摘要
目的:探究温针灸结合激痛点推拿疗法对气滞血瘀型肩周炎的治疗效果,为临床治疗提供更多可能性。方法:选取2018年6月~2021年2月到我院就诊的肩周炎气滞血瘀证患者108例,采用随机数字表法将其随机分为观察组和对照组各54例。给予对照组活血止痛胶囊及常规功能锻炼治疗,在对照组的基础上给予观察组温针灸结合激痛点推拿辅助治疗。比较两组患者治疗前及治疗8周时的中医症候(关节肿胀、关节疼痛、关节畏寒、关节沉重)积分、疼痛状态[McGill疼痛问卷(SF-MPQ)]、肩关节功能(Constant-Murley肩关节功能评分)及血清相关炎性因子[C反应蛋白(CRP)、一氧化氮(NO)、前列腺素E_(2)(PGE_(2))]含量变化。结果:治疗8周时,两组患者中医症候(关节肿胀、关节疼痛、关节畏寒、关节沉重)积分、SF-MPQ(VAS、PPI、PRI)评分较治疗前明显降低,且观察组显著低于对照组(P均<0.05);两组患者治疗8周时的Constant-Murley评分较治疗前明显提高,且观察组显著高于对照组(P均<0.05);两组患者治疗8周时的血清CRP、NO、PGE_(2)含量较治疗前明显降低,且观察组显著低于对照组(P均<0.05)。结论:温针灸结合激痛点推拿疗法可有效缓解气滞血瘀型肩周炎患者的关节肿痛等症候,有助于患者关节功能的恢复,具有良好的消炎止痛的效果。
Objective:To explore the therapeutic effect of needle warming moxibustion combined with trigger point massage on scapulohumeral periarthritis of Qi-stagnation and blood-stasis syndrome,and to provide more possibilities for clinical treatment.Methods:A total of 108 patients with scapulohumeral periarthritis of Qi-stagnation and blood-stasis syndrome who came to our hospital for treatment between June 2018 and February 2021 were selected and randomly divided into an observation group and a controlled group by the random number table method,with 54 cases in each group.The controlled group was given Huoxue Zhitong Capsule and routine functional exercise therapy,and the observation group was given needle warming moxibustion combined with trigger point massage adjuvant therapy on the basis of the controlled group.The scores of TCM symptoms(joint swelling,joint pain,joint intolerance of cold,joint heaviness),pain status[McGill Pain Questionnaire(SF-MPQ)],shoulder joint function(Constant-Murley Shoulder Joint Function Score)and levels of serum related inflammatory factors[C-reactive protein(CRP),nitric oxide(NO),prostaglandin E_(2)(PGE_(2))]were compared between the two groups of patients before treatment and at 8 weeks of treatment.Results:At 8 weeks of treatment,the scores of TCM symptoms(joint swelling,joint pain,joint intolerance of cold,joint heaviness)and SF-MPQ(VAS,PPI,PRI)of the two groups were significantly decreased compared with those before treatment,and the scores of the observation group were significantly lower than those of the controlled group(all P<0.05).The Constant-Murley scores of the two groups of patients at 8 weeks of treatment was significantly improved compared with those before treatment,and the scores of the observation group were significantly higher than those of the controlled group(all P<0.05).The levels of serum CRP,NO and PGE_(2)in the two groups of patients at 8 weeks of treatment were significantly lower than those before treatment,and the levels of the observation group were significantly lower than those of the controlled group(all P<0.05).Conclusion:Needle warming moxibustion combined with trigger point massage can effectively relieve the symptoms of joint swelling and pain in patients with scapulohumeral periarthritis of Qi-stagnation and blood-stasis syndrome,and it is helpful for the recovery of joint function,and has a good anti-inflammatory and analgesic effect.
作者
王善建
WANG Shanjian(The First Department of Acupuncture and Moxibustion,Zigong Hospital of Traditional Chinese Medicine,Zigong Sichuan 643000,China)
出处
《四川中医》
2022年第9期198-202,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省中医药管理局科研专项课题(2016SF11)
关键词
温针灸
激痛点推拿
气滞血瘀型
肩周炎
局部症状
肩关节功能
炎性因子
Needle warming moxibustion
Trigger point massage
Qi-stagnation and blood-stasis syndrome
Scapulohumeral periarthritis
Local symptoms
Shoulder joint function
Inflammatory factors
作者简介
王善建,副主任中医师,研究方向:针灸推拿,E-mail:gilgameshodincsa@163.com。
