温针灸联合运动疗法对肩袖损伤术后患肩活动功能和疼痛的影响

Effects of Warm-Needle Moxibustion Combined with Exercise Therapy on the Range of Motion and Pain of the Affected Shoulder After Rotator Cuff Injury Surgery

摘要:

目的：观察温针灸联合运动疗法对肩袖损伤术后患肩活动功能和疼痛的影响。方法：回顾性选取 2024年1—12月于丽水市人民医院实施肩袖损伤修复手术患者118例，根据治疗方式不同分为试验组和对照组 各59例。对照组给予运动疗法治疗，试验组给予温针灸联合运动疗法治疗。2组均持续治疗60天。比较2组治 疗前、治疗30天、治疗45天、治疗60天疼痛视觉模拟评分法（VAS） 评分、Constant-Murley肩关节功能评分 量表（CMS） 评分、美国加州大学（UCLA） 肩关节评分及肩关节活动度，统计不良反应发生率。结果：治疗 30 天、45 天、60 天，2 组VAS 评分随时间变化逐渐降低（P＜0.05）；且试验组VAS 评分均低于同期对照 组（P＜0.05）。治疗30天、45天、60天，2组CMS评分、UCLA肩关节评分随时间变化逐渐升高（P＜0.05）； 且试验组CMS评分、UCLA肩关节评分均高于同期对照组（P＜0.05）。治疗60天后，2组肩关节前屈、外旋活 动度较治疗前增大（P＜0.05）；且试验组肩关节前屈、外旋活动度大于对照组（P＜0.05）。2组不良反应发生 率比较，差异无统计学意义（P＞0.05）。结论：温针灸联合运动疗法可改善肩袖损伤术后患肩活动功能，减轻 患者疼痛，且不增加不良反应。

Abstract:

Abstract：Objective：To observe the effects of warm-needle moxibustion combined with exercise therapy on the range of motion and pain of the affected shoulder after rotator cuff injury surgery. Methods：A retrospective study was conducted on 118 patients who underwent rotator cuff injury surgery at Lishui People's Hospital from January to December 2024. They were divided into the trial group and the control group based on different treatment methods，with 59 cases in each group. The control group received exercise therapy， while the trial group received warm-needle moxibustion combined with exercise therapy. Both groups were treated continuously for 60 days. The Visual Analogue Scale （VAS） score， Constant-Murley Score （CMS） of shoulder function， University of California at Los Angeles （UCLA） shoulder scale score， and shoulder range of motion were compared between the two groups before treatment and at 30，45，and 60 days after treatment. The incidence of adverse reactions was also recorded. Results： At 30，45，and 60 days after treatment，the VAS scores in both groups gradually decreased over time （P＜0.05）；the VAS scores in the trial group were lower than those in the control group at the same time point （P＜0.05）. At 30，45， and 60 days after treatment， the CMS and UCLA shoulder scale scores in both groups gradually increased over time（ P＜0.05）；the CMS and UCLA shoulder scale scores in the trial group were higher than those in the control group at the same time point （P＜0.05）. After 60 days of treatment，the shoulder flexion and external rotation range of motion in both groups increased compared with those before treatment （P＜0.05）； the shoulder flexion and external rotation range of motion in the trial group was greater than that in the control group （P＜0.05）. There was no statistically significant difference in the incidence of adverse reactions between the two groups （P＞0.05）. Conclusion： Warmneedle moxibustion combined with exercise therapy can improve shoulder range of motion and reduce pain in patients after rotator cuff injury surgery，without increasing adverse reactions.