刺络拔罐治疗急性期肩关节周围炎(肩痹)的临床观察OA
Clinical Observation of Pricking and Cupping in the Treatment of Acute Periarthritis of Shoulder(Syndrome of Shoulder Bi)
目的 观察刺络拔罐治疗急性期肩关节周围炎(肩痹)的临床疗效.方法 将84例患者按照随机数字表法分为观察组与对照组各42例.对照组采用常规治疗,观察组在对照组基础上联合使用刺络拔罐治疗.比较两组患者临床疗效、中医证候积分、视觉模拟量表(VAS)评分、Constant-Murley肩关节功能评分、肩关节活动度、炎症因子改善情况以及复发率.结果 观察组总有效率为95.24%,显著高于对照组的80.95%(P<0.05);两组治疗后中医证候积分、VAS评分、Constant-Murley评分、肩关节活动度、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)均较治疗前显著改善(P<0.05),观察组改善程度更为显著(P<0.05).结论 刺络拔罐治疗急性期肩关节周围炎有利于提高临床疗效,减轻患者的疼痛,促进肩关节功能恢复,改善肩关节活动度,减轻炎症反应,降低复发率.
Objective:To observe the clinical efficacy of pricking and cupping in the treatment of acute periar-thritis of shoulder(syndrome of shoulder bi).Methods:A total of 84 patients were randomly divided into an observation group and a control group by random number table,with 42 cases in each group.The control group received conventional treatment,while the observation group was additionally treated with pricking and cupping on the basis of the control group.The clinical efficacy,traditional Chinese medicine(TCM)syndrome score,Visual Analogue Scale(VAS)score,Constant-Murley shoulder function score,shoulder range of motion(ROM),improve-ment of inflammatory factors and recurrence rate were compared between the two groups.Results:The total effec-tive rate of the observation group was 95.24%,which was significantly higher than 80.95%of the control group(P<0.05).After treatment,the TCM syndrome score,VAS score,Constant-Murley score,shoulder ROM,interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in both groups were significantly improved compared with before treatment(P<0.05),and the improvement in the observation group was more obvious(P<0.05).Conclusion:Pricking and cupping for acute periarthritis of shoulder can improve clinical efficacy,relieve pain,promote the recovery of shoulder joint function,improve shoulder ROM,alleviate inflammatory response and reduce recurrence rate.
王泽茂;熊国星;何鹏宇;齐峰;刘剑
北京中医药大学东直门医院通州分院,北京 101100北京中医药大学东直门医院通州分院,北京 101100北京中医药大学东直门医院通州分院,北京 101100北京中医药大学东直门医院通州分院,北京 101100北京中医药大学东直门医院通州分院,北京 101100
医药卫生
急性期肩关节周围炎刺络拔罐肩关节功能炎症因子
Acute periarthritis of shoulderPricking and cuppingShoulder joint functionInflammatory factors
《中国中医急症》 2026 (6)
682-685,4
首都卫生发展科研专项项目(2022-2-7087)
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