平衡针联合功能锻炼对肩周炎患者肩周运动障碍和临床症状的影响

Effects of Balanced Acupuncture Combined with Function Exercise on Shoulder Dyskinesia and Clinical Symptoms in Patients with Periarthritis of Shoulder

目的探讨平衡针联合功能锻炼对肩周炎患者肩周运动障碍和临床症状的影响及可能作用机制。方法选取2018年10月—2019年8月期间收治的60例肩周炎为研究对象,根据入院顺序编号,将单号患者分为观察组,双号患者分为对照组,每组各30例。对照组进行功能锻炼,观察组进行平衡针联合功能锻炼,比较两组治疗疗效,治疗前后简化McGill疼痛量表(the short-form McGill Pain Questionnair,SF-MPQ)评分、Constant-Murley评分(Constant Murley Score,CMS)和日本骨科学会评分标准(Japanese Orthopaedic Association scores,JOA)评分,治疗前后血清白介素-1β(interleukin-1β,IL-1β)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组SF-MPQ量表总分均低于对照组,CMS评分和JOA评分均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组血清IL-1β、TNF-α、PGE2、5-HT水平均低于对照组,差异有统计学意义(P<0.05)。结论平衡针联合功能锻炼能有效改善肩周炎患者肩部疼痛、肩周运动障碍等临床症状,其作用机制可能与降低IL-1β、TNF-α等炎症因子水平有关。

Objective To explore effects of balanced acupuncture combined with function exercise on shoulder dyskinesia and clinical symptoms in patients with periarthritis of shoulder its possible mechanism.Methods Sixty patients with periarthritis of shoulder treated in the community health service center from October 2018 to August 2019 were selected as the subjects.Accordingto admission order,patients with odd number were included into the observation group,while those with even number were included into the control group,30 cases in each group.The control group was given function exercise,while the observation group was given balanced acupuncture combined function exercise.The curative effect,score of short-form McGill Pain Questionnair(SFMPQ),Constant Murley Score(CMS),score of Japanese Orthopaedic Association(JOA),levels of serum interleukin 1-β(IL-1β)and tumor necrosis factor-α(TNF-α)before and after treatment were compared between the two groups.ResultsThe total response rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the total score of SF-MPQ in the observation group was lower than that in the control group,while CMS and JOA scores were higher than those in the control group(P<0.05).After treatment,levels of serum IL-1β,TNF-α,PGE2 and 5-HT in the observation group were lower than those in the control group(P<0.05).ConclusionBalanced acupuncture combined with function exercise can effectively improve clinical symptoms such as shoulder pain and shoulder dyskinesia in patients with periarthritis of shoulder.The action mechanism may be related to decreasing levels of inflammatory factors such as IL-1βand TNF-α.