针灸联合易筋经功法锻炼治疗老年肩周炎的临床研究

Clinical research on treatment of scapulohumeral periarthritis in elderly patients with acupuncture combined with Yijinjing ex-ercise

中文关键词: 老年  肩周炎  九鬼拔马刀势  针灸  传统功法

英文关键词: elderly  scapulohumeral periarthritis  "Jiugui Bama Daoshi"  acupuncture  traditional exercise

中文摘要:

      目的 探讨针灸联合易筋经"九鬼拔马刀势"功法锻炼治疗老年肩周炎的临床疗效.方法 选取2022年6月—2024年6月上海市闵行区中心医院收治的96例老年肩周炎患者,采用随机数字表法分为对照组(n=48)和观察组(n=48).对照组进行针刺肩三针穴治疗,观察组在与对照组相同处理的基础上联合易筋经九鬼拔马刀势法锻炼,2组患者均连续治疗4周.比较2组肩关节功能及活动功能、疼痛程度等.结果 治疗后,2组肩关节SPADI指数、Melle评分、VAS评分、McGill评分,SP、PGE2、5-HT水平均较同组治疗前降低,CMS评分较同组治疗前升高,差异均有统计学意义(P＜0.05).治疗4周,患者肩关节SPADI指数、Melle评分、VAS评分、McGill评分,SP、PGE2、5-HT水平均较同组治疗2周降低,CMS评分较同组治疗2周升高,差异均有统计学意义(P＜0.05);观察组肩关节SPADI指数、Melle评分、VAS评分、McGill评分,SP、PGE2、5-HT水平均较对照组降低,CMS评分较对照组升高,差异均有统计学意义(P＜0.05).结论 针灸联合易筋经"九鬼拔马刀势"可在短期内缓解老年肩周炎疼痛,并促进肩关节功能恢复,且较单纯针刺优势更为明显;对长期结局(含复发率)仍需随访验证.

英文摘要:

      Objective To explore the clinical efficacy of acupuncture combined with the"Jiugui Bama Daoshi"exer-cise method from the Yijinjing in the treatment of elderly patients with scapulohumeral periarthritis.Methods 96 elderly pa-tients with scapulohumeral periarthritis admitted to Minhang Central Hospital from June 2022 to June 2024 were selected and di-vided into control group(n=48)and observation group(n=48)by the random number table method.The control group was treated with acupuncture at three shoulder acupoints,while the observation group was treated with acupuncture combined the"Jiugui Bama Daoshi"exercise method from the Yijinjing.Both groups were treated continuously for 4 weeks.The shoulder joint functions,mobility functions,pain degrees were compared between the two groups.Results After treatment,the SPADI index,Melle score,VAS score,McGill score of shoulder joints,as well as the levels of SP,PGE2 and 5-HT in both groups were lower than those in the same group before treatment,while the CMS score was higher than that in the same group before treatment.The differences were statistically significant(P＜0.05).After 4 weeks of treatment,the SPADI index,Melle score,VAS score,McGill score of the shoulder joint,as well as the levels of SP,PGE2 and 5-HT in both groups were all lower than those in the same group after 2 weeks of treatment,while the CMS score was higher than that in the same group.The differences were statistically significant(P＜0.05).The SPADI index,Melle score,VAS score,McGill score of the shoulder joint,as well as the levels of SP,PGE2 and 5-HT in the observation group were all lower than those in the control group,while the CMS score was higher than that in the control group.The differences were statistically significant(P＜0.05).Conclusion Acupuncture combined with"Jiugui Bama Daoshi"exercise method from the Yijinjing can significantly relieve the pain of elderly patients with scapulohumeral periarthritis in a short period of time and promote the recovery of shoulder joint function.Moreover,its advantages are more obvious than those of acupuncture alone.However,its long-term outcomes(including the recurrence rate)still need to be verified through follow-up.