摘要
目的探讨小针刀疗法结合肩关节液压扩张、传统推拿手法治疗顽固性肩周炎的临床效果。方法选取70例顽固性肩周炎患者,按照治疗方法的不同分为观察组与对照组,各35例。对照组接受肩关节液压扩张、传统推拿手法治疗,观察组在对照组基础上联合小针刀疗法治疗。比较2组治疗前后炎性因子、三角肌肌信号值、肩关节功能、中医证候、肩周区疼痛程度变化情况,比较2组临床疗效。结果2组治疗后中医证候(关节肿胀、关节畏寒、关节沉重、关节疼痛)评分、C反应蛋白、降钙素原水平均下降,三角肌肌信号值、肩关节功能评分(疼痛、关节活动度、肢力、日常生活能力)升高,且观察组C反应蛋白、中医证候(关节肿胀、关节畏寒、关节沉重、关节疼痛)评分、降钙素原水平低于对照组,肩关节功能评分、三角肌肌信号值高于对照组(均P<0.05)。2组治疗后肩周区疼痛程度呈下降趋势,且观察组肩周区疼痛程度降低显著(P<0.05)。观察组临床疗效总有效率(94.29%,33/35)高于对照组(77.14%,27/35)(P<0.05)。结论小针刀疗法结合肩关节液压扩张、传统推拿手法治疗顽固性肩周炎,可明显改善患者中医证候评分、肩周区疼痛程度,提高肩关节功能、三角肌肌信号值,降低炎性因子水平,临床效果确切。
Objective To explore the clinical effect of small needle knife therapy combined with shoulder joint hydraulic dilation and traditional massage techniques in the treatment of intractable periarthritis of the shoulder.Methods 70 patients with intractable periarthritis of shoulder were selected and divided into the observation group and the control group according to different treatment methods,with 35 cases in each group.The control group received shoulder joint hydraulic dilation and traditional massage techniques,while the observation group received combined treatment with small needle knife therapy on the basis of the treatment of the control group.The changes in inflammatory factors,deltoid muscle signal values,shoulder joint function,traditional Chinese medicine(TCM)syndromes,and pain degree in the perishoulder area before and after treatment in two groups were compared,and clinical efficacy of two groups was compared.Results After treatment,the scores of TCM syndromes(joint swelling,joint chills,joint heaviness,joint pain),and the levels of C-reactive protein and procalcitonin decreased on average,while the deltoid muscle signal values and shoulder joint function scores(pain,joint range of motion,limb strength,and activities of daily living)increased.Moreover,C-reactive protein level,the scores of TCM syndromes(joint swelling,joint chills,joint heaviness,joint pain),and procalcitonin level in the observation group were lower than those in the control group,while the score of shoulder joint function and the signal value of the deltoid muscle in the observation group were higher than those in the control group(all P<0.05).After treatment,the degree of pain in the perishoulder area showed a decreasing trend,and the degree of pain in the perishoulder area of the observation group decreased significantly(P<0.05).The total effective rate in the observation group(94.29%,33/35)was higher than that in the control group(77.14%,27/35)(P<0.05).Conclusion The small needle knife therapy combined with shoulder joint hydraulic dilation and traditional massage techniques can significantly improve the TCM syndrome scores and the degree of pain in the perishoulder area of patients,enhance the shoulder joint function and deltoid muscle signal values,and reduce the levels of inflammatory factors.The clinical effect is definite.
作者
王尊宾
韩福康
WANG Zunbin;HAN Fukang(Department of Orthopedics and Traumatology,Zibo First Hospital,Zibo 255200,China)
出处
《长春中医药大学学报》
2025年第8期908-912,共5页
Journal of Changchun University of Chinese Medicine
基金
山东省中医药科技项目(Q-2023163)。
关键词
小针刀疗法
肩关节液压扩张
传统推拿手法
顽固性肩周炎
肩关节功能
肩周区疼痛程度
small needle knife therapy
hydraulic dilation of the shoulder joint
traditional massage techniques
intractable periarthritis of the shoulder
shoulder joint function
degree of pain in the perishoulder area
