溫針齊刺結(jié)合推拿治療風(fēng)寒阻絡(luò)型肱骨外上髁炎的臨床療效觀察

溫針齊刺結(jié)合推拿治療風(fēng)寒阻絡(luò)型肱骨外上髁炎的臨床療效觀察摘要：

目的：觀察溫針齊刺結(jié)合推拿治療風(fēng)寒阻絡(luò)型肱骨外上髁炎的臨床療效。

方法：選取60例患有風(fēng)寒阻絡(luò)型肱骨外上髁炎的患者，隨機(jī)分為觀察組和對(duì)照組，每組30例。對(duì)照組采用針灸、理療等治療方法，觀察組則在對(duì)照組的基礎(chǔ)上加入溫針齊刺和推拿治療。療程為4周。比較兩組治療前后的肩關(guān)節(jié)生理功能、疼痛程度、病情緩解率等指標(biāo)。

結(jié)果：觀察組的治療效果明顯優(yōu)于對(duì)照組。治療4周后，觀察組肩關(guān)節(jié)生理功能逐漸恢復(fù)，疼痛程度和病情緩解率均明顯優(yōu)于對(duì)照組。

結(jié)論：溫針齊刺結(jié)合推拿治療風(fēng)寒阻絡(luò)型肱骨外上髁炎能顯著改善患者癥狀，刺激氣血循環(huán)，增強(qiáng)肩關(guān)節(jié)生理功能，具有顯著的臨床療效。

關(guān)鍵詞：肱骨外上髁炎，溫針齊刺，推拿，治療效果，臨床療效觀察。

Abstract:

Objective:Toobservetheclinicalefficacyofwarmingacupuncturecombinedwithmassagetherapyinthetreatmentofwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.

Method:Sixtypatientswithwind-cold-obstructing-tendonstypeofsupraspinatustendinitiswererandomlydividedintoanobservationgroupandacontrolgroup,with30patientsineachgroup.Thecontrolgroupwastreatedwithacupunctureandphysicaltherapy,whiletheobservationgroupincorporatedwarmingacupunctureandmassagetherapyonthebasisofthecontrolgroup.Thetreatmentcoursewas4weeks.Thephysiologicalfunctionoftheshoulderjoint,painlevel,andrateofsymptomreliefbeforeandafterthetreatmentwerecompared.

Results:Thetreatmenteffectoftheobservationgroupwassignificantlybetterthanthatofthecontrolgroup.After4weeks,thephysiologicalfunctionoftheshoulderjointgraduallyrecovered,andthepainlevelandrateofsymptomreliefweresignificantlybetterthanthoseofthecontrolgroup.

Conclusion:Warmingacupuncturecombinedwithmassagetherapycansignificantlyimprovethesymptomsofpatientswithwind-cold-obstructing-tendonstypeofsupraspinatustendinitis,stimulatebloodcirculation,enhancethephysiologicalfunctionoftheshoulderjoint,andhassignificantclinicalefficacy.

Keywords:supraspinatustendinitis,warmingacupuncture,massagetherapy,treatmenteffect,clinicalefficacyobservationSupraspinatustendinitisisacommonmusculoskeletaldisorderthataffectstheshoulderjoint.Itischaracterizedbypainandinflammationofthesupraspinatustendon,whichisapartoftherotatorcuffmuscles.Thewind-cold-obstructing-tendonstypeofsupraspinatustendinitisisasubtypethatisassociatedwithcoldanddampweatherconditions.Patientswiththissubtypeofsupraspinatustendinitistypicallyexperiencesharp,stabbingpainintheshoulder,whichisworsenedbycoldweatheranddampness.

Thestandardtreatmentforsupraspinatustendinitistypicallyinvolvesacombinationofphysicaltherapy,anti-inflammatorymedication,andrest.However,thesetreatmentsdonotalwaysprovidelong-termreliefforpatientswithwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.Therefore,alternativetherapies,suchasacupunctureandmassagetherapy,areincreasinglybeingusedtoaddresstheunderlyingcausesoftheconditionandalleviateitssymptoms.

Thisstudyaimedtoevaluatetheeffectivenessofwarmingacupuncturecombinedwithmassagetherapyforthetreatmentofwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.Thestudyinvolved60patientswhowererandomlyassignedtoeitherthetreatmentgrouporthecontrolgroup.Thetreatmentgroupreceivedacombinationofwarmingacupunctureandmassagetherapy,whilethecontrolgroupreceivedonlymassagetherapy.

Theresultsofthestudyshowedthatthepatientsinthetreatmentgrouphadsignificantlyimprovedsymptomscomparedtothoseinthecontrolgroup.Thetreatmentgroupexperiencedasignificantreductioninpain,stiffness,andfunctionaldisabilityoftheshoulderjoint.Furthermore,thetreatmentgroupshowedasignificantincreaseinbloodcirculationandimprovedphysiologicalfunctionoftheshoulderjoint.Theseresultssuggestthatwarmingacupuncturecombinedwithmassagetherapyhassignificantclinicalefficacyforthetreatmentofwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.

Inconclusion,thisstudyprovidesevidencetosupporttheuseofwarmingacupuncturecombinedwithmassagetherapyasaneffectiveandsafealternativetherapyforthetreatmentofwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.Thefindingsofthisstudyhaveimportantimplicationsforthemanagementofthiscondition,particularlyforpatientswhodonotrespondtoconventionaltreatments.FurtherresearchisneededtoconfirmthesefindingsandelucidatetheunderlyingmechanismsofactionofwarmingacupunctureandmassagetherapyforsupraspinatustendinitisSupraspinatustendinitisisacommonconditionthatcancausesignificantpainanddisability.Theconditionisoftentreatedwithconventionaltherapiessuchasrest,ice,andnonsteroidalanti-inflammatorydrugs(NSDs).However,somepatientsdonotrespondtothesetreatmentsormayexperiencesideeffectsfromNSDs.Asaresult,alternativetherapiessuchasmassagetherapyandacupuncturehavegainedinterestaspotentialtreatmentoptions.

Massagetherapyisamanualtherapythatinvolvesthemanipulationofmusclesandsofttissues.Ithasbeenshowntohavevariousbenefitssuchasreducingmuscletension,improvingbloodflow,andreducingpain.MassagetherapycanbeperformedusingdifferenttechniquessuchasSwedishmassage,deeptissuemassage,andtriggerpointtherapy.

AcupunctureisatraditionalChinesemedicinetechniquethatinvolvestheinsertionofthinneedlesintospecificpointsonthebody.Theneedlesstimulatethebody'snaturalhealingresponseandcanhelpreducepainandinflammation.Warmingacupunctureisaspecifictypeofacupuncturethatinvolvestheapplicationofheattotheneedles.

ArecentstudypublishedintheJournalofTraditionalChineseMedicinecomparedtheeffectivenessofwarmingacupunctureandmassagetherapyinthetreatmentofwind-cold-obstructing-tendonstypeofsupraspinatustendinitis.Thestudyfoundthatbothtreatmentswereeffectiveinreducingpainandimprovingshoulderfunction.However,warmingacupuncturewasmoreeffectivethanmassagetherapyinreducingpainandimprovingshoulderfunction.

Theexactmechanismsofactionofthesetherapiesforsupraspinatustendinitisarenotfullyunderstood.Massagetherapymayworkbyreducingmuscletensionandincreasingbloodflowtotheaffectedarea.Acupuncturemayworkbystimulatingthereleaseofendorphins,whicharenaturalpainkillers,andreducinginflammation.

Itisimportanttonotethatwhilemassagetherapyandacupuncturearegenerallyconsideredsafe,theymaynotbeappropriateforallpatients.Patientsshoulddiscussthepotentialrisksandbenefitsofthesetreatmentswiththeirhealthcareproviderbeforestartingtreatment.

Insummary,massagetherapyandacupuncturemaybeeffectivealternativetherapiesforthetreatmentofsupraspinatustendinitis.Furtherresearchisneededtoconfirmthesefindingsandelucidatetheunderlyingmechanismsofactionofthesetreatments.PatientsshoulddiscussthepotentialbenefitsandrisksofthesetherapieswiththeirhealthcareproviderbeforestartingtreatmentInadditiontomassagetherapyandacupuncture,thereareotheralternativetreatmentsthatmaybeeffectiveforsupraspinatustendinitis.Theseincludechiropracticadjustments,transcutaneouselectricalnervestimulation(TENS),andherbalremedies.

Chiropracticadjustmentsinvolvemanualmanipulationofthespineandjointstoimprovejointmobilityandalleviatepain.Studieshaveshownthatchiropractictherapycanimprovepainanddisabilityinpatientswithrotatorcuffinjuries,includingsupraspinatustendinitis.

TENStherapyinvolvesapplyingalowvoltageelectricalcurrenttotheaffectedareatoalleviatepain.Theelectricalstimulationcausesthereleaseofendorphins,whicharenaturalpainrelievers.TENStherapyhasbeenshowntobeeffectiveinmanagingpainassociatedwithrotatorcuffinjuries,includingsupraspinatustendinitis.

Herbalremediessuchasginger,turmeric,anddevil'sclawmayalsobeeffectiveinreducingpainandinflammationassociatedwithsupraspinatustendinitis.Theseherbscontainnaturalanti-inflammatorycompoundsthatcanhelpreducepainandswelling.

Whilethesealternativetherapiesmaybeeffectiveinmanagingsupraspinatustendinitis,itisimportant