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李 娜1 罗湘筠2▲.腕踝针对肩关节周围炎急性期的镇痛效果及其对血清P物质的影响[J].中国现代医生,2021,59(14):139-141+146
腕踝针对肩关节周围炎急性期的镇痛效果及其对血清P物质的影响
Analgesia efficacy of wrist-ankle acupuncture on acute stage of scapulohumeral periarthritis and its impacts on serum substance P
  
DOI:
中文关键词:  肩周炎急性期  腕踝针  镇痛  VAS 评分  血清P 物质
英文关键词:Acute stage of scapulohumeral periarthritis  Wrist-ankle acupuncture  Analgesia  VAS score  Serum substance P
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作者单位
李 娜1 罗湘筠2▲ 1.湖南中医药大学湖南长沙 4100002.湖南中医药大学第三附属医院针灸科湖南株洲 412000 
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中文摘要:
      目的 观察腕踝针治疗急性期肩周炎的临床疼痛改善效果及体内血清P 物质的变化,并进行分析。方法 随机选取我科62 例肩周炎急性期患者,随机数字表法分为治疗组与对照组,每组各31 例,对照组予口服双氯芬酸钠缓释胶囊,治疗组予利多卡因行星状神经节阻滞后加腕踝针治疗,两组均连续治疗4 周后进行主动、被动功能锻炼,共治疗4 周。比较两组临床疗效、视觉模拟评分(Visual analogue scale score,VAS)及血清内P 物质水平变化。结果 ①疗程结束后,治疗组临床总有效率为100.00%,与对照组的77.42%比较,差异有统计学意义(χ2=4.348,P<0.05);②治疗组治疗4 周后VAS 为(2.07±0.44)分,与治疗前(8.24±1.52)分比较,差异有统计学意义(P<0.05);对照组治疗后VAS 为(4.22±0.65)分,与治疗前(8.36±1.14)分比较,差异有统计学意义(P<0.05);治疗后治疗组VAS 评分低于对照组,差异有统计学意义(P<0.05)。③治疗组治疗4 周后P 物质浓度为(33.07±6.74)pg/mL,与治疗前(69.24±7.52)pg/mL 比较,差异有统计学意义(P<0.05);对照组治疗后P 物质浓度是(40.22±6.65)pg/mL,与治疗前(70.36±8.02)pg/mL 比较,差异有统计学意义(P<0.05);治疗后治疗组P 物质浓度低于对照组,差异有统计学意义(P<0.05)。结论 腕踝针治疗肩关节周围炎,可改善疼痛症状,且安全有效。
英文摘要:
      Objective To observe and analyze the clinical efficacy of pain improvement of wrist-ankle acupuncture on acute stage of scapulohumeral periarthritis and the changes of serum substance P in vivo.Methods A total of 62 patients with acute stage of scapulohumeral periarthritis admitted to our department were randomLy selected,and they were divided into the treatment group(n=31) and the control group(n=31) according to the random number table method.The control group was treated with diclofenac sodium sustained-release capsule,while the treatment group was treated with lidocaine and stellate ganglion block combined with wrist-ankle acupuncture.Both groups were treated with active and passive functional exercise in continuous treatment for 4 weeks.The clinical efficacy,visual analogue scale (VAS)and changes of serum substance P were compared between the two groups.Results ①After the treatment,the total clinical efficacy rate of the treatment group was 100.00%,and there was statistically significant difference from 77.42%of the control group (χ2=4.348,P<0.05).②After 4 weeks of treatment,the VAS of the treatment group was (2.07±0.44) points,and there was statistically significant difference from (8.24±1.52) points before treatment(P<0.05).The VAS of the control group after treatment was (4.22±0.65) points,and there was statistically significant difference from(8.36±1.14) points before treatment (P<0.05).After treatment,the VAS score of the treatment group was lower than that of the control group,with statistically significant difference(P<0.05).③After 4 weeks of treatment,the concentration of substance P in the treatment group was (33.07±6.74) pg/mL,and there was statistically significant difference from (69.24±7.52)pg/mL before treatment (P<0.05).The concentration of substance P in the control group after treatment was (40.22±6.65) pg/mL,and there was statistically significant difference from (70.36±8.02) pg/mL before treatment (P<0.05).After treatment,the concentration of substance P in the treatment group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Wrist-ankle acupuncture is safe and effective in treating scapulohumeral periarthritis and improving pain symptoms.
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