肩五针联合关节松动术治疗肩袖损伤临床研究

Clinical Study on the Treatment of Rotator Cuff Injury with Acupuncture at 5 Acupoints of the Shoulder Combined with Joint Mobilization

目的:观察肩五针联合关节松动术治疗肩袖损伤的临床疗效。方法:选取肩袖损伤患者80例,采用随机数字表法分为试验组和对照组各40例。试验组给予肩五针联合关节松动术治疗,对照组给予关节松动术治疗。观察两组治疗前后改良UCLA肩关节评分、肩关节疼痛和功能障碍量表(shoulder pain and dysfunction scale, SPADI)评分、肩关节活动度(range of motion of shoulder, ROM)、C反应蛋白(C reactive protein, CRP)、肿瘤坏死因子(tumor necrosis factor, TNF)-α变化情况。结果:试验组治疗后改良UCLA肩关节评分、ROM高于对照组,差异有统计学意义(P<0.05);试验组治疗后SPADI评分低于对照组,差异有统计学意义(P<0.05);试验组治疗后CRP、TNF-α水平低于对照组,差异有统计学意义(P<0.05);试验组有效率为95.0%,对照组有效率为80.0%,两组有效率比较,试验组高于对照组,差异有统计学意义(P<0.05)。结论:肩五针联合关节松动术治疗肩袖损伤,能改善患者肩关节功能和肩关节活动度,减轻疼痛,降低CRP、TNF-α水平。

Objective: To observe the clinical curative effect of acupuncture at 5 acupoints of the shoulder combined with joint mobilization on rotator cuff injury(RCI).Methods: A total of 80 patients with RCI were randomly divided into the experimental group and the control group, with 40 cases in each group.The experimental group was treated with acupuncture at 5 acupoints of the shoulder combined with joint mobilization, and the control group was treated with joint mobilization.The changes of the modified UCLA shoulder score, shoulder pain and dysfunction scale(SPADI),range of motion of shoulder(ROM),C-reactive protein(CRP) and tumor necrosis factor(TNF)-α before and after treatment in the two groups were observed.Results: After treatment, the improved UCLA shoulder joint score and ROM in the experimental group were significantly higher than those in the control group, and all the differences were statistically significant(P<0.05),while the SPADI score of the experimental group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05).The levels of CRP and TNF-α in the experimental group after treatment were significantly lower than those in the control group, and all the differences were statistically significant(P<0.05).The effective rate of the experimental group was 95.0%,which was higher than that of the control group was 80.0%,and the difference was statistically significant(P<0.05).Conclusion: Acupuncture at 5 acupoints of the shoulder combined with joint mobilization in the treatment of RCI can improve shoulder joint function and shoulder joint range of motion, reduce pain and reduce CRP and TNF-α level.