肩痛穴平衡针法联合运动留针法治疗寒湿痹阻型肩周炎的疗效及对血清TGF-β1、PGE2水平影响

Effect of Applying Balanced Needling at Shoulder Pain Point Combined with Movement Retention on the Levels of SERUM TGF-1 and PGE in the Treatment of Cold and Rheumatic Periarthritis of Shoulder

目的:观察肩痛穴平衡针法联合运动留针法治疗寒湿痹阻型肩周炎的疗效及对血清TGF-β1、PGE2水平影响。方法:选取我院收治的寒湿痹阻型肩周炎患者86例,随机分为两组各43例。对照组给予运动留针法,治疗组在对照组基础上给予肩痛穴平衡针法,对比治疗后临床疗效、MBI指数评分、VAS评分和中医证候评分、Constant-Murley评分、后伸、前屈、外展肩关节活动度及血清TGF-β1、PGE2水平。结果:经过治疗后,治疗组临床疗效显著较高(P<0.05);两组治疗前血清TGF-β1、PGE2水平无差异(P>0.05);两组治疗后血清TGF-β1、PGE2水平显著降低(P<0.05);且治疗组降低较多(P<0.05);两组治疗前Constant-Murley评分无差异(P>0.05);两组患者治疗后关节活动度、疼痛、日常生活活动、肌力评分显著升高(P<0.05);且治疗组升高较多(P<0.05);两组患者治疗前后伸、前屈、外展肩关节活动度无差异(P>0.05);两组患者治疗后后伸、前屈、外展肩关节活动度显著升高(P<0.05);且治疗组升高较多(P<0.05);两组治疗前MBI指数评分、VAS评分和中医证候评分无差异(P>0.05);治疗后两组患者MBI指数评分和中医证候评分明显升高,VAS评分明显降低(P<0.05);且治疗组改善较多(P<0.05)。结论:采用肩痛穴平衡针法联合运动留针法治疗寒湿痹阻型肩周炎具有较好的治疗效果,能够降低血清TGF-β1、PGE2水平,值得在临床上推广应用。

Objective:To investigate the therapeutic effect of applying balanced needling at shouldeRpain point combined with movement retention in the treatment of cold and rheumatic scapulohumeral periarthritis and its effect on serum TGF-1 and PGE2 levels.Methods:86 cases of cold,dampness,Bi-arthralgia scapulohumeral periarthritis in ouRhospital were selected and randomly divided into two groups with 43 cases each.The controlled group was given the exercise retention needle method,while the treatment group was given the shoulder pain point balance needle method on the basis of the controlled group,and the clinical efficacy,MBI index score,VAS score,TCM syndrome score,Constant-Murley score,posterior extension,anterior flexion,shoulder joint range of motion and serum TGF-1 and PGE2 levels were compared after the treatment.Results:After treatment,the clinical efficacy of the treatment group was significantly higher(P<0.05).There was no difference in serum TGF-1 and PGE2 levels between the two groups before treatment(P>0.05).Serum TGF-1 and PGE2 levels in both groups were significantly decreased after treatment(P<0.05).The decrease in the treatment group was significant(P<0.05).There was no difference in constant-murley scores before treatment between the two groups(P>0.05).After treatment,joint range of motion,pain,daily activities and muscle strength scores of the two groups were significantly increased(P<0.05).The increase in the treatment group was significant(P<0.05).There was no difference in the range of motion between the two groups before and after treatment(P>0.05).After treatment,the range of motion of posterior extension,anterior flexion and abductor shoulder joints in both groups was significantly increased(P<0.05).The increase in the treatment group was significant(P<0.05).There was no difference in MBI index score,VAS score and TCM syndrome score before treatment between the two groups(P>0.05).After treatment,MBI index score and TCM syndrome score in both groups were significantly increased,while VAS score was significantly decreased(P<0.05).And the treatment group improved more(P<0.05).Conclusion:The treatment of cold and rheumatic scapulohumeral periarthritis by balanced acupuncture at shoulder pain point combined with exercise retention has a good therapeutic effect,and can reduce the serum TGF-1 and PGE2 levels,which is worth promoting in clinical application.