经筋针刺疗法治疗肩周炎的效果及对疼痛程度、肩关节活动度的影响

Effect of tendon acupuncture therapy on scapulohumeral periarthritis and its influence on pain degree and shoulder range of motion

目的:探讨经筋针刺疗法治疗肩周炎的效果及对疼痛程度、肩关节活动度的影响。方法:选取2021年5月~2023年5月我院收治的瘀滞型肩周炎患者106例为研究对象,按照随机抽样法分为观察组和对照组各53例,其中对照组采用常规西药治疗,观察组在对照组基础上采用经筋针刺法治疗,比较治疗30d后两组患者中医证候积分(肩部疼痛、局部肿胀、疼痛拒按、舌脉象)、肩关节功能[Congstant-Murley关节功能评估量表(CMC)]、炎症因子[白细胞介素10(IL-10)、肿瘤坏死因子(TNF-α)、前列腺素E_(2)(PGE_(2))]、疼痛程度[视觉模拟评分法(VAS)]、肩关节活动度[关节活动量表(ROM)]及不良反应情况。结果:治疗30d后,观察组患者中医证候积分、VAS评分及炎症因子指标(TNF-α、PGE_(2))均明显低于对照组(P<0.05),CMC评分、IL-10、肩关节活动度均明显高于对照组(P<0.05);两组患者均未见其他明显不良反应。结论:经筋针刺疗法可明显缓解肩周炎患者疼痛程度,提高其肩关节活动能力,促进肩关节功能恢复,安全性较高。

Objective:To explore the effect of tendon acupuncture therapy in the treatment of scapulohumeral periarthritis and its influence on pain degree and shoulder range of motion.Methods:106patients with scapulohumeral periarthritis who were treated in our hospital from May 2021to May 2023were selected as the study subjects,and were divided into observation group and control group with 53cases in each group according to the random sampling method.The control group was treated with conventional western medicine,and the observation group was given tendon acupuncture therapy on the basis of the control group.TCM syndromes scores(shoulder pain,local swelling,pain and touch rejection,tongue pulse condition),shoulder joint function[Congstant-Murley joint function scale(CMC)],inflammatory factors[interleukin 10(IL-10),tumor necrosis factor(TNF-α),prostaglandin E_(2)(PGE_(2))],pain degree[Visual Analogue Scale(VAS)],shoulder range of motion[Range of Motion Scale(ROM)]and adverse reactions were compared between both groups after 30days of treatment.Results:After 30days of treatment,the TCM syndromes scores,VAS score and inflammatory factors(TNF-α,PGE_(2))in observation group were significantly lower than those in control group(P<0.05)while the CMC score,IL-10and shoulder range of motion were significantly higher than those in control group(P<0.05).No other obvious adverse reactions were observed in both groups of patients.Conclusion:Tendon acupuncture therapy can obviously relieve the pain degree,enhance the shoulder mobility,and promote the recovery of shoulder function in patients with scapulohumeral periarthritis,and it has high safety.