穴位注射联合小针刀及中药封包治疗肩周炎寒湿痹阻证临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R274;R684.3

基金项目:

永嘉县2023年度第六批科技发展计划项目(2023340)


Clinical Study on Acupoint Injection Combined with Small Acupotomy and Chinese Medicine Package Therapy for Frozen Shoulder with Cold-Damp Blockage Syndrome
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察在西药基础上加用穴位注射联合小针刀及中药封包治疗肩周炎寒湿痹阻证的临床疗效。 方法:选取2023年5月—2024年9月在永嘉县中医院骨伤科门诊就诊的75例肩周炎寒湿痹阻证患者,按简单 随机分组法分为对照组38例、观察组37例,研究期间剔除和脱落共9例,其中对照组5例、观察组4例,最终 2组各33例完成研究。对照组给予口服塞来昔布胶囊联合盐酸乙哌立松片治疗,观察组在对照组基础上予穴位 注射联合小针刀及中药封包治疗。比较2组临床疗效,比较2组治疗前后中医证候积分、肩关节疼痛程度[疼 痛视觉模拟评分法(VAS) 评分] 及Constant-Murley肩关节功能评分的变化。结果:治疗1个月后,观察组总 有效率96.97%(32/33),高于对照组78.79%(26/33)(P<0.05)。2组肩部窜痛、畏风恶寒、遇风寒痛增、肩 部沉重感积分均较治疗前降低(P<0.05),观察组肩部窜痛、畏风恶寒、遇风寒痛增、肩部沉重感积分均低于 对照组(P<0.05)。2组VAS评分均较治疗前降低(P<0.05),观察组VAS评分低于对照组(P<0.05)。2组疼 痛、日常生活、肩关节活动度、肌力评分及总分均较治疗前升高(P<0.05),观察组疼痛、日常生活、肩关节 活动度、肌力评分及总分均高于对照组(P<0.05)。结论:在西药基础上加用穴位注射联合小针刀及中药封包 治疗肩周炎寒湿痹阻证,可进一步缓解疼痛并改善肩关节功能。

    Abstract:

    Abstract:Objective:To observe the clinical efficacy of acupoint injection combined with small acupotomy and Chinese medicine package therapy in addition to western medication for frozen shoulder with cold-damp blockage syndrome. Methods: A total of 75 patients with frozen shoulder of cold-damp blockage syndrome who visited the Orthopedics and Traumatology Outpatient Clinic of Yongjia Hospital of Traditional Chinese Medicine from May 2023 to September 2024 were selected. They were divided into the control group( 38 cases) and the observation group( 37 cases) using the simple randomization method. During the study,a total of nine cases were excluded or dropped out (five from the control group, four from the observation group), resulting in 33 cases completing the study in each group. The control group was treated with oral Celecoxib Capsules combined with Eperisone Hydrochloride Tablets. The observation group received the same western medication as the control group,with the addition of acupoint injection combined with small acupotomy and Chinese medicine package therapy. Clinical efficacy, traditional Chinese medicine syndrome scores,shoulder pain severity [Visual Analogue Scale (VAS) scores],and Constant-Murley shoulder function scores before and after treatment were compared between the two groups. Results: After one month of treatment, the total effective rate in the observation group was 96.97% (32/33), higher than that of 78.79% (26/33) in the control group (P<0.05). The scores for wandering shoulder pain,aversion to wind and cold,pain aggravated by exposure to wind and cold, and shoulder heaviness were decreased in both groups compared to before treatment (P<0.05). The observation group had lower scores for these traditional Chinese medicine syndrome items than the control group (P< 0.05). The VAS scores decreased in both groups compared to before treatment (P<0.05),and the observation group had a lower VAS score than the control group (P<0.05). The scores for shoulder pain,activities of daily living,range of motion, muscle strength, and the total Constant-Murley score increased in both groups compared to before treatment (P<0.05). The observation group had higher scores for these Constant-Murley items and the total score than the control group (P<0.05). Conclusion: Application of acupoint injection combined with small acupotomy and Chinese medicine package therapy in addition to western medication can further alleviate pain and improve shoulder joint function in patients with frozen shoulder of cold-damp blockage syndrome.

    参考文献
    相似文献
    引证文献
引用本文

潘沈淇.穴位注射联合小针刀及中药封包治疗肩周炎寒湿痹阻证临床研究[J].新中医,2026,58(6):128-132

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2026-03-31
  • 出版日期:
文章二维码