基于人迎寸口脉辨证理筋正骨手法联合经筋针刺治疗急性期肩关节周围炎的临床研究

Clinical Study on the Treatment of Patients with Acute Periarthritis of Shoulder Based on Renying Cunkou Pulse Dialectical Differentiation Tendon-Regulation and Bone Setting Manipulation Combined with Meridian Acupuncture

目的:探讨基于人迎寸口脉辨证理筋正骨手法联合经筋针刺治疗急性期肩关节周围炎(PAS)的临床疗效。方法:选取2020年8月至2023年8月收治的100例急性期肩关节周围炎患者,分为两组。对照组(50例)患者接受基于人迎寸口脉辨证理筋正骨手法治疗1周,观察组(50例)患者接受基于人迎寸口脉辨证理筋正骨手法联合经筋针刺治疗1周。观察两组患者肩关节功能、肩关节活动度、疼痛程度、炎症因子和生活质量。结果:观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者治疗后Constant-Murley肩关节功能量表(CMS)评分,肩关节前屈、外展、后伸活动度,日常生活能力量表(ADL)评分,均较治疗前增高,差异有统计学意义(P<0.05);数值评定量表(NRS)评分均较治疗前降低,差异有统计学意义(P<0.05)。观察组患者治疗后CMS评分,肩关节前屈、外展、后伸活动度,日常生活能力量表评分,均高于对照组,差异有统计学意义(P<0.05);数值评定量表评分低于对照组,差异有统计学意义(P<0.05)。结论:基于人迎寸口脉辨证理筋正骨手法联合经筋针刺可改善急性期肩关节周围炎患者肩关节功能,减轻疼痛程度,抑制炎症反应,提高生活质量。

Objective:To investigate the clinical effect of tendon-regulation and bone setting manipulation combined with meridian acupuncture based on Renying Cunkou pulse dialectical differentiation on acute periarthritis of shoulder(PAS).Methods:Select 100 acute phase PAS patients from August 2020 to August 2023 and divide them into two groups.The control group(50 cases)received tendon-regulation and bone setting manipulation based on Renying Cunkou pulse dialectical differentiation for 1 week,and the observation group(50 cases)received tendon-regulation and bone setting manipulation based on Renying Cunkou pulse dialectical differentiation combined with meridian acupuncture for 1 week.Shoulder function,shoulder range of motion,pain,inflammatory factors and quality of life were observed.Results:The total effective rate of observation group was higher than that of control group(P<0.05).Constant-Murley shoulder(CMS)joint function scores,shoulder flexion,abduction and extension range of motion,activity of daily living(ADL)scores,levels in both groups after treatment were increased compared with those before treatment(P<0.05).Numerical rating scale(NRS)scores were lower than those before treatment(P<0.05).After treatment,the CMS scores,shoulder flexion,abduction and posterior extension motion,ADL scores in observation group were higher than those in control group(P<0.05),NRS scores were lower than those in control group(P<0.05).Conclusion:The combination of tendon-regulation and bone setting manipulation and meridian acupuncture can effectively improve the shoulder joint function,reduce pain,inhibit inflammation and improve quality of life in patients with acute PAS.