毫火针配合拔罐疗法治疗粘连性肩周炎临床研究

Clinical Study on Filiform Fire Needling Combined with Cupping for Scapulohumeral Periarthritis

目的:观察毫火针配合拔罐疗法对粘连性肩周炎患者肩关节疼痛、肩关节功能、疼痛介质、炎性因子的影响。方法:将120例粘连性肩周炎患者按随机数字表法分为对照组和观察组各60例。对照组给予拔罐疗法治疗,观察组在拔罐疗法治疗时加用毫火针,均治疗1个月。对比2组治疗前、治疗1周、治疗1个月和随访3个月时的肩关节疼痛评分、Constant肩关节评分、生活质量评定问卷-74(GQOL-74)评分及炎性因子、疼痛介质水平。结果:观察组总有效率93.33%,高于对照组的76.67%(P<0.05)。治疗前、治疗1周、治疗1个月、随访3个月,2组VAS评分依次降低(P<0.05),而Constant肩关节评分、GQOL-74评分依次提升(P<0.05)。治疗1周、治疗1个月和随访3个月,观察组VAS评分均低于同期对照组(P<0.05),Constant肩关节评分、GQOL-74评分均高于同期对照组(P<0.05)。治疗前、治疗1周、治疗1个月、随访3个月,2组5-羟色胺(5-HT)、P物质(SP)含量和超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均依次降低(P<0.05)。治疗1周、治疗1个月和随访3个月,观察组5-HT、SP含量和IL-6、TNF-α、hs-CRP水平均低于同期对照组(P<0.05)。结论:毫火针配合拔罐疗法在粘连性肩周炎治疗中疗效确切,可有效缓解患者肩关节疼痛,改善肩关节功能,提升生活质量,降低疼痛介质和炎性因子高表达。

Objective:To observe the effect of filiform fire needling combined with cupping on shoulder pain,shoulder function, pain mediators and inflammatory factors in patients with scapulohumeral periarthritis. Methods: A total of 120 cases of patients with scapulohumeral periarthritis were divided into the control group and the observation group according to the random number table method,60 cases in each group. The control group was treated with cupping,and the observation group was additionally treated with filiform fire needling based on the treatment of the control group. Both groups were treated for one month. Before treatment,after treatment for one week and one month and during three-month follow-up,the scores of shoulder pain, shoulder and Generic Quality of Life Inventory-74(GQOL-74) as well as the levels of inflammatory factors and pain mediators in the two groups were compared. Results:The total effective rate was 93.33% in the observation group,higher than that of 76.67% in the control group(P<0.05). Before treatment,after treatment for one week and one month and during three-month follow-up,the VAS scores in the two groups were decreased successively(P<0.05),and the scores of Constant and GQOL-74 were increased successively(P<0.05). After treatment for one week and one month and during three-month follow-up,VAS scores in the observation group were all lower than those in the control group at the same period(P<0.05),and the scores of Constant and GQOL-74 were all higher than those in the control group at the same period(P<0.05). Before treatment, after treatment for one week and one month and during three-month follow-up, the content of 5-hydroxytryptamine(5-HT) and substance P(SP) and the levels of high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in the two groups were decreased successively(P<0.05). After treatment for one week and one month and during three-month follow-up,the content of 5-HT and SP and the levels of IL-6,TNF-α and hs-CRP in the observation group were all lower than those in the control group at the same period(P<0.05). Conclusion: The therapy of filiform fire needling combined with cupping has definite curative effect in treating scapulohumeral periarthritis, which can effectively relieve shoulder pain, improve shoulder function and quality of life,and reduce the high expression of pain mediators and inflammatory factors.