中和医派指导下舒筋通络法推拿联合温针灸治疗肩周炎临床观察

Shujin Tongluo Massage Combined with Warming Needle Moxibustion in the Treatment of Shoulder Periarthritis under the Guidance of Zhonghe Medical School

目的探究中和医派指导下舒筋通络法推拿联合温针灸治疗肩周炎的临床效果。方法选取新干县中医院2021年1月—2023年10月收治的肩周炎患者80例,分为对照组和联合组。对照组(34例)接受舒筋通络法推拿治疗,联合组(46例)接受舒筋通络法推拿联合温针灸治疗,比较2组治疗效果。结果联合组治疗总有效率高于对照组(P<0.05);治疗后,2组肩关节疼痛与功能障碍指数、肿瘤坏死因子-α、单核细胞趋化蛋白-1、P物质、前列腺素E2均较治疗前下降(P<0.05),且联合组均低于对照组(P<0.05)。结论中和医派指导下舒筋通络法推拿联合温针灸治疗肩周炎,可以减少炎症因子及疼痛介质分泌,有效缓解患者肩关节疼痛,改善肩关节功能,提升治疗效果。

Objective To explore the clinical effect of Shujin Tongluo massage combined with warming needle moxibustion in the treatment of shoulder periarthritis under the guidance of Zhonghe medical school.Methods The data of 80 patients with shoulder periarthritis in Xin'gan Hospital of Traditional Chinese Medicine from January 2021 to October 2023 were retrospectively analyzed.According to the treatment plan,they were divided into groups.The control group of 34 cases received Shujin Tongluo massage.The combined group of 46 cases received Shujin Tongluo massage combined with warming needle moxibustion.The clinical effect of the two groups was compared.Results The total effective rate of combined group was higher than that of control group(P<0.05).After treatment,the index of shoulder joint pain and dysfunction,tumor necrosis factor⁃α,monocyte chemoattractant protein⁃1,substance P and prostaglandin E2 in 2 groups were all decreased compared with before treatment(P<0.05),and the combined group was lower than the control group(P<0.05).Conclusion Under the guidance of Zhonghe medical school,Shujin Tongluo massage combined with warming needle moxibustion can reduce the secretion of inflammatory factors and pain mediators,effectively relieve shoulder pain,improve shoulder joint function,and enhance therapeutic effect.