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针刀治疗肩周炎的作用机制与临床应用研究进展
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Abstract:
肩周炎是临床常见疾病，发病率呈逐年上升趋势。因此，早治疗、早诊断对患者的预后有重要意义。近年来，针刀治疗肩周炎取得较好疗效，研究者们也就其相关机制进行了大量实验研究。本文通过检索近十年来针刀治疗肩周炎的临床及实验研究的相关文献，结果显示普通针刀、超微针刀、“C”型针刀、水针刀等多种针刀在治疗肩周炎方面具有临床疗效、起效快、安全性高等特点。在研究机制方面，发现针刀治疗肩周炎与松解粘连、恢复力学平衡，抑制炎症反应，抗氧化应激损伤，发挥镇痛作用等多种机制密切相关。笔者通过归纳总结，以期为临床应用针刀治疗肩周炎提供临床治疗思路和理论依据。
Periarthritis of shoulder is a common clinical disease, and the incidence is increasing year by year. Therefore, early treatment and early diagnosis are of great significance for the prognosis of patients. In recent years, acupotomy has achieved good results in the treatment of scapulohumeral periarthritis, and researchers have also conducted a large number of experimental studies on its related mechanism. In this paper, the relevant literature of clinical and experimental research on acupotomy in the treatment of scapulohumeral periarthritis in the past ten years was searched. The results showed that common acupotomy, ultra-micro acupotomy, “C” type acupotomy, water acupotomy and other acupotomy had the characteristics of clinical efficacy, rapid onset and high safety in the treatment of scapulohumeral periarthritis. In terms of the research mechanism, it is found that the treatment of scapulohumeral periarthritis with acupotomology is closely related to a variety of mechanisms such as releasing adhesion, restoring mechanical balance, inhibiting inflammatory response, anti-oxidative stress injury, and playing analgesic effect. By summarizing, the author provides clinical treatment ideas and theoretical basis for the clinical application of acupotomy in the treatment of scapulohumeral periarthritis.
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