摘要
目的:分析以“同气相求”理论为基础巨刺法治疗手太阳经证急性期肩周炎的临床疗效。方法:选取2022年1月—2022年12月本院收治的手太阳经证急性期肩周炎98例患者进行研究,随机数字表法分成对照组(常规针刺法)和观察组(以“同气相求”理论为基础巨刺法)各49例,观察两组临床疗效;治疗前后肩关节活动度、视觉模拟量表(VAS)得分、肩关节功能评分、血清细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)、血细胞比容、血浆黏附、全血低切以及高切水平。结果:观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组外展、后伸、前屈和外旋时的肩关节活动度比较差异无统计学意义(P>0.05);治疗后,观察组外展、后伸、前屈和外旋时的肩关节活动度均高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组肩关节功能评分比较差异无统计学意义(P>0.05);治疗1周及2周,观察组肩关节功能评分高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组IL-6、IL-8、TNF-α及CRP水平比较差异无统计学意义(P>0.05);治疗后,观察组IL-6、IL-8、TNF-α及CRP水平均低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组血细胞比容、血浆黏附、全血低切和全血高切水平比较差异无统计学意义(P>0.05);治疗后,观察组血细胞比容、血浆黏附、全血低切及全血高切水平均低于对照组,差异具有统计学意义(P<0.05)。结论:以“同气相求”理论为基础巨刺法对手太阳经证急性期肩周炎疗效理想,能提高患者的肩关节活动度,减轻其疼痛感及炎症反应,改善其肩关节功能及局部血供。
Objective:To analyze the clinical efficacy of opposing needling method based on similar things attracting each other theory in treating acute periarthritis of shoulder along hand-Taiyang meridian.Methods:A total of 98 patients with acute periarthritis of shoulder along hand-Taiyang meridian were randomly divided into the control group and the observation group,with 49 cases in each group.The control group was treated with conventional needling,whereas the observation group was treated with opposing needling based on similar things attracting each other theory.Clinical efficacy was compared between the two groups.Shoulder joint range of motion(ROM),visual analogue scale(VAS)score,shoulder function score,serum levels of intercytin-6(IL-6),interleukin-8(IL-8),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),hematocrit,plasma adhesion,whole blood low shear and high shear levels were observed before and after the treatment in the two groups.Results:The total effective rate was higher in the observation group than that in the control group(P<0.05).There were no statistical differences in the shoulder mobility of abduction,extension,flexion and external rotation between the two groups before the treatment(P>0.05);the shoulder mobility was better in the observation group than that in the control group after the treatment(P<0.05).There was no statistical difference in the shoulder function score between the two groups before the treatment(P>0.05);the shoulder function score was higher in the observation group than that in the control group after 1 w and 2 w of the treatment(P<0.05).There were no statistical differences in the levels of IL-6,IL-8,TNF-αand CRP between the two groups before the treatment(P>0.05);which were lower in the observation group than those in the control group after the treatment(P<0.05).There were no statistical differences in hematocrit,plasma adhesion,whole blood low shear and high shear levels between the two groups before the treatment(P>0.05);which were lower in the observation group t
作者
任燕
江旭
韩菲
张健
朱成慧
朱慧
REN Yan;JIANG Xu;HAN Fei;ZHANG Jian;ZHU Chenghui;ZHU Hui(Anhui Tongling People s Hospital,Tongling 244000,China;Anhui Tongling Hospital of Traditional Chinese Medicine,Tongling 244000,China)
出处
《针灸临床杂志》
2024年第11期56-61,共6页
Journal of Clinical Acupuncture and Moxibustion
关键词
肩周炎
同气相求
巨刺法
手太阳经证
疼痛
肩关节活动度
Periarthritis of shoulder
Similar things attract each other
Opposing needling method
Hand-Taiyang meridian syndrome
Pain
Shoulder joint range of motion
