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Received:May 21, 2024 Published Online:May 20, 2025
Received:May 21, 2024 Published Online:May 20, 2025
中文摘要: 目的 探讨超声引导下密集型银针对肩关节疼痛患者疗效、疼痛、肩关节功能、炎症因子及致痛物质的影响。方法 选择 2022年 1月至 2023年 5月湖南省人民医院接诊的92例肩周炎患者，采用随机数字表法将患者分为2组，各46例。对照组行常规电针治疗，观察组行超声引导下密集型银针治疗，疗程均为4周。疗程结束后比较2组临床疗效、疼痛情况、肩关节功能、肩关节活动度、炎症因子、血清致痛物质及并发症发生情况。结果 观察组总有效率为 95.65%，高于对照组的 82-61%（χ 2=4.039，P=0.045）。治疗后，两组疼痛视觉模拟评分（VAS）均低于治疗前，且观察组低于对照组（P<0.05）；两组日本骨科协会（JOA）评分及肩关节关节活动度（ROM）评分均高于治疗前，且观察组高于对照组（P<0.05）；两组白细胞介素（IL）-1、IL-8及肿瘤坏死因子 α（TNF-α）水平均低于治疗前，且观察组均低于对照组（P<0.05）；两组患者 P物质、神经肽 Y及神经生长因子水平均低于治疗前，且观察组均低于对照组（P<0.05）。两组治疗期间均未出现明显的不良反应与并发症。结论 超声引导下密集型银质针与常规电针治疗相比，可有效提高肩关节疼痛患者的疗效，改善肩关节功能及肩关节 ROM，并可降低炎症因子与血清致痛物质水平，且具有较高的安全性。
Abstract:Objective To investigate the effects of ultrasound.guided intensive silver needles on the efficacy, pain, shoulder function, inflammatory factors and pain.causing substances in patients with shoulder joint pain. Methods A total of 92 patients with frozen shoulder admitted to Hunan Provincial People..s Hospital from January 2022 to May 2023 were selected, and were divided into two groups with 46 cases in each group by random number table method. The control group received routine electroacupuncture treatment, while the observation group received intensive silver needle therapy under ultrasound guidance, both of which lasted for 4 weeks. After treatment, the clinical efficacy, pain, shoulder joint function, shoulder joint mobility, inflammatory factors, serum pain . causing substances and complications of the two groups were compared. Results The total effective rate of the observation group was 95.65%, which was higher than 82.61% of the control group (χ 2=4.039,P=0.045) . After treatment, the Visual Analogue Scale (VAS) score in both groups were lower compared to before treatment, and that in the observation group was lower compared to the control group; the Japanese Orthopaedic Association (JOA) score and range of motion (ROM) in both groups were higher compared to before treatment, and those in the observation group were higher compared to the control group (P＜0.05) ; the levels of interleukin (IL) -1, IL-8 and tumor necrosis factor α (TNF-α) in both groups were lower compared to before treatment, and those in the observation group were lower compared to the control group (P＜0.05) ; the levels of human serum substance P, neuropeptide Y and nerve growth factor in two groups were lower compared to before treatment, and those in the observation group was lower compared to the control group (P＜0.05) . There was no significant adverse reaction or complication during the treatment period in both groups. Conclusion Compared with conventional electroacupuncture, intensive silver needle guided by ultrasound can effectively improve the efficacy of patients with shoulder joint pain, improve function and ROM of shoulder joint, and reduce the levels of inflammatory factors and serum pain.causing substances, with high safety.
keywords: Ultrasound guidance Intensive silver needle Shoulder joint pain Range of motion Inflammatory factors Pain.causing substances
文章编号： 中图分类号：R246.2 文献标志码：A
基金项目:湖南省2022年度中医药科研计划项目（E2022023）
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