[1]史文平,陈龙安,罗树雄,等.火龙罐循经取穴联合理筋推拿治疗肩袖损伤疗效研究[J].陕西中医,2025,46(7):987-991.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.025]
 SHI Wenping,CHEN Longan,LUO Shuxiong,et al.Study on therapeutic effect of cupping along meridians combined with tendon massage on rotator cuff injury[J].,2025,46(7):987-991.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.025]
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火龙罐循经取穴联合理筋推拿治疗肩袖损伤疗效研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年7期
页码:
987-991
栏目:
针灸经络
出版日期:
2025-07-05

文章信息/Info

Title:
Study on therapeutic effect of cupping along meridians combined with tendon massage on rotator cuff injury
作者:
史文平陈龙安罗树雄卢宗孝谢玉玲
(广州中医药大学东莞医院针灸推拿科,广东 东莞 523127)
Author(s):
SHI WenpingCHEN Long’anLUO ShuxiongLU ZongxiaoXIE Yuling
(Department of Acupuncture and Massage,Guangzhou University of Chinese Medicine Dongguan Hospital,Dongguan 523127,China)
关键词:
肩袖损伤火龙罐循经取穴理筋推拿法疼痛关节活动度关节功能炎症因子
Keywords:
Rotator cuff injuryFire dragon cuppingAcupoint selection along meridiansTendon massagePainJoint mobilityJoint functionInflammatory factors
分类号:
R 244.1
DOI:
DOI:10.3969/j.issn.1000-7369.2025.07.025
文献标志码:
A
摘要:
目的:观察火龙罐循经取穴联合理筋推拿治疗肩袖损伤临床疗效。方法:选取120例肩袖损伤寒湿瘀滞证患者,采用随机数字表法按1∶1比例随机分为对照组、观察组,各60例。对照组予以理筋推拿规范化治疗,观察组在对照组基础上实施火龙罐循经取穴治疗。比较两组关节疼痛情况、关节活动度、关节功能、影像学指标、炎症因子等。结果:治疗后,观察组VAS评分低于对照组,Constant-Murley评分高于对照组,差异有统计学意义(均P<0.05)。治疗后,观察组关节活动度大于对照组,差异有统计学意义(P<0.05)。治疗后,观察组肌腱厚度、肌腱T2 mapping值、肩峰下滑囊积液深度低于对照组,差异有统计学意义(均P<0.05)。治疗后,观察组TNF-α、MMP-3水平低于对照组(P<0.05)。观察组患者总有效率高于对照组(P<0.05)。结论:火龙罐循经取穴联合理筋推拿通过“减容(降低肌腱厚度)、复序(改善T2值)、消滞(减少滑囊积液)、抑炎(下调TNF-α/MMP-3)”等多靶点作用,减轻RCI患者疼痛症状,促进患者结构修复及肩关节功能恢复,改善关节活动,提高临床疗效。
Abstract:
Objective:To observe clinical effect of cupping along meridians combined with tendon massage on rotator cuff injury.Methods:120 cases of rotator cuff injury with cold-dampness stasis syndrome were randomly divided into control group(n=60) and observation group(n=60).The control group were given standardized treatment of tendon massage,and the observation group treated with fire dragon cupping along meridian on the basis of the control group.Joint pain,joint range of motion,joint function,imaging parameters and inflammatory factors were compared between the two groups.Results:After treatment,the VAS score of the observation group was lower than that in the control group,and Constant-Murley score were higher than those in the control group,differences statistically significant (all P<0.05).After treatment,the range of motion in the observation group were greater than that in the control group,difference statistically significant (P<0.05).After treatment,the tendon thickness,tendon T2 mapping value,and depth of subacromial bursa effusion in the observation group were lower than those in the control group,differences statistically significant (all P<0.05).After treatment,TNF-α and MMP-3 levels in the observation group were lower than those in the control group (P<0.05).The overall response rate in the observation group was higher than that in the control group (P<0.05).Conclusion:Dragon cupping combined with tendon massage can reduce pain symptoms of patients with rotator cuff injury,promote structural repair and recovery of shoulder joint function,improve joint activity and improve clinical efficacy through multiple targets such as volume reduction (reducing tendon thickness),re-sequencing (improving T2 value),stagnation (reducing bursal effusion) and inflammation (down-regulating TNF-α/MMP-3).

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备注/Memo

备注/Memo:
广东省中医药局科研项目(20241123);广东省东莞市社会发展科技项目(20221800901742)
更新日期/Last Update: 2025-07-09