基于筋骨并重圆利针联合体外冲击波治疗肩袖损伤临床观察OA
Clinical Observation of Round-sharp needle Combined with Extracorporeal Shock Wave Therapy in the Treatment of Rotator Cuff Injury Based on the theory of Muscle-Bone Equilibrium Theory
目的 基于筋骨并重理论,观察圆利针联合体外冲击波作用于结筋病灶点治疗肩袖损伤的临床疗效.方法 前瞻性选取2024年9月—2025年12月陆军第八十三集团军医院收治的84例单侧肩袖损伤患者,采用随机数字表法1∶1分为对照组(体外冲击波结筋病灶点)和治疗组(圆利针+冲击波结筋病灶点),各42例.观察2组患者治疗前后、随访15 d,视觉模拟疼痛评分(visual analogue scale,VAS)、肩关节功能评分(constant-murley score,CMS)、肩关节主动活动度(active range of motion of shoulder joint,AROM)的变化,并评定临床疗效.结果 2组患者VAS评分、CMS评分、AROM变化情况,时间与分组因素均存在交互效应(F=95.765,P<0.01;F=156.882,P<0.01;F=83.655,P<0.01);治疗后与随访15 d时,治疗组VAS评分均降低,CMS评分、AROM均提高,且优于对照组(均P<0.01);治疗组总有效率优于对照组(χ2=5.128,P<0.05).结论 基于筋骨并重理论,圆利针联合冲击波治疗肩袖损伤,在改善疼痛、功能和活动度方面优势突出,疗效确切,有利于恢复筋骨平衡.
Objective To observe the clinical efficacy of round-sharp needle combined with extracorporeal shock wave at tendon knot focal points for rotator cuff injury based on the muscle-bone equilibrium theory.Methods A total of 84 patients with unilateral rotacular cuff injury admitted to the 83rd Group Army Hospital of the Chinese People's Liberation Army between September 2024 and December 2025 were prospectively enrolled.Using a random number table,the patients were randomly assigned to a control group(extracorporeal shock wave at tendon-knot focal points)and a treatment group(round-sharp needle combined with shock wave at tendon-knot focal points),with 42 cases in each group.The changes in the visual analogue scale(VAS),Constant-Murley score(CMS),and active range of motion(AROM)of the shoulder joint were observed in the two groups before treatment,after treatment,and at the 15-day follow-up.Meanwhile,the clinical efficacy was evaluated.Results There was a significant interaction effect between time and grouping factors for the changes in VAS score,CMS score and shoulder AROM in the two groups(F=95.765,P<0.01;F=156.882,P<0.01;F=83.655,P<0.01).After treatment and at the 15-day follow-up,the VAS scores declined markedly,while CMS scores and shoulder AROM increased obviously in the treatment group;these improvements were superior to those in the control group(all P<0.01).The total effective rate of the treatment group was significantly higher than that of the control group(χ2=5.128,P<0.05).Conclusion Based on the muscle-bone equilibrium theory,round-sharp needle combined with shock wave therapy in the treatment of rotator cuff injury showed prominent advantages in improving pain,shoulder function and range of motion,with definite efficacy,which is conducive to restoring muscle-bone balance.
刘立会;李岚;张焕;郭广惠
中国人民解放军陆军第八十三集团军医院中医康复理疗科,河南 新乡 453000中国人民解放军陆军第八十三集团军医院中医康复理疗科,河南 新乡 453000中国人民解放军陆军第八十三集团军医院中医康复理疗科,河南 新乡 453000中国人民解放军陆军第八十三集团军医院中医康复理疗科,河南 新乡 453000
医药卫生
肩袖损伤结筋病灶点圆利针体外冲击波筋骨并重
rotator cuff injurytendon knot focal pointsround-sharp needleextracorporeal shock wave therapymuscle-bone equilibrium theory
《光明中医》 2026 (13)
1-5,5
战区陆军2024年度医学自主科研专项课题(No.2024QN22)
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