温针灸配合功能训练治疗寒湿型肩周炎临床研究

Clinical Study on Warming-Needle Moxibustion Combined with Functional Training for Scapulohumeral Periarthritis of Cold-Dampness Type

目的:观察温针灸配合功能训练治疗寒湿型肩周炎的临床疗效。方法:选择86例肩周炎患者,按随机数字表法分为对照组和研究组各43例。对照组给予功能训练,研究组在对照组基础上给予温针灸治疗。比较2组治疗前后粒细胞-巨噬细胞集落刺激因子(GM-CSF)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)水平,采用Constant-Murley量表中关节活动度、疼痛、肌力、日常生活4项评价肩关节功能,评价2组临床疗效。结果:研究组总有效率为95.35%,高于对照组83.72%,差异有统计学意义(P<0.05)。治疗前,2组GM-CSF、IL-10、TNF-α水平比较,差异无统计学意义(P>0.05)。治疗后,2组GM-CSF、IL-10、TNF-α水平较治疗前降低(P<0.05),且研究组GM-CSF、IL-10、TNF-α水平低于对照组(P<0.05)。治疗前,2组疼痛、关节活动度、肌力、日常生活评分比较,差异无统计学意义(P>0.05)。治疗后,2组疼痛、关节活动度、肌力、日常生活评分较治疗前升高(P<0.05),且研究组疼痛、关节活动度、肌力、日常生活评分高于对照组(P<0.05)。结论:温针灸配合功能训练治疗寒湿型肩周炎可抑制炎症反应,缓解疼痛,提升患者肌力和肩关节活动功能,改善日常生活能力,提升临床疗效。

Objective:To observe the clinical effect of the therapy of warming-needle moxibustion combined with functional training on scapulohumeral periarthritis of cold-dampness type.Methods:A total of 86 patients with scapulohumeral periarthritis were divided into the control group and the study group according to the random number table method,with 43 cases in each group.The control group was given functional training,and the study group was additionally given the therapy of warming-needle moxibustion based on the treatment of the control group.Before and after treatment,the levels of granulocyte-macrophage colony stimulating factor(GM-CSF),interleukin-10(IL-10)and tumor necrosis factor-α(TNF-α)were compared between the two groups.The shoulder joint function was evaluated by the four indexes in the Constant-Murley scale,including joint range of motion,pain,muscle strength and daily living,and the clinical effects in the two groups were evaluated.Results:The total effective rate was 95.35%in the study group,higher than that of 83.72%in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparisons of levels of GM-CSF,IL-10 and TNF-αbetween the two groups(P>0.05).After treatment,the levels of GM-CSF,IL-10 and TNF-αin the two groups were decreased when compared with those before treatment(P<0.05),and the above three levels in the study group were lower than those in the control group(P<0.05).Before treatment,there were no significant differences being found in the comparisons of scores of pain,joint range of motion,muscle strength and daily living between the two groups(P>0.05).After treatment,the scores of pain,joint range of motion,muscle strength and daily living in the two groups were increased when compared with those before treatment(P<0.05),and the above scores in the study group were higher than those in the control group(P<0.05).Conclusion:The therapy of warming-needle moxibustion combined with functional training for scapulohumeral periarthritis of cold-dampness type can inhibit the inflammatory responses,relieve the pain,enhance the muscle strength and activity function of shoulder joint of patients,improve the levels of daily living,and enhance the curative effects of patients.