温针灸联合激痛点推拿疗法治疗肩周炎的效果及对肩功能、炎性因子水平的影响

Effect of warm acupuncture and moxibustion combined with trigger point massage therapy on scapulohumeral periarthritis and its influences on shoulder function and inflammatory factors levels

目的探讨温针灸联合激痛点推拿疗法治疗肩周炎的效果及对肩功能、炎性因子水平的影响。方法择取2020年3月至2021年3月收治的80例肩周炎患者为研究对象,根据随机数字表法将其分为对照组与观察组,每组40例。两组均给予常规西药治疗,同时对照组采用激痛点推拿疗法,观察组在对照组基础上加温针灸治疗。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组的Constant-Murley肩关节评分量表各维度评分高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组的肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1)、基质金属蛋白酶-3(MMP-3)水平低于对照组,差异具有统计学意义(P<0.05)。结论温针灸联合激痛点推拿疗法不仅能够提高肩周炎患者的临床治疗效果,改善肩功能,还能抑制炎性因子水平,值得推广。

Objective To explore the effect of warm acupuncture and moxibustion combined with trigger point massage therapy on scapulohumeral periarthritis and its influences on shoulder function and inflammatory factors levels.Methods Eighty patients with scapulohumeral periarthritis treated from March 2020 to March 2021 were selected as the study objects and divided into control group and observation group by random number table method,with 40 cases in each group.Both groups were treated with conventional western medicine,while the control group was given trigger point massage therapy,and the observation group was treated with warm acupuncture and moxibustion on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of each dimension of Constant-Murley shoulder joint rating scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),monocyte chemotactic protein-1(MCP-1)and matrix metalloproteinase-3(MMP-3)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Warm acupuncture and moxibustion combined with trigger point massage therapy can not only improve the clinical therapeutic effect of patients with scapulohumeral periarthritis,ameliorate shoulder function,but also inhibit the levels of inflammatory factors,which is worthy of promotion.