基于筋骨并重理论探讨针刀动态松解法治疗肩周炎的临床观察

Clinical Observation on Acupotomy Dynamic Release Technique for Treating Adhesive Capsulitis of the Shoulder Based on the Theory of “Integration of Tendons and Bones”

摘要: 目的：基于筋骨并重理论观察针刀联合动态松解法治疗肩周炎的临床疗效。方法：选取2025年1月至2026年1月黑龙江中医药大学附属第一医院骨伤门诊收治的60例肩周炎患者，按照随机数字表法分为两组，观察组30例基于筋骨并重理论下针刀动态松解法，对照组30例给予针刀联合手法松解，比较两组治疗前后视觉模拟评分Visual Analogue Scale (VAS)、肩关节Constant-Murley评分(CMS)和总有效率，并记录不良反应和并发症情况。结果：治疗前两组VAS及CMS评分比较，差异无统计学意义(P > 0.05)，治疗1周后两组VAS评分，观察组低于对照组，差异有统计学意义(P < 0.05)，治疗后两组CMS评分，观察组高于对照组，差异有统计学意义(P < 0.05)，总有效率观察组高于对照组，差异有统计学意义(P < 0.05)。结论：基于筋骨并重理论下针刀动态松解法治疗肩周炎可显著减轻患者疼痛，改善肩关节功能，安全性高，临床疗效显著，值得推广。

Abstract: Objective: To observe the clinical efficacy of acupotomy combined with dynamic release technique in treating adhesive capsulitis of the shoulder based on the theory of “integration of tendons and bones”. Methods: Sixty patients with adhesive capsulitis admitted to the orthopedic outpatient clinic of The First Affiliated Hospital of Heilongjiang University of Chinese Medicine from January 2025 to January 2026 were selected and randomly divided into two groups using a random number table. The observation group (30 cases) received acupotomy dynamic release technique guided by the theory of “integration of tendons and bones”, while the control group (30 cases) received acupotomy combined with manual release. Visual Analogue Scale (VAS), Constant-Murley Score (CMS), and total effective rate were compared between the two groups before and after treatment. Adverse reactions and complications were recorded. Results: There was no statistically significant difference in VAS or CMS scores between the two groups before treatment (P > 0.05). One week after treatment, the VAS score in the observation group was significantly lower than that in the control group (P < 0.05). After treatment, the CMS score in the observation group was significantly higher than that in the control group (P < 0.05), and the total effective rate was also significantly higher (P < 0.05). Conclusion: Acupotomy dynamic release technique based on the theory of “integration of tendons and bones” can significantly relieve pain, improve shoulder joint function, and demonstrates high safety and notable clinical efficacy, making it worthy of promotion.