[1]邢皓宇,贾 超.肩胛平衡扬刺法埋线治疗肩周炎疗效研究[J].陕西中医,2023,(7):949-952.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.029]
 XING Haoyu,JIA Chao.Effect study on Yangci needling and Maixian based on scapular balance in treatment of scapulohumeral periarthritis[J].,2023,(7):949-952.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.029]
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肩胛平衡扬刺法埋线治疗肩周炎疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年7期
页码:
949-952
栏目:
针灸经络
出版日期:
2023-07-05

文章信息/Info

Title:
Effect study on Yangci needling and Maixian based on scapular balance in treatment of scapulohumeral periarthritis
作者:
邢皓宇1贾 超2
(1.广州中医药大学第一临床医学院,广东 广州 518000; 2.广州中医药大学第一附属医院推拿科,广东 广州 518000)
Author(s):
XING HaoyuJIA Chao
(The First Clinical College of Medicine,Guangzhou University of Traditional Chinese Medicine,Guangzhou 518000,China)
关键词:
肩周炎 肩胛平衡理论 扬刺法 埋线 疼痛程度 活动范围
Keywords:
Scapulohumeral periarthritis Theory of scapular balance Yangci needling Maixian Degree of pain Scope of activities
分类号:
R 323.4
DOI:
DOI:10.3969/j.issn.1000-7369.2023.07.029
文献标志码:
A
摘要:
目的:探讨肩胛平衡扬刺法埋线治疗肩周炎的临床疗效。方法:将60例肩周炎患者分为埋线组、针刺组,每组30例。针刺组给予常规针刺治疗; 埋线组采用肩胛平衡扬刺法埋线治疗。治疗后比较两组治疗效果。运用Corstant-Murley评分表(CMS)对患者病情进行评估,用视觉模拟评分法(VAS)对患者疼痛程度进行评估,比较两组患者上举、外展、内旋活动范围。结果:埋线组总有效率96.7%高于针刺组的83.3%,差异有统计学意义(P<0.05)。两组治疗后的CMS均升高,且埋线组高于针刺组,差异有统计学意义(P<0.05)。两组治疗后VAS评分均降低,且埋线组低于针刺组,差异有统计学意义(P<0.05)。治疗后两组患者上举、外展、内旋活动范围均提高,且埋线组外展、内旋活动范围大于针刺组,差异有统计学意义(P<0.05)。结论:肩胛平衡扬刺法埋线治疗肩周炎疗效较好,能有效缓解病情,改善肩关节活动度,减轻疼痛程度。
Abstract:
Objective:To explore clinical effect of the treatment for scapulohumeral periarthritis by Yangci needling and Maixian with scapular balance.Methods:60 patients with scapulohumeral periarthritis were divided into catgut embedding group and acupuncture group,30 cases in each group.The acupuncture group were given routine acupuncture treatment.The catgut embedding group were treated by Yangci needling and Maixian of scapular balance.The therapeutic effects of the two groups were compared.Patient's condition was evaluated using the Constant-Murley score(CMS).The pain degree was evaluated by visual analog scale(VAS).Compare the range of motion of lifting,abduction and pronation between the two groups.Results:The total effective rate of the catgut embedding group was 96.7% higher than that in the acupuncture group 83.3%,difference statistically significant(P<0.05).After treatment,CMS in both groups increased,the catgut embedding group was higher than that in the acupuncture group,difference statistically significant(P<0.05).After treatment,VAS score of the two groups decreased,the catgut embedding group was lower than that in the acupuncture group,difference statistically significant(P<0.05).After treatment,the range of lifting,abductions and pronations in the two groups were significantly improved.The range of abductions and pronations in the catgut embedding group were higher than those in the acupuncture group,difference statistically significant(P<0.05).Conclusion:Treatment of scapulohumeral periarthritis with Yangci needling and Maixian based on scapular balance has better effective,which can effectively relieve the disease,improve the range of motion of shoulder joint and reduce degree of pain.

参考文献/References:

[1] 何 杰,马 林,郑昱新.肩周炎研究进展[J].世界最新医学信息文摘,2018,18(76):112-113,116.
[2] 杨际凤,张伟雄.基于《黄帝内针》理论探讨针刺治疗肩周炎的疗效[J].中国民间疗法,2022,30(21):20-22.
[3] 王术玉,蔡树玲,朱德友,等.近十年肩周炎中医外治法临床研究进展[J].光明中医,2020,35(9):1435-1437.
[4] 曹坤燕,郭珈宜,李 峰,等.针灸治疗肩周炎的临床研究进展[J].中国疗养医学,2022,31(7):690-692.
[5] 李洪涛,霍煜廷,周 茜,等.穴位埋线治疗肩周炎有效性的Meta分析[J].中医药信息,2020,37(1):30-35.
[6] 石学敏.临床疼痛治疗学[M].北京:中国中医药出版社,2007:209.
[7] 许能贵,符文彬.临床针灸学[M].北京:科学出版社,2019:268-270.
[8] 倪博然,赵进喜,黄为钧,等.基于视觉模拟评分法探究中医临床疗效评价新方法[J].中华中医药杂志,2021,36(1):288-292.
[9] 田子睿,姚 敏,王拥军,等.中文版Constant-Murley肩关节评分量表的研制与应用[J].中医正骨,2019,31(5):3.
[10] 陈佐邦.中医病证诊断与疗效标准[M].南京:南京大学出版社,1994:186-187.
[11] 寇久社,张保平,张 鸿,等.基于实际的MRI检查分析:肩周炎的命名准确吗[J].颈腰痛杂志,2018,39(3):360.
[12] Brun SP.Idiopathic frozen shoulder[J].Aust Journal Gen Pract,2019,48(11):757-761.
[13] Neviaser JS.Arthrography of the shoulder joint:Study of the findings in adhesive capsulitis of the shoulder[J].Journal Bone Joint Surg Am,1962,44(11):1321-1359.
[14] 傅少峰,林宗汉,陈庆荣,等.中医导引术防治肩周炎的研究进展[J].风湿病与关节炎,2022,11(2):77-80.
[15] Harpal SU,Jonathan PE,Christopher S.Frozen shouler:A systematic review of therapeutic options[J].World J Orthop,2015,6(2):263-268.
[16] 莫炽寿,范建楠,王 硕,等.冻结肩治疗的研究进展[J].中国现代医生,2019,57(17):165-168.
[17] 胡玉东,滕居赞.中医特色治疗在肩周炎治疗中的运用进展[J].大众科技,2022,24(7):49-51,56.
[18] 李红波,石建辉.肩周炎外治疗法研究进展[J].中国民族民间医药,2021,30(15):65-68.
[19] 王会丽,刘瑞芳,马爱琴.针刺联合弧刃针疗法治疗肩周炎疗效及对患者肩关节功能、活动度、肌力的影响[J].陕西中医,2019,40(10):1457-1459.
[20] 董建萍,蔡 磊,王丹丹,等.针刺结合穴位埋线治疗肩周炎45例临床观察[J].黑龙江中医药,2019,48(2):196-197.

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备注/Memo

备注/Memo:
基金项目:广东省科技计划项目(2019A141405022)
更新日期/Last Update: 2023-07-10