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中医药治疗肩袖损伤的研究进展
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Abstract:
肩袖损伤是指肩部周围肌肉或肌腱撕裂造成的损伤，是导致肩关节疼痛和活动受限的一种常见疾病，对患者的日常生活造成了较大影响。根据临床表现和症候特征，肩袖损伤主要分为风寒湿痹证、气滞血瘀证、肝肾亏虚证和血不荣筋证四大中医证型。本文归纳整理了近些年来中医药治疗肩袖损伤的临床诊疗进展，以期为今后肩袖损伤的治疗和临床研究提供参考。
Rotator cuff injury, which refers to a tear in the muscles or tendons surrounding the shoulder, is a common condition that causes pain and limited movement in the shoulder joint, which can have a significant impact on a patient’s daily life. Rotator cuff injury is mainly classified into four major Chinese medicine patterns: wind-cold-damp retention, qi stagnation and blood stasis, deficiency of liver and kidney, and blood not glorifying the tendons. This paper summarizes the clinical diagnosis and treatment progress of rotator cuff injury treated with Chinese medicine in recent years to provide reference for future clinical research.
| [1] | Huegel, J., Williams, A.A. and Soslowsky, L.J. (2014) Rotator Cuff Biology and Biomechanics: A Review of Normal and Pathological Conditions. Current Rheumatology Reports, 17, Article No. 476. https://doi.org/10.1007/s11926-014-0476-x |
| [2] | Bakhsh, W. and Nicandri, G. (2018) Anatomy and Physical Examination of the Shoulder. Sports Medicine and Arthroscopy Review, 26, e10-e22. https://doi.org/10.1097/jsa.0000000000000202 |
| [3] | Menge, T.J., Byram, I.R., Boykin, R.E. and Bushnell, B.D. (2015) Labrum and Rotator Cuff Injuries in the Throwing Athlete. The Physician and Sportsmedicine, 43, 65-72. https://doi.org/10.1080/00913847.2015.1005546 |
| [4] | Longo, U.G., De Salvatore, S., Zollo, G., Calabrese, G., Piergentili, I., Loppini, M., et al. (2023) Magnetic Resonance Imaging Could Precisely Define the Mean Value of Tendon Thickness in Partial Rotator Cuff Tears. BMC Musculoskeletal Disorders, 24, Article No. 718. https://doi.org/10.1186/s12891-023-06756-5 |
| [5] | 陈传榜, 李满意, 王淑静, 等. 肩痹的源流及相关历史文献复习[J]. 风湿病与关节炎, 2015, 4(12): 49-56. |
| [6] | 胡伟坚, 吴晓航, 卢伟, 等. 魏合伟辨治肩痹经验[J]. 广州中医药大学学报, 2022, 39(6): 1411-1416. |
| [7] | Lawrence, R.L., Moutzouros, V. and Bey, M.J. (2019) Asymptomatic Rotator Cuff Tears. JBJS Reviews, 7, e9-e9. https://doi.org/10.2106/jbjs.rvw.18.00149 |
| [8] | Taneja, A.K., Kattapuram, S.V., Chang, C.Y., Simeone, F.J., Bredella, M.A. and Torriani, M. (2014) MRI Findings of Rotator Cuff Myotendinous Junction Injury. American Journal of Roentgenology, 203, 406-411. https://doi.org/10.2214/ajr.13.11474 |
| [9] | Zeng, Y., Xu, C., Zhang, K., Yu, D. and Zhang, J. (2020) Prediction of Rotator Cuff Injury Associated with Acromial Morphology: A Three‐Dimensional Measurement Study. Orthopaedic Surgery, 12, 1394-1404. https://doi.org/10.1111/os.12774 |
| [10] | 李满意, 刘红艳, 陈传榜, 等. 肩痹的证治[J]. 风湿病与关节炎, 2021, 10(12): 42-44+48. |
| [11] | 李满意, 娄玉钤, 潘宏伟. 肢体痹的源流及临床意义[J]. 风湿病与关节炎, 2013, 2(9): 54-60+72. |
| [12] | 侯森荣. 基于古今文献和临床调研的肩袖损伤中西医诊断及疗效标准制定[D]: [硕士学位论文]. 广州: 广州中医药大学, 2021. |
| [13] | 刘敏, 孟娟. 基于全科医生视角的《2020年美国风湿病学会痛风治疗指南》解读[J]. 中国全科医学, 2021, 24(25): 3148-3153. |
| [14] | 陈树源, 卢敏. 卢敏教授治疗肩袖损伤学术经验及思想总结[J]. 光明中医, 2023, 38(12): 2276-2280. |
| [15] | 曾帅. 关节镜下肩袖修补术后配合口服肩痹汤治疗风寒湿痹型肩袖损伤的临床疗效观察[D]: [硕士学位论文]. 合肥: 安徽中医药大学, 2022. . |
| [16] | 朱嘉敏, 陈斌. 自拟肩痹汤联合局部封闭治疗肩袖损伤寒湿凝滞证[J]. 中医药临床杂志, 2020, 32(4): 700-704. |
| [17] | 李兆合, 李建民. 桃红四物汤加减结合肩关节悬吊治疗肩袖损伤临床报道[J]. 中医临床研究, 2022, 14(24): 125-127. |
| [18] | 辛小红, 袁晓霞, 蒋洁, 等. 柴胡桂枝汤治疗类风湿关节炎探微[J]. 辽宁中医杂志, 2021, 48(8): 39-41. |
| [19] | 朱其波, 孙菊光, 谷涛, 等. 柴胡桂枝汤联合冲击波治疗肩袖损伤的临床疗效观察[J]. 中国现代医生, 2019, 57(13): 115-118. |
| [20] | 姬长坤. 红桂肩舒汤治疗老年肩袖损伤的临床观察[J]. 中医临床研究, 2022, 14(26): 90-92. |
| [21] | 丘杭林. 活血镇痛汤加减治疗气滞血瘀型肩袖损伤的临床疗效观察[D]: [硕士学位论文]. 福州: 福建中医药大学, 2022. |
| [22] | 唐宏亮. 身痛逐瘀汤加味联合关节镜下肩袖修补术对肩袖损伤的临床疗效[D]: [硕士学位论文]. 合肥: 安徽中医药大学, 2021. |
| [23] | 邹明明. 独活寄生汤加减治疗肩袖损伤(肝肾亏虚证)的临床研究[D]: [硕士学位论文]. 昆明: 云南中医药大学, 2019. |
| [24] | 孟兰萱, 周峻, 唐向盛, 等. 补阳还五汤辅助治疗对腰椎间盘突出症术后患者血液流变学、疼痛介质和生活质量的影响[J]. 现代生物医学进展, 2022, 22(16): 3041-3045. |
| [25] | 侯文渊, 周正新. 补阳还五汤联合关节镜下肩袖修补术治疗肩袖损伤临床观察[J]. 山西中医, 2022, 38(10): 37-38. |
| [26] | Hu, G., Li, Z., Li, H. and Guan, H. (2021) Clinical Observation on the Treatment of Rotator Cuff Injury with Modified Buyang Huanwu Decoction and Rotator Cuff Repair. Journal of Healthcare Engineering, 2021, Article ID: 3088160. https://doi.org/10.1155/2021/3088160 |
| [27] | 王纯强, 邓媚艳. 中药熏蒸联合超短波治疗急性腰扭伤效果研究[J]. 保健医学研究与实践, 2022, 19(7): 23-26. |
| [28] | 段文君. 中药熏蒸治疗膝关节骨性关节炎的临床效果[J]. 临床合理用药杂志, 2022, 15(32): 90-92. |
| [29] | 周巧旦, 徐淑婷, 许金珠, 等. 中药熏蒸在肩袖损伤患者肩关节镜术后的应用[J]. 中国中医药科技, 2021, 28(4): 613-614. |
| [30] | 淦常勤. 舒筋活血汤熏洗对肩袖修补术后康复的临床观察[D]: [硕士学位论文]. 福州: 福建中医药大学, 2016. |
| [31] | 郭雪霞, 郑维蓬, 魏合伟, 等. 舒筋外洗颗粒结合康复训练对肩袖修复术后患者肩关节功能的影响[J]. 中医药导报, 2019, 25(1): 113-115. |
| [32] | 姜文晓, 张亦军. 舒筋活血中药定向透药结合非甾体类抗炎药对肩袖修复术后疗效的前瞻性随机对照研究[J]. 辽宁中医杂志, 2017, 44(12): 2564-2566. |
| [33] | 赖美艳, 张劲锋. 中医定向透药配合中药封包对上肢骨折患者肢体肿胀和疼痛的康复影响[J]. 黑龙江医学, 2022, 46(2): 252-254. |
| [34] | 沈友芳. 中医定向透药治疗仪联合康复训练在老年腰椎间盘突出症患者中的应用效果[J]. 医疗装备, 2022, 35(2): 175-177. |
| [35] | 王维, 李力夫. 浮针联合麻桂温经汤加味治疗肩袖损伤血虚寒凝证临床研究[J]. 新中医, 2020, 52(4): 142-144. |
| [36] | 朱俊岭. 葛根汤加味联合穴位埋线治疗肩袖损伤30例临床观察[J]. 中国现代医生, 2020, 58(36): 122-125. |
| [37] | 孙军弟, 梁春光, 井小会, 等. 手法及消定膏外敷配合关节腔内注射治疗肩袖损伤80例[J]. 中医临床研究, 2021, 13(7): 135-137. |
| [38] | 郭旗. 中药盐敷联合关节松动手法对肩袖损伤术后康复治疗临床疗效观察[D]: [硕士学位论文]. 重庆: 重庆医科大学, 2022. |
| [39] | 宋朋飞. 续筋接骨汤结合手法按摩辅助体外冲击波减轻肩袖损伤疼痛[J]. 实用中西医结合临床, 2019, 19(4): 31-33. |
| [40] | 杨毅, 滕义和. 中药透入结合封闭治疗肩袖损伤[J]. 黑龙江中医药, 2019, 48(2): 72-73. |
| [41] | 谢求恩, 易启鹏, 王鹏, 等. 淫羊藿苷-透明质酸对兔肩袖腱骨愈合的影响及机制研究[J]. 现代中西医结合杂志, 2023, 32(3): 320-325. |
| [42] | Hawthorne, B.C., Wellington, I.J., Sabitsky, J.T., Murphy, K.V., Karsmarski, O.P., Thomas, R.O., et al. (2024) Human Rotator Cuff Tears Reveal an Age-Dependent Increase in Markers of Cellular Senescence and Selective Removal of Senescent Cells with Dasatinib + Quercetin Increases Genetic Expression of COL1A1 in Vitro. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 40, 34-44. https://doi.org/10.1016/j.arthro.2023.05.036 |
