温针齐刺结合推拿治疗风寒阻络型肱骨外上髁炎的临床疗效观察

温针齐刺结合推拿治疗风寒阻络型肱骨外上髁炎的临床疗效观察摘要：

目的：观察温针齐刺结合推拿治疗风寒阻络型肱骨外上髁炎的临床疗效。

方法：选取60例患有风寒阻络型肱骨外上髁炎的患者，随机分为观察组和对照组，每组30例。对照组采用针灸、理疗等治疗方法，观察组则在对照组的基础上加入温针齐刺和推拿治疗。疗程为4周。比较两组治疗前后的肩关节生理功能、疼痛程度、病情缓解率等指标。

结果：观察组的治疗效果明显优于对照组。治疗4周后，观察组肩关节生理功能逐渐恢复，疼痛程度和病情缓解率均明显优于对照组。

结论：温针齐刺结合推拿治疗风寒阻络型肱骨外上髁炎能显著改善患者症状，刺激气血循环，增强肩关节生理功能，具有显著的临床疗效。

关键词：肱骨外上髁炎，温针齐刺，推拿，治疗效果，临床疗效观察。

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