| 温针灸治疗肩周炎的临床效果研究 |
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| 引用本文： | 唐铭含,宋浩,魏治中. 温针灸治疗肩周炎的临床效果研究[J]. 中华全科医学, 2019, 17(10): 1745-1748. DOI: 10.16766/j.cnki.issn.1674-4152.001046 |
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| 作者姓名： | 唐铭含 宋浩 魏治中 |
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| 作者单位： | 1. 江苏卫生健康职业学院中西医结合学院, 江苏 南京 210000; |
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| 基金项目： | 江苏省教育厅批准项目(2017SJBFDY190) |
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| 摘 要： | 目的 探讨温针灸治疗肩周炎的临床疗效，为肩周炎的治疗提供依据。 方法 选取2018年1月—2019年1月江苏省中医院收治的肩周炎患者120例，按照随机数字表法分为对照组和联合组各60例。对照组患者进行常规西药治疗，联合组在对照组的基础上采用温针灸治疗。采用VAS视觉疼痛评分法、Melle评分、日常生活能力评价量表对2组患者治疗前后疼痛、关节活动功能、日常生活能力进行评价，并评价2组患者肩关节功能，检测2组患者治疗前后血清降钙素基因相关肽(calcitonin gene-related peptide，CGRP)、P物质(substance P，SP)水平变化情况，统计2组治疗效果，并进行组间比较。 结果 2组治疗前患者疼痛评分、肩关节功能评分、关节活动功评分、日常生活能力评分及血清CGRP、SP水平比较，差异均无统计学意义(均P＞0.05)；治疗后联合组患者疼痛评分、关节活动功能评分、血清CGRP、SP水平低于对照组，肩关节功能评分、日常生活能力评分高于对照组，差异具有统计学意义(均P＜0.05)。联合组患者的治疗总有效率高于对照组，差异具有统计学意义(P＜0.05)。 结论 温针灸能够抑制疼痛炎性因子的异常表达，以此来缓解肩周炎患者疼痛症状，恢复肩关节功能，治疗效果较好。
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| 关 键 词： | 温针灸 肩周炎 肩关节功能 |
| 收稿时间： | 2019-02-20 |
Clinical study of warm acupuncture and moxibustion in the treatment of shoulder periarthritis |
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| Affiliation: | School of Integrated Traditional Chinese and Western Medicine, Jiangsu Health Vocational College, Nanjing, Jiangsu 210000, China |
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| Abstract: | Objective To study the clinical effect of warming needle moxibustion on scapulohumeral periarthritis and provide corresponding treatment reference. Methods A total of 120 patients with scapulohumeral periarthritis admitted to traditional Chinese medicine of Jiangsu Province from January 2018 to January 2019 were selected and randomly divided into control group and combined group with 60 cases in each group. The patients in the control group were treated with routine western medicine, while the patients in the combined group were treated with Warming Acupuncture and moxibustion on the basis of the control group. VAS visual pain score, Melle score and activity of daily living scale were used to evaluate the pain, joint activity and activity of daily living of the two groups before and after treatment. The shoulder joint function of the two groups was evaluated. The changes of serum calcitonin gene-related peptide (CGRP) and substance P (SP) levels were detected before and after treatment. The treatment of the two groups was measured. The results were compared between groups. Results There was no significant difference in pain score, shoulder joint function score, joint activity score, daily living ability score, serum CGRP and SP level between the two groups before treatment (all P>0.05); after treatment, the pain score, joint activity score, serum CGRP and SP level in the combined group were lower than those in the control group, while the shoulder joint function score and daily living ability score were significantly higher than those in the control group (all P<0.05). The total effective rate of the combined group was significantly higher than that of the control group (P<0.05). Conclusion Warm acupuncture and moxibustion can inhibit the abnormal expression of pain inflammatory factors, relieve pain symptoms of patients with scapulohumeral periarthritis, restore shoulder joint function, and have a better therapeutic effect. |
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