摘要
Objective:To evaluate the clinical efficacy of acupuncture combined with Tuina(Chinese therapeutic massage)and passive movement in treating scapulohumeral periarthritis(SP).Methods:Ninety patients with SP were recruited and randomly assigned to a treatment group and a control group using the random number table method,with 45 cases in each group.The control group received conventional acupuncture and Tuina manipulation,while the treatment group received acupuncture combined with Tuina and passive movement.Both groups received one session of treatment.Pain scores and shoulder joint range of motion were assessed pre-treatment,post-treatment,and at one-week follow-up.Results:The total effective rate in the treatment group was significantly higher than that in the control group immediately after treatment and at one-week follow-up(P<0.01).After treatment,both groups exhibited decreases in visual analog scale(VAS)score and increases in the American Shoulder and Elbow Surgeons Society standardized shoulder assessment score(ASES).Differences within and between groups were statistically significant(P<0.01).Conclusion:Compared to acupuncture combined with Tuina manipulation,acupuncture combined with Tuina and passive movement demonstrated better immediate and short-term therapeutic effects for treating SP,showing greater advantages in alleviating pain and improving shoulder joint range of motion.
目的:观察针刺结合推拿被动运动治疗肩周炎(SP)的临床疗效。方法:共纳入90例肩周炎患者,将其按随机数字表法分为治疗组和对照组,每组45例。对照组接受常规针刺及推拿治疗,治疗组接受针刺结合推拿被动运动治疗。两组均治疗1次。观察治疗前后及随访1周时两组疼痛评分和肩关节活动度改善情况。结果:治疗后即刻及随访1周时治疗组总有效率均高于对照组(P<0.01)。治疗后,两组疼痛视觉模拟量表(VAS)评分下降,美国肩肘外科协会标准肩关节评分(ASES)升高;组内及组间差异均有统计学意义(P<0.01)。结论:与针刺结合推拿治疗相比,针刺结合推拿被动运动治疗肩周炎的即刻及近期疗效更佳,在减轻疼痛及改善肩关节活动度方面更具优势。
基金
国家中医药管理局中医药创新团队及人才支持计划项目,No.ZYYCXTD-C-202008
上海申康医院发展中心临床计划,No.SHDC2020CR4055
上海市申康中心示范性研究型病房建设,No.SHDC2022CRW010
促进市级医院临床技能与临床创新能力三年行动计划,No.SHDC2022CRT018
上海市卫生健康委员会科研项目,No.202340136
上海中医药大学科技发展项目,No.23KFW22.
