论文检索
期刊
全部知识仓储预印本开放期刊机构
高级检索

头皮针结合电针治疗急性期肩关节周围炎OACSTPCD

Clinical Observation on Treatment of Acute Periarthritis of Shoulder with Scalp Acupuncture Combined with Electroacupuncture

中文摘要英文摘要

目的:观察头皮针结合电针治疗急性期肩关节周围炎的临床疗效.方法:90 例急性期肩关节周围炎患者随机分为治疗组(头皮针结合电针治疗)45 例和对照组(电针治疗)45 例,两组均治疗两周.比较两组患者临床疗效、视觉模拟量表(visual analogue scale,VAS)评分、Constant-Murley 肩关节功能评分及白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平.结果:(1)治疗组治愈率为60.00%,有效率为88.89%;对照组治愈率为 40.00%,有效率为 75.56%,两组比较,差异有统计学意义(P<0.05).(2)治疗后,两组患者VAS评分均显著低于本组治疗前;治疗组VAS评分为(2.75±1.30)分,低于同期对照组(P<0.05).(3)治疗后,两组患者Constant-Murley肩关节功能评分均显著高于本组治疗前(P<0.05);治疗组Constant-Murley肩关节功能评分为(80.89±12.92)分,高于同期对照组(P<0.05).(4)治疗后,两组患者IL-6、TNF-α水平均显著低于本组治疗前,治疗组IL-6 为(23.87±17.92)ng·L-1、TNF-α为(12.01±4.09)ng·L-1,均低于同期对照组(P<0.05).结论:头皮针结合电针治疗急性期肩关节周围炎疗效显著,可显著改善患者疼痛程度、肩关节功能,降低炎症因子水平.

Objective:To observe the clinical effect of scalp acupuncture combined with electroacupuncture in treatment of acute shoulder periarthritis.Methods:90 patients with acute shoulder periarthritis were randomly divided into treatment group(45 cases combined with scalp acupuncture)and control group(45 cases),both groups were treated for 2 weeks.The clinical efficacy and visual analogue scale(VAS)were compared between the two groups.VAS score,Constant-Murley shoulder function score,and the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α).Results:(1)The cure rate was 60.00%,the effective rate was 88.89%;The cure rate of the control group was 40.00%and the effective rate was 75.56%,the difference between the two groups was statistically signifi-cant(P<0.05).(2)After treatment,VAS scores in both groups were significantly lower than before treatment;The VAS score of the treatment group was(2.75±1.30)points,which was lower than that of the control group(P<0.05).(3)Aftertreatment,Constant-Murley shoulder joint function scores in 2 groups were significantly higher than before treatment(P<0.05);The Constant-Murley shoulder joint function score in the treatment group was(80.89±12.92),which was higher than that in the control group(P<0.05).(4)After treatment,the levels of IL-6 and TNF-αin2 groups were significantly lower thanbefore treatment,andthe levels of IL-6 and TNF-α in the treatment group were(23.87±17.92)ng·L-1 and(12.01±4.09)ng·L-1,both lower than those in the control group(P<0.05).Conclusion:Scalp acupuncture combined with electroacupuncture therapy is effective in the treatment of acute shoulder periarthritis,which can significantly improve the degree of pain,shoulder joint function and reduce the level of inflammatory factors.

李林;王宇旭;王新荣;王华;邓真

上海市第六人民医院金山分院,上海 201599博仁大学,泰国 曼谷 10210上海市宝山区中西医结合医院,上海 201999

中医学

肩关节周围炎;头皮针;电针;视觉模拟评分量表;Constant-Murley肩关节功能;炎症因子

shoulder periarthritis;scalp acupuncture;electroacupuncture;visual analog rating scale;Constant-Murley shoulder joint function;inflammatory factor

《中医学报》 2024 (006)

1333-1336 / 4

上海市科学技术委员会科技计划项目(20MC1920600);上海市金山区医药卫生科技创新资金项目(2023-WS-10)

10.16368/j.issn.1674-8999.2024.06.222

评论

下载量:0
点击量:0