关于肩周炎中西医治疗相关研究
Related Research on the Treatment of Scapulohumeral Periarthritis Humeroscapularis with Traditional Chinese and Western Medicine
DOI: 10.12677/tcm.2025.146410, PDF,   
作者: 黎嘉濠, 巫红利, 杨 浩, 蒋雷鸣:成都中医药大学骨伤科,四川 成都;张 弛*:成都中医药大学养生康复教研室,四川 成都
关键词: 肩周炎中医药西医研究进展治疗Periarthitis Humeroscapularis Traditional Chinese Medicine Western Medicine Research Progress Treatment Methods
摘要: 肩周炎是一种常见的慢性病,由于现代社会的发展,人们的生活节奏加快,加之不良的姿势,易引发肩周炎,严重影响了病人的生活质量。目前,国内外学者对该病的研究较多,但对该病的治疗方法还不够了解,特别是临床医师在治疗方案的选择上还存在着局限性。中医典籍从正邪两个角度论述了发病的关键,在治疗上采用了中药口服和外用中药、针灸、推拿、刮痧、拔罐等,而西医则采取了口服西药、关节腔注射药物和手术等方法。在临床中,医生需要根据病人的具体情况和需要来选择合适的治疗方法,所以本文对各种疗法的优点进行了归纳,以供临床医师和病人选择合适的治疗方案。
Abstract: Periarthritis Humeroscularis is one of the most common chronic diseases. With the development of society, the pace of contemporary life is getting faster and faster, and people maintain unhealthy postures for a long time, leading to the occurrence of periarthritis. The disease seriously affects the quality of life of patients. The disease is currently receiving considerable attention in the academic community, and there is still a lack of understanding of its treatment. In particular, basic clinical doctors still have certain restrictions when choosing treatment options. Ancient Chinese medicine books start from the perspective of good and evil, explaining that the relationship between good and evil is the focus of causing diseases. They provide oral and external traditional Chinese medicine, acupuncture, massage, scraping, cupping and other treatments. Western medicine provides oral Western medicine, joint cavity injection drugs, surgery and other treatment plan. Clinically, doctors need to choose treatment plans based on the patient’s symptoms and needs. Therefore, here is a summary of the advantages of each treatment to solve related problems for clinicians and patients when choosing treatment plans.
文章引用:黎嘉濠, 巫红利, 杨浩, 蒋雷鸣, 张弛. 关于肩周炎中西医治疗相关研究[J]. 中医学, 2025, 14(6): 2799-2805. https://doi.org/10.12677/tcm.2025.146410

参考文献

[1] 原兴兴. 中西医结合治疗肩周炎临床观察[J]. 实用中医药杂志, 2023, 39(5): 975-977.
[2] 韩春莉. 肩周炎的中医治疗进展[J]. 内蒙古中医药, 2019, 38(9): 157-159.
[3] Bhargav, D. and Murrell, G.A.C. (2011) Basic Science of Adhesive Capsulitis. Techniques in Shoulder & Elbow Surgery, 12, 126-129. [Google Scholar] [CrossRef
[4] Neviaser, A.S. and Hannafin, J.A. (2010) Adhesive Capsulitis: A Review of Current Treatment. The American Journal of Sports Medicine, 38, 2346-2356. [Google Scholar] [CrossRef] [PubMed]
[5] Brue, S., Valentin, A., Forssblad, M., Werner, S., Mikkelsen, C. and Cerulli, G. (2007) Idiopathic Adhesive Capsulitis of the Shoulder: A Review. Knee Surgery, Sports Traumatology, Arthroscopy, 15, 1048-1054. [Google Scholar] [CrossRef] [PubMed]
[6] Li, W., Lu, N., Xu, H., Wang, H. and Huang, J. (2014) Case Control Study of Risk Factors for Frozen Shoulder in China. International Journal of Rheumatic Diseases, 18, 508-513. [Google Scholar] [CrossRef] [PubMed]
[7] Huang, C., Tsao, S., Cheng, C., Hsin, M. and Chen, C. (2010) Treating Frozen Shoulder with Ultrasound-Guided Pulsed Mode Radiofrequency Lesioning of the Suprascapular Nerve: Two Cases. Pain Medicine, 11, 1837-1840. [Google Scholar] [CrossRef] [PubMed]
[8] 何勇, 刘威, 王大明, 等. 肩周炎疼痛机制研究进展[J]. 中国运动医学杂志, 2016, 35(10): 987-990.
[9] 王海燕, 张雪君, 陈梦玲, 等. 中医诊治肩周炎研究进展[J]. 实用中医药杂志, 2023, 39(11): 2291-2294.
[10] 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.
[11] 何川. 独活寄生汤治疗肩周炎的临床观察[D]: [硕士学位论文]. 武汉: 湖北中医药大学, 2024.
[12] 董秀娟, 王玉祥. 四子散热敷配合独活寄生汤加减治疗肩周炎的疗效观察[J]. 基层医学论坛, 2024, 28(20): 136-138.
[13] 王强力, 徐欢欢, 郑贺彬, 等. 温针灸配合红外线照射治疗肩周炎风寒湿痹证临床研究[J]. 新中医, 2025, 57(6): 86-90.
[14] 王彭亚. 温针灸配合黄芪桂枝五物汤治疗肩周炎寒凝湿滞型临床观察[J]. 实用中医药杂志, 2025, 41(1): 19-21.
[15] 贾瑾尧, 谷敏, 王丽娟. 激痛点推拿对肩周炎患者肩部疼痛及肩关节功能的改善效果观察及其对血清5-HT、PGE2水平的影响[J]. 新疆中医药, 2025, 43(1): 39-42.
[16] 韩璐, 孙晓, 董莹, 等. 刮痧配合刺络拔罐治疗颈肩综合征疗效观察[J]. 现代中西医结合杂志, 2020, 29(27): 2988-2991.
[17] 邝盈妍, 冯秋娟, 罗婷, 等. 刺络拔罐联合针刺治疗疼痛期肩周炎的临床研究[J]. 中国中医急症, 2019, 28(12): 2152-2155.
[18] 杨丽. 刮痧联合拔罐对肩周炎患者疼痛及肩关节功能的影响[J]. 青岛医药卫生, 2022, 54(3): 222-224.
[19] 李杰良, 刘大雄, 吴治, 等. 手法结合小针刀松解术治疗肩周炎的疗效观察[J]. 中国骨与关节损伤杂志, 2022, 37(7): 746-748.
[20] 钱斌, 宋奕, 荆玲. 基于超声引导的小针刀联合关节腔注射玻璃酸钠治疗中老年肩周炎的效果评价[J]. 现代医学与健康研究电子杂志, 2025, 9(6): 121-123.
[21] 李会会, 王翔, 詹红生. “凝肩”的中西医诊治进展[J]. 中国中医骨伤科杂志, 2019, 27(9): 85-88.
[22] Itoi, E., Arce, G., Bain, G.I., Diercks, R.L., Guttmann, D., Imhoff, A.B., et al. (2016) Shoulder Stiffness: Current Concepts and Concerns. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 32, 1402-1414. [Google Scholar] [CrossRef] [PubMed]
[23] Wilson, J., Russell, S. and Walton, J.M. (2015) The Management of Frozen Shoulder. Current Physical Medicine and Rehabilitation Reports, 3, 181-187. [Google Scholar] [CrossRef
[24] Debeer, P., Franssens, F., Roosen, I., Dankaerts, W. and Claes, L. (2014) Frozen Shoulder and the Big Five Personality Traits. Journal of Shoulder and Elbow Surgery, 23, 221-226. [Google Scholar] [CrossRef] [PubMed]
[25] 韩寒, 韩栋. 超声引导下玻璃酸钠关节腔内注射联合运动疗法对肩周炎患者肩关节疼痛及功能的影响[J]. 反射疗法与康复医学, 2024, 5(17): 71-74.
[26] 周友龙, 李继萍, 郭光昕, 等. 医用臭氧水注射治疗肩周炎的临床疗效观察[J]. 中医临床研究, 2016, 8(28): 39-40+42.
[27] 解小丽, 苏圣贤, 张志刚, 等. X线直视下肩关节腔注射治疗在肩周炎中的应用[J]. 中国疼痛医学杂志, 2014, 20(9): 639-642.
[28] 贾芝和, 王盟, 何敏, 等. 封闭疗法联合蜡疗治疗肩周炎的疗效[J]. 中国老年学杂志, 2022, 42(10): 2427-2429.
[29] Tsvieli, O., Atoun, E., Consigliere, P., Polyzois, I., Walecka, J., Pradhan, R., et al. (2018) Manipulation under Anaesthetic for Frozen Shoulder Using Codman’s Paradox: A Safe and Early Return of Function. International Orthopaedics, 42, 339-344. [Google Scholar] [CrossRef] [PubMed]
[30] Whelton, C. and Peach, C.A. (2018) Review of Diabetic Frozen Shoulder. European Journal of Orthopaedic Surgery & Traumatology, 28, 363-371. [Google Scholar] [CrossRef] [PubMed]