节功能,但以肌骨超声引导下圆利针温针疗法效果更佳。Objective:To observe the effect of the combination use of musculoskeletal ultrasound-guided warm round sharp needle acupuncture combined with traditional warm acupuncture of three-needle therapy for the shoulder on pain and shoulder joint function of patients with frozen shoulder.Methods:A total of 80 patients with frozen shoulder admitted to the Lanxi Hospital of Traditional Chinese Medicine from september 2022 to January 2024 were selected as study objects and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group was treated with traditional warm acupuncture of three-needle therapy,and the observation group was treated with musculoskeletal ultrasound-guided warm round sharp needle acupuncture.The two groups were treated for four weeks.The clinical effects,and pain degree[McGiLL Pain Questionnaire(MPQ)]and shoulder joint function[Constant-Murley Score(CMS)]before and after treatment were compared between the two groups;the safety evaluation was done during the treatment.Results:The total effective rate was 95.00%(38/40)in the observation group and 80.00%(32/40)in the control group,the difference being significant(P<0.05).After treatment,each score in MPQ and total scores in the two groups were reduced when compared with those before treatment(P<0.05),and each score in the observation group was lower than that in the control group(P<0.05).After treatment,the scores of pain,muscle strength,joint mobility,and ability of daily living in CMS and the total scores in the two groups were elevated when compared with those before treatment(P<0.05),and the above scores in the observation group were higher than those in the control group(P<0.05).After treatment,there was no significant difference being found in the comparison of safety grading between the two groups(P>0.05).Conclusion:The combination use of musculoskeletal ultrasound-guided warm round sharp needle acupuncture and traditional warm acupuncture of three-needle therapy

关 键 词：肩周炎 肌骨超声 圆利针 肩三针 温针 McGiLL疼痛量表 肩关节功能 

分 类 号：R684.3[医药卫生—骨科学]