浮针联合针刀对肩周炎患者功能恢复的影响研究进展

Research Progress on the Effect of Fu’s Subcutaneous Needling Combined with Acupotomy on Functional Recovery in Patients with Scapulohumeral Periarthritis

摘要: 肩周炎是临床常见的慢性肩关节疾病，严重影响患者生活质量。浮针与针刀作为中医微创技术，近年来在肩周炎治疗中应用广泛，两者联合使用显示出良好的协同效应。本文系统综述了浮针联合针刀治疗肩周炎的作用机制、临床研究进展及安全性。联合疗法基于“浅层松解–深层解痉”的协同作用，可在不同层次对肩周炎病理过程进行干预。当前临床证据表明，联合治疗在缓解疼痛、改善关节活动度及促进功能恢复方面，可能较单一疗法具有一定优势，但现有研究在样本量、随访时间和操作标准化等方面仍存在不足。本文还着重分析了该联合疗法的临床应用局限性及潜在不良反应，以期为临床决策提供更全面的参考。未来研究需进一步开展大样本、多中心随机对照试验，探索最佳治疗方案并完善疗效评价体系。

Abstract: Scapulohumeral periarthritis (also known as frozen shoulder) is a common chronic shoulder joint disorder that significantly impairs patients’ quality of life. As minimally invasive techniques in traditional Chinese medicine, Fu’s subcutaneous needling and acupotomy have been widely used in the treatment of this condition in recent years, and their combination has demonstrated promising synergistic effects. This article systematically reviews the mechanisms, clinical research advances, and safety profile of the combined therapy. The combination therapy operates on a “superficial release, deep decompression” synergistic principle, intervening in the pathological process of periarthritis at different anatomical levels. Current evidence suggests that the combined treatment may offer advantages over monotherapies in pain relief, range of motion improvement, and functional recovery. However, existing studies are limited by issues such as small sample sizes, insufficient follow-up, and lack of standardized protocols. This review also specifically addresses the clinical limitations and potential adverse reactions associated with the combined therapy, aiming to provide a more balanced reference for clinical practice. Future research should focus on large-scale, multicenter randomized controlled trials, optimization of treatment protocols, and establishment of robust efficacy evaluation systems.