| .基于筋骨平衡理论探讨舒筋通络法推拿联合温针灸对风寒湿型肩周炎的影响[J].,2024,(24):4667-4669 |
| 基于筋骨平衡理论探讨舒筋通络法推拿联合温针灸对风寒湿型肩周炎的影响 |
| Discussion on the Effect of Shujintongluo Method Massage Combined with Warm Acupuncture Moxibustion on Wind-Cold-Damp Type Shoulder Periarthritis Based on the Theory of Tendons and Bones Balance |
| 投稿时间：2024-09-09 修订日期：2024-10-12 |
| DOI：10.13241/j.cnki.pmb.2024.24.012 |
| 中文关键词: 筋骨平衡理论 舒筋通络法推拿 温针灸 风寒湿型 肩周炎 |
| 英文关键词: Theory of tendons and bones balance Shujintongluo method massage Warm acupuncture moxibustion Wind-cold-damp type Shoulder periarthritis |
| 基金项目:北京市属医院科研培育项目（PZ2016004） |
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| 中文摘要: |
| 摘要 目的：基于筋骨平衡理论探讨舒筋通络法推拿联合温针灸对风寒湿型肩周炎的影响。方法：96例肩周炎患者按照随机数字表法将其分为单一组（n=48）和联合组（n=48）。单一组接受温针灸治疗，联合组在单一组基础上接受舒筋通络法推拿治疗。观察两组治疗前后临床症状[简化McGill疼痛问卷（SF-MPQ）评分、美国肩肘外科医师（ASES）评分]、血清炎症因子[单核细胞趋化蛋白1（MCP-1）、白介素（IL）-6、IL-32]水平、三角肌表面积分肌电值（iEMG）和肩关节活动度的变化情况。结果：治疗2周后、治疗4周后，联合组SF-MPQ评分低于单一组，三角肌表面iEMG、ASES评分高于单一组（P＜0.05）。治疗4周后，联合组血清MCP-1、IL-6、IL-32水平低于单一组，肩关节活动度（前屈、后伸、内旋、外旋）高于单一组（P＜0.05）。结论：风寒湿型肩周炎患者经基于筋骨平衡理论的舒筋通络法推拿联合温针灸治疗后，可减轻患者临床症状和炎症反应，增加肩关节活动范围，改善三角肌功能，提高日常生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of shujintongluo method massage combined with warm acupuncture moxibustion on wind-cold-damp type shoulder periarthritis based on the theory of tendons and bones balance. Methods: A total of 96 patients with shoulder periarthritis were divided into single group (n=48) and combined group (n=48) according to the random number table method. Single group was treated with warm acupuncture moxibustion, and combine group was treated with shujintongluo method massage. The changes of clinical symptoms [simplified McGill pain questionnaire (SF-MPQ) score, American Shoulder and Elbow Surgeon (ASES) score], serum inflammatory factors [monocyte chemoattractant protein 1(MCP-1), interleukin (IL)-6 and IL-32], surface integral electromyography (iEMG) of the deltoid muscle and shoulder joint activity were observed before and after treatment in two groups. Results: 2 weeks after treatment and 4 weeks after treatment, SF-MPQ scores were lower in combined group than in single group, and the surface iEMG of deltoid muscle, the ASES score was higher than that in single group(P<0.05). 4 weeks after treatment, the levels of serum MCP-1, IL-6 and IL-32 in combined group were lower than those in single group, the shoulder joint activity (flexion, extension, internal rotation and external rotation) was higher than that in single group (P<0.05). Conclusion: Wind-cold-damp type shoulder periarthritis patients treat with shujintongluo method massage combined with warm acupuncture moxibustion based on the theory of tendons and bones balance, which can reduce the clinical symptoms and inflammatory response, increase the range of shoulder joint activity, improve the function of deltoid muscle and improve the quality of daily life. |
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