摘要
目的 观察肩三针中能量冲击波联合常规康复训练对肩袖损伤的临床疗效。方法 纳入62例肩袖损伤患者,采用随机数字表法分为对照组和观察组,每组31例。对照组接受常规康复治疗,包括运动训练和关节松动手法;观察组在对照组治疗基础上于肩三针穴(肩髃、肩贞和肩髎穴)用中能量冲击波治疗。治疗前和治疗后,分别采用Constant-Murley量表(Constant-Murley scale, CMS)评分、加州大学肩关节量表(University of California at Los Angeles shoulder scale, UCLASS)和疼痛视觉模拟量表(visual analog scale, VAS)评分进行评估。结果 治疗前,两组CMS、VAS及UCLASS评分比较,差异无统计学意义(P>0.05)。与治疗前比较,两组治疗后CMS、VAS及UCLASS评分均有所改善(P<0.05);观察组治疗后CMS、VAS及UCLASS评分均优于对照组(P<0.05)。观察组CMS中疼痛、肌力和活动的单项评分的改善程度均优于对照组(P<0.05),UCLASS中减轻疼痛、促进肌力提高和患者满意度单项评分的改善程度均优于对照组(P<0.05)。观察组显效率为80.6%,总有效率为93.5%,均高于对照组(P<0.05)。结论 在常规康复治疗基础上,肩三针中能量冲击波可提高肩袖损伤患者的临床疗效,可进一步改善肩关节活动度,减轻疼痛,提高肩关节功能。
Objective To observe the clinical efficacy of medium-energy shock wave therapy at Jian San Zhen plus conventional rehabilitation training in treating rotator cuff injuries(RCI).Method Sixty-two RCI patients were recruited and allocated to a control group and an observation group using the random number table method,with 31 participants in each group.The control group received conventional rehabilitation,including exercise training and joint mobilization manipulations.In addition to the intervention given to the control group,the observation group also received medium-energy shock wave therapy applied to Jian San Zhen[Jianyu(LI15),Jianzhen(SI9),and Jianliao(TE14)].Before and after the intervention,the two groups were assessed using the Constant-Murley Scale(CMS),University of California at Los Angeles shoulder scale(UCLASS),and visual analog scale(VAS).Result Before the treatment,the CMS,VAS,and UCLASS scores were statistically parallel between the two groups(P>0.05).Both groups presented improvements in the CMS,VAS,and UCLASS scores after the treatment(P<0.05);the observation group was superior to the control group in comparing the CMS,VAS,and UCLASS scores after the treatment(P<0.05).Compared to the control group,the observation group showed more significant improvements in the CMS component scores of pain,muscle strength,and motion(P<0.05)and in the UCLASS component scores of pain relief,muscle strength enhancement,and patient satisfaction(P<0.05).The observation group achieved a markedly effective rate of 80.6%and a total effective rate of 93.5%,both higher than the control group(P<0.05).Conclusion When combined with conventional rehabilitation training,medium-energy shock wave therapy at Jian San Zhen can enhance the clinical efficacy in treating RCI,further improving the shoulder joint range of motion,reducing pain,and fortifying shoulder joint function.
作者
刘强
王传杰
李秀明
王念宏
胡瑞萍
吴毅
LIU Qiang;WANG Chuanjie;LI Xiuming;WANG Nianhong;HU Ruiping;WU Yi(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Huashan Hospital,Fudan University,Shanghai 200040,China;Jinshan Hospital of Fudan University,Shanghai 201508,China;Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)
出处
《上海针灸杂志》
2025年第4期451-457,共7页
Shanghai Journal of Acupuncture and Moxibustion
基金
上海市中医药重点学科建设项目(shzyyzdxk-2024113)
国家中医药管理局国家临床研究基地专项科研课题(JDZX201923、JDZX201915)
复旦大学医工结合项目(yg2023-21)。
关键词
穴位疗法
肩袖损伤
针灸器械
穴
肩髃
穴
肩贞
穴
肩髎
Point therapy
Rotator cuff injuries
Acupuncture-moxibustion instrument
Point,Jianyu(LI15)
Point,Jianzhen(SI9)
Point,Jianliao(TE14)
