中西医治疗冈上肌肌腱炎的临床研究进展

Clinical Research Progress on the Treatment of Supraspinatus Tendinitis Using Integrated Traditional Chinese and Western Medicine

摘要: 冈上肌肌腱炎是临床最常见的肩袖损伤疾病，以肩部疼痛、外展受限、夜间痛为主要临床表现，严重影响患者日常生活与工作。现代医学以抗炎镇痛、物理治疗、再生医学及微创外科治疗为主，具有起效快、针对性强等特点，但长期应用存在一定局限性。中医将本病归属于“肩痹”“筋伤”范畴，以针灸、小针刀、推拿、中药内外治法为核心，具有整体调节、安全性高、复发率低等优势。近年来，中西医结合治疗冈上肌肌腱炎已成为临床研究热点，在疼痛控制、功能恢复、延缓退变及降低复发率方面展现出显著优势。本文就近年来冈上肌肌腱炎的中西医治疗临床研究进行综述，为临床规范化诊疗提供参考。

Abstract: Supraspinatus tendonitis is the most common type of shoulder rotator cuff injury in clinical practice. The main clinical manifestations include shoulder pain, limited abduction, and nocturnal pain, which significantly affect patients’ daily lives and work. Modern medicine mainly employs anti-inflammatory analgesics, physical therapy, regenerative medicine, and minimally invasive surgery for treatment, featuring quick onset and strong targeting. However, long-term application has certain limitations. Traditional Chinese medicine classifies this disease under the categories of “shoulder arthralgia” and “muscle injury”, with acupuncture, small needle knife, massage, and internal and external treatment with traditional Chinese medicine as the core methods. It has advantages such as overall regulation, high safety, and a low recurrence rate. In recent years, the combination of traditional and Western medicine for the treatment of supraspinatus tendonitis of the supraspinatus muscle has become a clinical research hotspot. It shows significant advantages in pain control, functional recovery, delaying degeneration, and reducing recurrence rates. This article reviews the clinical research on the treatment of supraspinatus tendonitis with traditional Chinese and Western medicine in recent years, providing a reference for standardized clinical diagnosis and treatment.