温针灸联合康复训练对肩周炎患者肩关节功能及日常活动能力的影响

Effect of Warm Acupuncture and Moxibustion Combined with Rehabilitation Training on Shoulder Joint Function and Daily Activity Ability in Patients with Shoulder Periarthritis

目的探讨肩周炎患者采用温针灸联合康复训练的效果.方法选择2020年3月—2022年2月该院收治的肩周炎患者76例,按随机数字表法分为两组,各38例.两组均行常规治疗.对照组进行常规康复训练,观察组在对照组基础上采用温针灸治疗,两组均持续干预20 d.对比两组美国加州大学肩关节评分量表(UCLA)评分、中医症候积分及日常生活能力量表(ADL)评分.结果观察组干预20 d后UCLA中的疼痛、功能、前屈角度、前屈肌力及患者满意度评分分别为(8.24±0.88)分、(8.45±0.95)分、(3.54±0.41)分、(3.34±0.42)分、(4.08±0.40)分,均高于对照组的(6.85±0.79)分、(7.02±0.91)分、(2.92±0.36)分、(2.87±0.39)分、(3.02±0.37)分,组间差异有统计学意义(P<0.05);观察组干预20 d后中医症候中的关节活动受限、肩部怕冷、肩部肌肉萎缩及患肢发麻无力症状积分分别为(1.82±0.45)分、(1.79±0.48)分、(1.80±0.44)分、(1.92±0.41)分,均低于对照组的(2.23±0.43)分、(2.24±0.42)分、(2.22±0.46)分、(2.28±0.43)分,组间差异有统计学意义(P<0.05);观察组干预20 d后ADL评分为(83.89±7.29)分,高于对照组的(75.76±6.78)分,差异有统计学意义(P<0.05).结论肩周炎患者采用温针灸联合康复训练干预,能够有效减轻临床症状,提高肩关节功能及日常活动能力.

Objective To investigate the effect of warm acupuncture and moxibustion combined with rehabilitation training on patients with shoulder periarthritis.Methods 76 patients with shoulder periarthritis admitted to the hospital from March 2020 to February 2022 were selected and divided into two groups according to random number table method,with 38 patients in each group.Both groups received routine treatment.The control group received routine rehabilitation training,and the observation group received warm acupuncture and moxibustion on the basis of the control group.Both groups continued to intervene for 20 days.The University of California at Los Angeles(UCLA)scores,TCM syndrome scores and activity of daily living scale(ADL)score of the two groups were compared.Results The scores of pain,function,flexion angle,flexion strength and patient satisfaction in UCLA in the observation group after 20 d of the intervention were(8.24±0.88)points,(8.45±0.95)points,(3.54±0.41)points,(3.34±0.42)points and(4.08±0.40)points,respectively,higher than(6.85±0.79)points,(7.02±0.91)points,(2.92±0.36)points,(2.87±0.39)points and(3.02±0.37)points in the control group,with statistically significant differences between the groups(P<0.05).The scores of the symptoms of joint movement limitation,shoulder cold,shoulder muscle atrophy and numbness and weakness of affected limbs in TCM syndrome in the observation group after 20 d of the intervention were(1.82±0.45)points,(1.79±0.48)points,(1.80±0.44)points and(1.92±0.41)points,respectively,lower than(2.23±0.43)points,(2.24±0.42)points,(2.22±0.46)points and(2.28±0.43)points in the control group,with statistically significant differences between the groups(P<0.05).The ADL score in the observation group after 20 d of the intervention was(83.89±7.29)points,higher than(75.76±6.78)points in the control group,with statistically significant difference(P<0.05).Conclusion The application of warm acupuncture and moxibustion combined with rehabilitation training in patients with shoulder periarthritis can effectively reduce the clinical symptoms,improve their shoulder joint function and daily activities.