张氏点穴疗法联合电针条口穴治疗急性期肩关节周围炎的临床研究

Clinical study of ZHANG's acupoint therapy combined with electroacupuncture at Tiaokou(ST38)in treating acute scapulohumeral periarthritis

目的探讨张氏点穴疗法联合电针条口穴治疗急性期肩关节周围炎的临床疗效。方法选择2021年1月至2022年6月岳阳市中医医院颈肩腰腿痛科收治的72例急性期肩关节周围炎患者,根据随机数字表法分成观察组(36例,脱落2例)与对照组(36例,脱落3例)。对照组采用电针双侧条口穴治疗,观察组采用张氏点穴疗法联合电针双侧条口穴治疗,每天治疗1次,连续治疗10 d。比较两组治疗起效时间,比较治疗前后疼痛程度、肩关节功能及血清肿瘤坏死因子-α(tumor necrosis factorα,TNF-α)、5-羟色胺(5-hydroxytryptamine,5-HT)、前列腺素E2(prostaglandin E2,PGE2)水平的差异,评价其临床疗效。结果治疗后,观察组愈显率高于对照组(P<0.05),观察组起效时间短于对照组(P<0.05)。治疗后,两组VAS评分和血清TNF-α、5-HT、PGE2水平均较治疗前降低(P<0.05),Constant-Murley各项评分均较治疗前升高(P<0.05)。治疗后,观察组VAS评分和血清TNF-α、5-HT、PGE2水平均低于对照组(P<0.05),Constant-Murley各项评分均高于对照组(P<0.05)。结论张氏点穴疗法联合电针条口穴可有效降低急性期肩关节周围炎患者疼痛程度,改善肩关节功能,其作用机制可能与抑制血清炎性因子TNF-α、5-HT、PGE2水平有关。

Objective To explore the clinical efficacy of ZHANG's acupoint therapy combined with electroacupuncture at Tiaokou(ST38)in treating acute scapulohumeral periarthritis.Methods A total of 72 patients with acute scapulohumeral periarthritis recruited in the Department of Neck,Shoulder,Waist and Leg Pain,Yueyang Chinese Medicine Hospital from January 2021 to June 2022 were randomly divided into observation group(n=36,two cases dropped off)and control group(n=36,three cases dropped off).The control group was treated with electroacupuncture at bilateral Tiaokou(ST38),and the observation group was treated with ZHANG's acupoint therapy combined with electroacupuncture at bilateral Tiaokou(ST38),once a day for ten days.The time of onset of treatment,the degree of pain,the function of shoulder joint,the levels of tumor necrosis factorα(TNF-α),5-hydr-oxytryptamine(5-HT),and prostaglandin E2(PGE2)were compared between the two groups before and after treatment,and the clinical efficacy was evaluated.Results After treatment,the effective rate of observation group was higher than that of control group(P<0.05),the time of taking effect in observation group was shorter than that in control group(P<0.05).After treatment,VAS score,serum TNF-α,5-HT,and PGE2 levels in both groups were lower(P<0.05),while Constant-Murley scores were higher(P<0.05).After treatment,the VAS score and the levels of serum TNF-α,5-HT,and PGE2 in observation group were lower than those in control group(P<0.05),while the scores of Constant-Murley in observation group were higher than those in control group(P<0.05).Conclusion ZHANG's acupoint therapy combined with electroacupuncture at Tiaokou(ST38)can effectively reduce the degree of pain and improve the function of shoulder joint in patients with acute scapulohumeral periarthritis,and its mechanism may be related to the inhibition of serum inflammatory factors TNF-α,5-HT,and PGE2.