|
|
肩周炎的中西医保守治疗
|
Abstract:
肩周炎全称肩关节周围炎，肩部疼痛和功能障碍等为肩周炎主要表现，当今人民生活水平提高，肩周炎患病率逐渐上升并且呈年轻化趋势。另外，本病还有病程迁延，病情不稳和复发等特征。对肩周炎的治疗中，中医和西医都有许多行之有效的方法，既有采用单一手段也有多种治疗方法相结合。本文对近十年中医西医结合治疗肩周炎的相关文献进行了全面分析，以期为肩周炎的临床治疗提供参考。
Periarthritis of shoulder is the main manifestation of shoulder pain and functional dysfunction. With the improvement of people’s living standards, the prevalence of periarthritis of shoulder is gradually increasing and showing a trend of younger people. In addition, the disease has the char-acteristics of prolonged course, instability and recurrence. In the treatment of periarthritis of shoulder, both Chinese medicine and Western medicine have many effective methods, both using a single means and a variety of treatment methods combined. This article makes a comprehensive analysis of the relevant literature on the treatment of periarthritis of shoulder in the past ten years, in order to provide reference for the clinical treatment of periarthritis of shoulder.
| [1] | 谭雁夫, 艾双春. 冻结肩发病机制的研究进展[J]. 中国老年学杂志, 2020, 40(24): 5371-5375. |
| [2] | Bhargav, D. and Murrell, G.A.C. (2011) Basic Science of Adhesive Capsulitis. Techniques in Shoulder & Elbow Surgery, 12, 126-129. https://doi.org/10.1097/BTE.0b013e318239b3e1 |
| [3] | Franz, A., Klose, M. and Beitzel, K. (2019) Kon-servative Therapie der “Frozen Shoulder”. Der Unfallchirurg, 122, 934-940. https://doi.org/10.1007/s00113-019-00731-3 |
| [4] | Hua, G.C., Gao, G.X. and Wu, Y.L. (2021) Observation on the Clinical Effect of Shoulder Manipulative Release Combined with Individualized Treatment of Scapulohumeral Periarthri-tis under Brachial Plexus Anesthesia. Minerva Medica. https://doi.org/10.23736/S0026-4806.21.07699-0 |
| [5] | 袁绪文, 解鸿宇, 皮亚彬, 鲁文梦, 王文娟, 袁爱红. 针刺结合关节错缝术治疗肩周炎急性期疗效观察[J]. 中国中医急症, 2023, 32(6): 1050-1053. |
| [6] | Brindisino, F., Silvestri, E., Gallo, C., et al. (2022) Depression and Anxiety Are Associated with Worse Subjective and Functional Baseline Scores in Patients with Frozen Shoulder Contracture Syn-drome: A Systematic Review. Arthroscopy, Sports Medicine, and Rehabilitation, 4, E1219-E1234. https://doi.org/10.1016/j.asmr.2022.04.001 |
| [7] | 于连贺. 针刺阳陵泉配合随咳进针法治疗肩周炎急性期的临床疗效观察[D]: [硕士学位论文]. 长春: 长春中医药大学, 2022. https://doi.org/10.26980/d.cnki.gcczc.2021.000454 |
| [8] | 周肃陵, 安建原. 《伤寒杂病论》方药辨治肩周炎探析[J]. 中国民间疗法, 2021, 29(17): 23-24.
https://doi.org/10.19621/j.cnki.11-3555/r.2021.1710 |
| [9] | 刘兆丰, 程红, 李军, 等. 穴位注射结合运动疗法治疗肩周炎的临床疗效[J]. 中医临床研究, 2019, 11(22): 35-36. |
| [10] | 单国法, 郭明仁, 曹兆流, 石金鑫, 孙红艳. 超声引导肩胛上神经阻滞联合右美托咪定在肩周炎药物注射中的临床观察[J]. 滨州医学院学报, 2020, 43(4): 318-320. https://doi.org/10.19739/j.cnki.issn1001-9510.2020.04.023 |
| [11] | Parashar, A., Goni, V., Neradi, D., et al. (2020) Comparing Three Modalities of Treatment for Frozen Shoulder: A Prospective, Double-Blinded, Randomized Control Trial. Indian Journal of Orthopaedics, 55, 449-456.
https://doi.org/10.1007/s43465-020-00201-8 |
| [12] | Hsu, J.E., Anakwenze, O.A., Warrender, W.J., et al. (2011) Current Review of Adhesive Capsulitis. Journal of Shoulder and Elbow Surgery, 20, 502-514. https://doi.org/10.1016/j.jse.2010.08.023 |
| [13] | 程飞. 高压氧治疗对肩周炎患者疼痛程度的影响研究[J]. 当代医学, 2020, 26(14): 53-55. |
| [14] | 张先慧. 玻璃酸钠 + 糖皮质激素治疗肩周炎的疗效分析[J]. 北方药学, 2022, 19(4): 31-33. |
| [15] | Sun, Y., Zhang, P., Liu, S., et al. (2017) Intra-Articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials with Trial Sequential Analysis. The American Journal of Sports Medicine, 45, 2171-2179. https://doi.org/10.1177/0363546516669944 |
| [16] | 罗芳, 申颖, 刘延青, 等. 玻璃酸钠关节腔内注射结合倍他米松神经及痛点阻滞治疗肩关节周围炎[J]. 中国临床康复, 2005, 9(30): 266-267. |
| [17] | 钟红霞. 肩周炎的治疗进展[J]. 基层医学论坛, 2021, 25(14): 2047-2049.
https://doi.org/10.19435/j.1672-1721.2021.14.066 |
| [18] | 成子己, 管翀, 顾元嘉, 等. 传统功法在肩周炎治疗中的应用进展[J]. 中医正骨, 2022, 34(6): 34-38. |
| [19] | 高巍. 基于人体表面肌电分析针刺“肩三针(肩髎、肩髃、肩贞)”人体结构对称性研究[D]: [硕士学位论文]. 沈阳: 辽宁中医药大学, 2020. https://doi.org/10.27213/d.cnki.glnzc.2019.000395 |
| [20] | 刘瑞娣. 温针灸肩三针与传统肩三针治疗肩周炎的疗效对比研究[J]. 按摩与康复医学, 2020, 11(10): 11-13.
https://doi.org/10.19787/j.issn.1008-1879.2020.10.004 |
| [21] | 吴晓翔, 郑卫丛, 郭灏宇, 豆昌先, 常乾震, 吕强. 肩关节周围炎的保守治疗研究进展[J]. 河北中医, 2021, 43(10): 1742-1748. |
| [22] | van den Dolder, P.A. and Roberts, D.L. (2003) A Trial into the Effectiveness of Soft Tissue Massage in the Treatment of Shoulder Pain. Australian Journal of Physiotherapy, 49, 183-188. https://doi.org/10.1016/S0004-9514(14)60238-5 |
| [23] | 李亚东, 郑慧敏. 火针加拔罐疗法治疗肩周炎的疗效及对肩关节活动功能的影响[J]. 现代中西医结合杂志, 2020, 29(13): 1441-1444. |
| [24] | 倪瑶, 吕文良, 李娟梅, 等. 艾灸对炎性疾病治疗作用机制研究进展[J]. 辽宁中医药大学学报, 2018, 20(3): 215-218. https://doi.org/10.13194/j.issn.1673-842x.2018.03.063 |
| [25] | Cho, C.H., Lee, Y.H., Kim, D.H., Lim, Y.J., Baek, C.S. and Kim, D.H. (2020) Definition, Diagnosis, Treatment, and Prognosis of Frozen Shoulder: A Consensus Survey of Shoulder Specialists. Clinics in Orthopedic Surgery, 12, 60-67.
https://doi.org/10.4055/cios.2020.12.1.60 |
| [26] | 莫炽寿, 范建楠, 王硕, 等. 冻结肩治疗的研究进展[J]. 中国现代医生, 2019, 57(17): 165-168. |
| [27] | Mubark, I., Ragab, A., Nagi, A. and Motawea, B. (2015) Evaluation of the Results of Management of Frozen Shoulder Using the Arthroscopic Capsular Release. Ortopedia Traumatologia Rehabilitacja, 17, 21-28.
https://doi.org/10.5604/15093492.1143530 |
| [28] | Tim, K., Cornelis, V., Inger, S. and Beimers, L. (2016) How to Treat a Frozen Shoulder? A Survey among Shoulder Specialists in the Netherlands and Belgium. Acta Orthopaedica Bel-gica, 82, 78-84. |
