温针灸联合功能锻炼对寒凝筋脉型肩周炎患者肩关节功能及血清炎性因子水平的影响

Effects of Warm Acupuncture Combined with Functional Exercise on Shoulder Joint Function and Serum Inflammatory Factor Levels in Patients with Frozen Shoulder of Cold Congealing Tendons Type

目的探讨温针灸联合功能锻炼对寒凝筋脉型肩周炎患者肩关节功能及血清炎性因子水平的影响.方法选择2019年6月—2021年6月该院收治的92例寒凝筋脉型肩周炎患者为研究对象,采用随机数字表法分为两组,各46例.对照组采用常规治疗,观察组在对照组基础上加用温针灸联合功能锻炼,均连续治疗3个疗程.比较两组肩关节活动度(ROM)、疼痛视觉模拟评分(VAS)及白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)水平.结果治疗3个疗程后,两组的肩关节外旋、外展、内旋、前屈ROM均较治疗前增加,且观察组均大于对照组,组间差异有统计学意义(P<0.05).治疗3个疗程后,两组VAS评分均较治疗前降低,且观察组低于对照组,组间差异有统计学意义(P<0.05).治疗3个疗程后,两组IL-6、TNF-α水平均较治疗前降低,且观察组均低于对照组,组间差异有统计学意义(P<0.05).结论在常规治疗基础上应用温针灸联合功能锻炼,能够改善寒凝筋脉型肩周炎患者肩关节功能,减轻疼痛程度及关节炎症.

Objective To investigate the effect of warm acupuncture combined with functional exercise on shoulder joint function and serum inflammatory factor levels in patients with frozen shoulder of cold congealing tendons type.Methods A total of 92 patients with frozen shoulder of cold congealing tendon type treated in our hospital from June 2019 to June 2021 were selected as the research objects,and divided into two groups by random number table method,with 46 cases in each group.The control group was given routine treatment,while the observation group was given warm acupuncture combined with functional exercise on the basis of the control group,both for 3 consecutive courses of treatment.The range of motion(ROM)of shoulder joint,visual analogue scale(VAS)score,interleukin 6(IL-6)and tumor necrosis factor alpha(TNF-α)levels were compared between the two groups.Results After 3 courses of treatment,the ROM of external rotation,abduction,internal rotation and forward flexion of shoulder joints in both groups increased compared with those before treatment and the observation group was greater than the control group,and the differences between the two groups were statistically significant(P<0.05).After 3 courses of treatment,the VAS scores of the two groups were decreased compared with those before treatment and the observation group was lower than the control group,and the differences between the groups were statistically significant(P<0.05).After 3 courses of treatment,the levels of IL-6 and TNF-αin the two groups were decreased compared with those before treatment,and the observation group was lower than the control group,and the differences between the group were statistically significant(P<0.05).Conclusion On the basis of conventional treatment,warm acupuncture combined with functional exercise can improve shoulder joint function,reduce pain and joint inflammation in patients with frozen shoulder of cold congealing tendons type.