首页|期刊导航|中国医学创新|棍针拨筋疗法在气滞血瘀型肩周炎患者中的应用效果

棍针拨筋疗法在气滞血瘀型肩周炎患者中的应用效果OA

The Application Effect of Stick-needle Tendon Therapy in Patients with Scapulohumeral Periarthritis of Qi Stagnation and Blood Stasis Type

中文摘要英文摘要

目的:观察棍针拨筋疗法在气滞血瘀型肩周炎患者中的应用效果.方法:将 2024 年 5 月—2025 年 4 月于云南中医药大学附属宣威市中医医院针灸科就诊的 82 例门诊及住院气滞血瘀型肩周炎患者作为研究对象,采用随机数字表法分为观察组和对照组,各 41 例,观察组给予棍针拨筋疗法治疗,对照组给予中医定向透药治疗,两组均治疗 1 个月.观察两组治疗前后疼痛评分(VAS 评分)、Constant-Murley 肩关节功能评分(CMS)变化和肩关节活动度、临床疗效.结果:与治疗前比较,治疗 1 个月后两组 VAS 评分均降低,CMS 均升高,肩关节活动度均增加,且观察组明显优于对照组(P<0.05);观察组总有效率为 97.56%(40/41),明显高于对照组的 80.49%(33/41)(P<0.05).结论:棍针拨筋疗法能显著改善气滞血瘀型肩周炎患者的临床症状和肩关节功能和活动度,疗效确切.

Objective:To observe the application effect of stick-needle tendon therapy in patients with scapulohumeral periarthritis of Qi stagnation and blood stasis type.Method:Eighty-two outpatients and inpatients with scapulohumeral periarthritis of Qi stagnation and blood stasis type who were treated at the Department of Acupuncture and Moxibustion,Xuanwei Hospital of Traditional Chinese Medicine Affiliated to Yunnan University of Chinese Medicine from May 2024 to April 2025 were selected as the study subjects.They were divided into an observation group and a control group using random number table method,with 41 cases in each group.The observation group received stick-needle tendon therapy,while the control group received traditional Chinese medicine directional drug penetration therapy.Both groups were treated for one month.The changes in pain scores(VAS score),Constant-Murley shoulder function scores(CMS),shoulder range of motion before and after treatment,and clinical efficacy were observed in both groups.Result:Compared with before treatment,after one month of treatment,VAS scores decreased,CMS increased and shoulder range of motion increased in both groups,with the observation group showing significantly better outcomes than the control group(P<0.05).The total effective rate was 97.56%(40/41)in the observation group,significantly higher than 80.49%(33/41)in the control group(P<0.05).Conclusion:Stick-needle tendon therapy can significantly improve clinical symptoms and shoulder function and range of motion in patients with scapulohumeral periarthritis of Qi stagnation and blood stasis type.It demonstrates definite efficacy.

张水菊;李卫林;何菊佐;王安平;李会平;杨亚玲;徐金娥

云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400云南中医药大学附属宣威市中医医院针灸科 云南 宣威 655400

肩周炎气滞血瘀型棍针拨筋疗法中医定向透药疼痛

Scapulohumeral periarthritisQi stagnation and blood stasis typeStick-needle tendon therapyTraditional Chinese medicine directional drug penetrationPain

《中国医学创新》 2026 (10)

35-39,5

云南省高层次中医药人才培养对象项目(学科后备人才)(云卫中医综合发[2024]1号)

10.3969/j.issn.1674-4985.2026.10.008

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