| 万晴冬,董单,李国庆,梁博程,许超.董氏奇穴三肩穴对于冻结肩气滞血瘀证的临床疗效观察[J].浙江中西医结合杂志,2024,34(5): |
| 董氏奇穴三肩穴对于冻结肩气滞血瘀证的临床疗效观察 |
| Clinical Observation on the Curative Effect of Dong"s extraordinary point Three Shoulder Points on Frozen Shoulder Qi Stagnation and Blood Stasis Syndrome |
| 投稿时间：2023-11-23 修订日期：2024-02-15 |
| DOI： |
| 中文关键词: 冻结肩 董氏奇穴 三肩穴 |
| 英文关键词:Frozen Shoulder Dong"s extraordinary point Three Shoulder Points |
| 基金项目:浙江省中医药传承创新项目（编号：2023ZL058） |
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| 中文摘要: |
| 目的：探究董氏奇穴三肩穴治疗气滞血瘀证冻结肩患者的肩关节活动度和疼痛的改善及对血清肿瘤坏死因子α(TNF-α)及白细胞介素6(IL-6)的影响。方法：选取2022年12月到2023年8月的75例气滞血瘀证冻结肩患者,按照随机数字表法分为对照组和试验组。对照组给予身痛逐瘀汤口服+指南推荐针刺穴位针刺治疗,试验组给予身痛逐瘀汤口服+董氏奇穴三肩穴治疗。临床观察4周,比较三组患者治疗前后的VAS疼痛评分、肩关节活动度,血清TNF-α和IL-6水平。结果 治疗结束后两组患者的VAS疼痛评分、血清TNF-α、血清IL-6均下降,肩关节活动度均有改善。与对照组相比试验组的各项指标均有显著变化(P<0.05)。与对照组相比,试验组在肩关节活动度恢复上分别具有中效应与低效应量的差异。结论：董氏奇穴三肩穴能改善患者冻结肩的疼痛及患侧肩部的活动度水平,降低炎症反应。 |
| 英文摘要: |
| Objective: To investigate the improvement of shoulder joint mobility and pain in patients with frozen shoulder syndrome of qi stagnation and blood stasis treated with Dong"s extraordinary point three shoulder points, as well as their effects on serum tumor necrosis factorα (TNF-α) and interleukin-6 (IL-6).Method: 75 patients with frozen shoulder syndrome of qi stagnation and blood stasis from December 2022 to August 2023 were selected and randomly divided into a control group and an experimental group according to the random number table method. The control group was treated with oral administration of Shentong Zhuyu Tang and recommended acupuncture at acupoints according to the guidelines. The experimental group was treated with oral administration of Shentong Zhuyu Tang and treatment at Dong"s extraordinary point three shoulder points. Clinical observation for 4 weeks, comparing the VAS pain score, shoulder joint range of motion, and serum TNF-α and IL-6 levels of three groups of patients before and after treatment. After the end of treatment, the VAS pain score, serum TNF-α, and serum IL-6 of both groups of patients decreased, and shoulder joint mobility improved. Compared with the control group, the experimental group showed significant changes in all indicators (P<0.05), and the experimental group was divided into two groups in terms of recovery of shoulder joint mobility: moderate effect and low effect. Conclusion: Dong"s extraordinary point three shoulder points can improve the pain of frozen shoulder and the activity level of the affected shoulder in patients and reduce inflammatory reactions. |
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