温针灸联合功能锻炼对风寒湿型肩周炎患者中医证候及肩关节功能的影响

Effect of Warm Acupuncture and Moxibustion Combined with Functional Exercise on TCM Syndromes and Shoulder Joint Function in Patients with Periarthritis of Wind Cold Dampness Type

目的探究温针灸联合功能锻炼对风寒湿型肩周炎患者中医证候及肩关节功能的影响.方法选取2020年6月—2022年6月本院收治的82例风寒湿型肩周炎患者为研究对象,按随机数字表法分为两组,每组41例.对照组进行功能锻炼,观察组在此基础上采用温针灸干预,均持续干预4周.对比两组患者的疼痛程度、中医证候及肩关节功能.结果干预后,观察组的疼痛视觉模拟评分为(2.01±0.26)分,低于对照组,差异有统计学意义(P<0.05).干预后,观察组的肩部窜痛、畏风恶寒、肩部沉重感评分分别为(1.15±0.12)分、(1.07±0.11)分、(0.93±0.12)分,均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的Constant-Murley肩关节功能评分量表中肩关节活动度、日常生活能力、疼痛、肌力评分分别为(32.16±3.32)分、(15.36±1.31)分、(12.10±1.22)分、(20.65±1.63)分,均高于对照组,组间差异有统计学意义(P<0.05).结论温针灸联合功能锻炼能够有效减轻风寒湿型肩周炎患者的临床症状,缓解疼痛,改善其肩关节功能,可于临床推广.

Objective To explore the effect of warm acupuncture and moxibustion combined with functional exercise on TCM syndromes and shoulder joint function of patients with periarthritis of wind cold dampness type.Methods 82 patients with wind cold dampness type periarthritis of shoulder admitted to the hospital from June 2020 to June 2022 were selected as the research objects and were divided into two groups according to random number table method,with 41 cases in each group.The control group received functional exercise,and the observation group received warm acupuncture and moxibustion on the basis of the intervention.Both groups continued to intervene for 4 weeks.The pain degree,TCM syndrome and shoulder joint function were compared between the two groups.Results After the intervention,the pain visual analogue scale score of the observation group was(2.01±0.26)points,which was lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of shoulder pain,wind aversion and cold aversion,shoulder heaviness in the observation group were(1.15±0.12)points,(1.07±0.11)points and(0.93±0.12)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the shoulder joint motion,daily living ability,pain and muscle strength scores in the Constant-Murley shoulder function scale of the observation group were(32.16±3.32)points,(15.36±1.31)points,(12.10±1.22)points and(20.65±1.63)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Warm acupuncture and moxibustion combined with functional exercise can effectively reduce the clinical symptoms of wind-cold-wet periarthritis of shoulder patients,relieve pain,improve the function of shoulder joint,and can be popularized in clinic.