针刺六阳经输穴联合催气运动法治疗肩袖损伤的临床研究  

Clinical Study on Needling Shu Acupoints of Six Yang Meridians Combined with Qi-Stimulating Motion Acupuncture in Treatment of Rotator Cuff Injury

作　　者：唐娇 姜一鸣 万红棉[2] TANG Jiao;JIANG Yiming;WAN Hongmian(School of Acupuncture-Moxibustion and Tuina,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Jinan Hospital of Traditional Chinese Medicine,Jinan 250012,China)

机构地区：[1]山东中医药大学针灸推拿学院,山东济南250014 [2]济南市中医医院,山东济南250012

出　　处：《针灸临床杂志》2025年第3期15-19,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：“济南市优秀卫生计生人才培养工程”优秀学科带头人项目,编号:济卫科教发[2019]7号;济南市卫生健康委员会科技计划项目,编号:2023-中-28。

摘　　要：目的:观察针刺六阳经输穴联合催气运动法治疗肩袖损伤的临床疗效。方法:将66例肩袖损伤患者随机分为对照组与观察组,每组各33例,对照组予常规针刺治疗,观察组在对照组的基础上增加针刺六阳经输穴联合催气运动法治疗,均治疗4个疗程。分别在治疗前、治疗后及治疗结束后1个月观察两组肩关节功能评分(CMS)和医院焦虑抑郁量表(HADS)评分的变化并比较两组的临床疗效及安全性。在治疗前、首次治疗后、治疗后及治疗结束后1个月观察两组肩关节疼痛程度评分(VAS)的变化,观察组还记录首次治疗中针手三阳经输穴并催气运动后、针足三阳经输穴并催气运动后的VAS评分。结果:观察组在首次治疗中针手三阳经输穴并行催气运动后,VAS评分较治疗前降低不明显,继予针足三阳经输穴并行催气运动后,VAS评分较治疗前明显降低,差异具有统计学意义(P<0.05)。首次治疗后观察组VAS评分较治疗前明显降低,差异具有统计学意义(P<0.05)。治疗4个疗程后,两组VAS、HADS评分均低于治疗前,差异具有统计学意义(P<0.05),CMS评分均高于治疗前,差异具有统计学意义(P<0.05),且观察组VAS、CMS和HADS-A评分改善均优于对照组,差异具有统计学意义(P<0.05),HADS-D评分组间比较差异无统计学意义(P>0.05)。观察组总有效率90.90%(30/33),高于对照组总有效率84.85%(28/33)。随访时观察组各项指标仍优于对照组。两组均未出现不良事件。结论:针刺六阳经输穴联合催气运动法治疗肩袖损伤具有较好的临床疗效,即时止痛效应佳,可有效改善患者肩部不适症状,缓解患者焦虑抑郁情绪,提高患者生活质量。Objective:To observe the clinical efficacy of needling Shu acupoints of six Yang meridians combined with Qi-stimulating motion acupuncture in treatment of rotator cuff injury.Methods:A total of 66 patients with rotator cuff injury were randomly divided into the control group and the observation group,with 33 patients in each group.The control group was treated with conventional acupuncture;on which basis,the observation group was also treated with needling Shu acupoints of six Yang meridians combined with Qi-stimulating motion acupuncture.Both groups were treated for 4 courses.The Constang-Murley Score(CNS)and Hospital Anxiety and Depression Scale(HADS)scores were observed before the treatment,after 4 courses of the treatment and 1 month after the last treatment in the two groups.The clinical efficacy and safety rating were compared between the two groups.The scores of Visual Analog Scale(VAS)were observed before the treatment,after the first treatment,after 4 courses of the treatment and 1 month after the last treatment;moreover,in the observation group,the VAS scores were recorded after needling Shu acupoints of three Hand Yang meridians and needling Shu acupoints of three Foot Yang meridians after the first treatment,respectively.Results:The VAS score showed no significant reduction after the first treatment of needling Shu acupoints of three Hand Yang meridians combined with Qi-stimulating motion acupuncture,but the VAS score was significantly decreased after needling Shu acupoints of three Foot Yang meridians combined with Qi-stimulating motion acupuncture(P<0.05).After the first treatment,only the observation group showed significant decrease in the VAS score(P<0.05).The scores of VAS and HADS were lower after 4 courses of the treatment than those before the treatment in the two groups(P<0.05),and the CMS was significantly higher after the treatment than that before the treatment in the two groups(P<0.05);the improvements of the above indicators were more significant in the observation group than those in t

关 键 词：肩袖损伤 六阳经 输穴 运动针法 针刺 

分 类 号：R246.2[医药卫生—针灸推拿学]