针灸推拿医学（英文版）2025，Vol.23Issue(5)：437-443,7.DOI:10.1007/s11726-025-1523-z
肩三针配合关节松动术和冲击波对肩周炎临床症状和疼痛介质的改善效应
Improvement effects of shoulder-three-needle therapy plus joint mobilization and shock wave on clinical symptoms and pain mediators in scapulohumeral periarthritis
摘要
Abstract
Objective:To observe the effects of shoulder-three-needle therapy plus joint mobilization and extracorporeal shock wave therapy(ESWT)in improving symptoms and pain mediators in patients with scapulohumeral periarthritis. Methods:A total of 82 patients with scapulohumeral periarthritis were randomized into a control group and an observation group by the random number table method,with 41 cases in each group.The control group was treated with ESWT.The observation group was treated with additional shoulder-three-needle therapy plus joint mobilization based on the treatment in the control group.After 4 weeks of treatment,shoulder joint function,pain mediators,inflammatory factor levels,and clinical efficacy were compared between the two groups. Results:The total effective rate and the score of shoulder joint function in the observation group were higher than those in the control group(P<0.05).After treatment,the levels of serum pain mediators substance P(SP),5-hydroxytryptamine(5-HT),and prostaglandin E2(PGE2),as well as inflammatory factors interleukin(IL)-6,tumor necrosis factor(TNF)-α,and C-reactive protein(CRP)decreased significantly in both groups(P<0.05).And,the serum pain mediators SP,5-HT,and PGE2,and the levels of inflammatory factors IL-6,TNF-α,and CRP in the observation group were all lower than those in the control group(P<0.05). Conclusion:Shoulder-three-needle therapy plus joint mobilization and ESWT has a better curative effect than ESWT alone in treating scapulohumeral periarthritis.It can effectively improve the clinical symptoms,reduce the levels of pain mediators and inflammatory factors,and increase shoulder joint function.关键词
针刺疗法/肩三针/关节松动术/冲击波/肩痛/关节周围炎/疼痛介质/随机对照试验Key words
Acupuncture Therapy/Shoulder-three-needle Therapy/Joint Mobilization/Shock Wave/Shoulder Pain/Periarthritis/Pain Mediator/Randomized Controlled Trial分类
医药卫生引用本文复制引用
蒋磊,孙武东,胡李萍,于跃..肩三针配合关节松动术和冲击波对肩周炎临床症状和疼痛介质的改善效应[J].针灸推拿医学（英文版）,2025,23(5):437-443,7.基金项目
This study was supported by the Project of Suqian Science and Technology Bureau,Jiangsu Province(江苏省宿迁市科学技术局项目,No.Z2020079). （江苏省宿迁市科学技术局项目,No.Z2020079）
