[1]葛程,张洋,程少丹△,等.针刀镜配合手法松解治疗重度肩周炎的中长期疗效及对血清炎性因子的影响[J].中国中医骨伤科杂志,2023,31(02):35-39+43.
　GE Cheng ZHANG Yang CHENG Shaodan LIU Lu,WANG Shihui MA Yinghui CHENG Yang PANG Haili GAO Yunwen.Long Term Efficacy of Acupotomy Scope Combined with Manipulation Release on the Treatment of Severe Periarthritis of Shoulder and Its Influence on Serum Inflammatory Factors[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(02):35-39+43.
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针刀镜配合手法松解治疗重度肩周炎的中长期疗效及对血清炎性因子的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年02期
页码:
35-39+43
栏目:
临床研究
出版日期:
2023-02-15

文章信息/Info

Title:
Long Term Efficacy of Acupotomy Scope Combined with Manipulation Release on the Treatment of Severe Periarthritis of Shoulder and Its Influence on Serum Inflammatory Factors
文章编号:
1005-0205(2023)02-0035-05
作者:
葛程1; 2; 张洋1; 2; 程少丹1; 2△; 刘璐1; 2; 3; 王世辉1; 2; 马迎辉1; 2; 程杨1; 2; 庞海莉1; 2; 高韵文1; 2
1上海市光华中西医结合医院(上海,200052) 2上海市中医药研究院中西医结合关节炎研究所 3上海中医药大学
Author(s):
GE Cheng1; 2 ZHANG Yang1; 2 CHENG Shaodan1; 2△ LIU Lu1; 2;  3 WANG Shihui1; 2 MA Yinghui1; 2 CHENG Yang1; 2 PANG Haili1; 2 GAO Yunwen1; 2
1Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 200052, China; 2Research Laboratory of Arthritis of Integrated Chinese and Western Medicines of Shanghai Institute of Traditional Chinese Medicine, Shanghai 200052, China; 3Shanghai University of Traditional Chinese Medicine, Shanghai 200052, China.
关键词:
针刀镜;  重度肩周炎;  手法松解;  中长期疗效;  炎性因子
Keywords:
minimally invasive acupotomy scope;  severe periarthritis of shoulder;  manipulation release;  medium and long term efficacy;  inflammatory factors
分类号:
R685
文献标志码:
A
摘要:
目的:观察针刀镜配合手法松解治疗重度肩周炎的中长期疗效及对血清炎性因子的影响。方法:按照随机数字表法将2019年7月至2021年12月收治的96例重度肩周炎患者随机分为对照组(全麻下手法松解结合银质针温针灸治疗组)和治疗组(针刀镜配合手法松解组),每组各48例。观察两组患者治疗前、治疗后1周血清IL-1、IL-6、IL-8、TNF-α水平,及治疗前、治疗后1周、1个月、3个月及6个月后的肩关节疼痛、肩关节活动功能、日常生活能力评分及总评分,并比较两组患者的临床疗效。结果:两组患者治疗后1周的血清IL-1、IL-6、IL-8、TNF-α水平较治疗前均有所降低,且治疗组下降的幅度大于对照组,差异有统计学意义(P<0.05); 两组患者治疗后各个时间段的肩关节疼痛、肩关节活动功能、日常生活能力评分及总评分均高于治疗前,且治疗组的评分均高于对照组,总疗效优于对照组,差异有统计学意义(P<0.05)。结论:针刀镜配合手法松解治疗重度肩周炎能降低血清IL-1、IL-6、IL-8、TNF-α水平,减轻肩关节疼痛,改善肩关节活动功能,提高日常生活能力,具有良好的中长期疗效。
Abstract:
Objective:To observe the medium and long term efficacy of acupotomy scope combined with manipulation release on the treatment of severe periarthritis of shoulder and its efficacy on serum inflammatory factors.Methods:According to the random number table method, 96 patients with severe periarthritis of shoulder admitted from July 2019 to December 2021 were divided into control group(manipulation release under general anesthesia combined with silver needle warm acupuncture group)and treatment group(acupotomy scope combined with manipulation release group), with 48 cases in each group. By observing and comparing the levels of serum IL-1, IL-6, IL-8 and TNF-α before and 1 week after treatment, as well as the scores of shoulder pain, shoulder activity function, daily living ability and total scores before and 1 week, 1 month, 3 months and 6 months after treatment,the clinical treatment efficacy of the two groups were compared. Results:The levels of serum IL-1, IL-6, IL-8 and TNF-α in two groups after treatment were decreased compared with before treatment, and the decrease in treatment group was greater than that in control group, the difference was statistically significant(P<0.05). The scores of shoulder pain, shoulder activity function,daily living ability and total scores of two groups after treatment were higher than before, and the scores of the treatment group were higher than the control group, and the total efficacy was better than the control group, the differences were statistically significant(P<0.05). Conclusion:Acupotomy scope combined with manipulation release on the treatment of severe periarthritis of shoulder can reduce the levels of serum IL-1, IL-6, IL-8, TNF-α, relieve shoulder pain, improve shoulder activity function, improve the ability of daily life, with a good medium and long term efficacy.

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备注/Memo

备注/Memo:
基金项目:上海市科委课题(19401935000,20Y21901600)
上海市长宁区科委课题( CNKW20185Y12)
上海市长宁区名中医建设项目(CNMZY-2021013)
上海市长宁区青年中医医师培养项目(2021CNQNZY002)
△通信作者 E-mail:chengshaodannew@126.com
更新日期/Last Update: 2023-02-10