摘要
目的:探讨针刺“肩三针”联合超声引导下针刀松解抗炎注射治疗钙化性冈上肌腱炎的效果。方法:选取2020年4月-2022年5月本院收治的钙化性冈上肌腱炎患者180例。采用随机数字表法,分为研究组(90例)、对照组(90例)。对照组采用超声引导下针刀松解抗炎注射治疗,研究组采用针刺“肩三针”联合超声引导下针刀松解抗炎注射治疗。治疗前、治疗后3个月与治疗后6个月比较两组视觉模拟评分法(VAS)评分、美国加州大学肩关节评分系统(UCLA)评分、Constant-Murley肩关节功能评分、血清P物质(SP)与5-羟色胺(5-HT),统计两组术后钙化灶消失时间、水肿消失时间、疼痛消失时间、活动功能恢复时间及不良反应发生情况。结果:与对照组比较,研究组治疗后3个月VAS评分较低,差异具有统计学意义(P<0.01);治疗后3个月两组UCLA评分、Constant-Murley评分高于治疗前,且研究组UCLA评分、Constant-Murley评分高于对照组,差异具有统计学意义(P<0.01);研究组治疗后3个月血清SP、5-HT水平均低于对照组,差异具有统计学意义(P<0.01);研究组术后钙化灶消失时间、水肿消失时间、疼痛消失时间和活动功能恢复时间短于对照组,差异具有统计学意义(P<0.01);两组治疗、随访期间均未出现明显不良反应。结论:针刺“肩三针”联合超声引导下针刀松解抗炎注射治疗钙化性冈上肌腱炎能下调SP、5-HT水平,减轻疼痛,改善肩关节功能、肩关节活动度,且治疗后恢复快,安全性良好。
Objective:To explore the effect of needling‘shouder three needles’combined with ultrasound-guided acupotomy release and anti-inflammatory injection in treatment of calcified supraspinatus tendinitis.Methods:A total of 180 patients with calcified supraspinatus tendinitis were randomly divided into the study group(n=90)and the control group(n=90).The control group was treated with ultrasound-guided acupotomy and anti-inflammatory injection;on which basis,the study group was also treated with needling‘shoulder three needles’.VAS score,UCLA score,Constant-Murley shoulder function score,serum SP and 5-HT were compared between the two groups before the treatment,3 months after the treatment and 6 months after the treatment.The disappearance time of calcification,edema and pain,functional recovery time and occurrence of adverse reactions were compared between the two groups.Results:Compared with that in the control group,the VAS score was lower in the study group 3 months after the treatment(P<0.01).UCLA score and Constant-Murley score were higher after the treatment than those before the treatment in the two groups,and the scores were higher in the study group than those in the control group after the treatment(P<0.01).The serum levels of SP and 5-HT were lower in the study group than those in the control group 3 months after the treatment(P<0.01).The disappearance time of calcification,edema and pain,as well as functional recovery time were shorter in the study group than those in the control group(P<0.01).There were no obvious adverse reactions in the two groups during the treatment and during the follow-up.Conclusion:Needling‘shoulder three needles’combined with ultrasound-guided acupotomy release and anti-inflammatory injection can reduce the levels of SP and 5-HT,relieve pain,improve shoulder joint function and range of motion(ROM)in treatment of calcified supraspinatus tendinitis,with a quick recovery and a high safety.
作者
段文强
王利刚
罗树军
DUAN Wenqiang;WANG Ligang;LUO Shujun(Beijing Huairou District Hospital,Beijing 101400,China)
出处
《针灸临床杂志》
2023年第11期25-29,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
北京市科技计划项目,编号:Z171100001017262。
关键词
针刺
肩三针
超声引导
针刀
钙化性冈上肌腱炎
Acupuncture
Shoulder three needles
Ultrasound-guided
Acupotomy
Calcified supraspinatus tendinitis
