肩痛穴平衡针法联合温针灸治疗寒湿痹阻型肩周炎的临床研究

Clinical Study of Jiantong Point Balancing Acupuncture Combined with Needle-Warming Moxibustion in Treating Periarthritis of Shoulder of Cold-Dampness Obstruction Syndrome

目的:探讨肩痛穴平衡针法联合温针灸治疗肩周炎的疗效。方法:选取2021年3月—2022年10月来本院治疗的肩周炎患者123例,随机分为对照组63例和观察组60例,对照组给予温针灸疗法,观察组在此基础联合肩痛穴平衡针法,对比两组治疗后临床疗效、治疗前后Constant-Murley评分、VAS评分和MBI评分、中医证候积分及血清TGF-β1和PGE 2水平变化。结果:观察组疗效明显较高(P<0.01);治疗前两组压痛、活动受限和疼痛积分差异无统计学意义(P>0.05);治疗后两组中医症候积分均明显降低(P<0.01),且观察组降低更多(P<0.01);治疗前两组Constant-Murley评分差异无统计学意义(P>0.05);治疗后两组Constant-Murley评分明显升高(P<0.01),且观察组升高更多(P<0.01);两组治疗前VAS评分和MBI评分差异无统计学意义(P>0.05);治疗后两组VAS评分和MBI评分均明显改善(P<0.01),且观察组改善更明显(P<0.01);两组治疗前肩关节活动度差异无统计学意义(P>0.05);治疗后两组肩关节外展、后伸和前屈活动度均明显升高(P<0.01),且观察组升高更明显(P<0.01);两组治疗前血清TGF-β1和PGE 2水平差异无统计学意义(P>0.05);治疗后两组血清TGF-β1和PGE 2水平明显降低(P<0.01),且观察组降低更明显(P<0.05)。结论:肩周炎采用肩痛穴平衡针法联合温针灸治疗具有较好的疗效。

Objective:To investigate the efficacy of Jiantong point balancing acupuncture combined with needle-warming moxibustion in treatment of periarthritis of shoulder.Methods:A total of 123 patients with periarthritis of shoulder were randomly divided into the control group(n=63)and the observation group(n=60).The control group was treated with needle-warming moxibustion;on which basis,the observation group was also treated with Jiantong point balancing acupuncture.Clinical efficacy was compared between the two groups.Constant-Murley score,VAS score,MBI score,TCM symptom scores and serum levels of TGF-β1 and PGE 2 were compared between before and after the treatment in the two groups.Results:The curative effect of the observation group was significantly higher than that of the control group(P<0.01).There were no statistical differences in the symptom scores of tenderness,mobility restriction and pain between the two groups before the treatment(P>0.05);the symptom scores were significantly decreased after the treatment in the two groups(P<0.01),and the decreases were more significant in the observation group(P<0.01).There was no statistical difference in Constant-Murley score between the two groups before the treatment(P>0.05);which was significantly increased after the treatment in the two groups(P<0.01),and the increase in the observation group was greater than that in the control group(P<0.01).There were no statistical differences in VAS score and MBI score between the two groups before the treatment(P>0.05);which were significantly improved after the treatment in both groups(P<0.01),and the improvements in the observation group were more significant(P<0.01).There was no statistical difference in the range of motion(ROM)of shoulder between the two groups before the treatment(P>0.05);after the treatment;the abductor,extension and flexion motion of shoulder joint were significantly increased in the two groups(P<0.01),and the increases were more remarkable in the observation group(P<0.01).There were no statistical differences in the serum levels of TGF-β1 and PGE 2 between the two groups before the treatment(P>0.05);after the treatment,the serum levels of TGF-β1 and PGE 2 were significantly decreased in the two groups(P<0.01),and the decreases were more significant in the observation group(P<0.01).Conclusion:Jiantong point balancing acupuncture combined with needle-warming moxibustion has a significant effect in treating periarthritis of shoulder,which is worthy of clinical application.