Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE<sub>2</sub> in patients with shoulder periarthritis

REN Jiayue; YANG Yanbing; JI Jingjun; XU Yuping

doi:10.16305/j.1007-1334.2019.08.017

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Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE₂ in patients with shoulder periarthritis

更新时间：2022-08-31

- Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE₂ in patients with shoulder periarthritis
- Shanghai Journal of Traditional Chinese Medicine Vol. 53, Issue 8, Pages: 68-71(2019)
- 作者机构：
  
  1. 上海中医药大学附属曙光医院老年科,上海,200021
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2019.08.017
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REN Jiayue, YANG Yanbing, JI Jingjun, et al. Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE₂ in patients with shoulder periarthritis. [J]. Shanghai Journal of Traditional Chinese Medicine 53(8):68-71(2019)
DOI：

REN Jiayue, YANG Yanbing, JI Jingjun, et al. Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE₂ in patients with shoulder periarthritis. [J]. Shanghai Journal of Traditional Chinese Medicine 53(8):68-71(2019) DOI： 10.16305/j.1007-1334.2019.08.017.

摘要

目的：观察体外冲击波穴位治疗对肩关节周围炎患者肩部疼痛及血清5-羟色胺(5-HT)、前列腺素E,2,(PGE,2,)水平的影响。方法：将82例肩关节周围炎患者随机分为治疗组与对照组,每组41例。对照组采用常规体外冲击波局部治疗,治疗组采用体外冲击波穴位治疗。两组疗程均为4周,观察临床疗效,比较肩部疼痛VAS评分、肩关节活动度及血清5-HT、PGE,2,水平的变化情况。结果：①试验期间无病例脱落。②治疗组、对照组总有效率分别为97.56%、80.49%；组间临床疗效比较,治疗组明显优于对照组(P,<,0.05)。③治疗前后组内比较,两组肩部VAS疼痛评分均明显降低(P,<,0.05)；组间治疗前后肩部VAS疼痛评分差值比较,治疗组明显大于对照组(P,<,0.05)。④治疗前后组内比较,两组肩关节活动度(各分项)均明显增大(P,<,0.05)；组间治疗前后肩关节活动度(各分项)差值比较,治疗组明显大于对照组(P,<,0.05)。⑤治疗前后组内比较,两组血清5-HT和PGE,2,水平均明显降低(P,<,0.05)；组间治疗前后血清5-HT和PGE,2,水平差值比较,治疗组明显大于对照组(P,<,0.05)。结论：体外冲击波穴位治疗对肩关节周围炎患者的疗效较佳,可减轻肩部疼痛,提高肩关节活动度,降低血清PGE,2,和5-HT水平。

Abstract

Objective:To investigate the effect of extracorporeal shock wave acupoint therapy on shoulder pain and the levels of serum 5-hydroxytryptamine (5-HT) and prostaglandin E,2, (PGE,2,) in patients with shoulder periarthritis. Methods82 patients with shoulder periarthritis were randomly assigned into treatment group and control group, 41 patients in each group. The control group was treated with routine extracorporeal shock wave therapy, while the treatment group was treated with extracorporeal shock wave acupoint therapy. The treatment course was 4 weeks. The therapeutic effect was observed. Changes in VAS score of shoulder pain, shoulder range of motion as well as levels of serum 5-HT and PGE,2, were compared. Results:①There was no drop-out during the trial. ②The total effective rate was significantly higher in the treatment group (97.56%) than in the control group (80.49%) (P,<,0.05). ③After treatment, the VAS scores of shoulder pain decreased in both groups (P,<,0.05); and the difference in the scores before and after treatment were greater in the treatment group than in the control group (P,<,0.05). ④After treatment, the shoulder range of motion increased significantly in both groups (P,<,0.05); and the difference in shoulder range of motion before and after treatment was greater in the treatment group than in the control group (P,<,0.05). ⑤After treatment, the levels of serum 5-HT and PGE,2, decreased significantly in both groups (P,<,0.05); and the differences in the levels before and after treatment were greater in the treatment group than in the control group (P,<,0.05). Conclusion:Extracorporeal shock wave acupoint therapy is effective in patients with shoulder periarthritis as it relieves shoulder pain, increases shoulder range of motion and reduces the levels of PGE,2, and 5-HT in serum.

关键词

肩关节周围炎体外冲击波穴位治疗肩关节活动度5-羟色胺前列腺素E2

Keywords

shoulder periarthritisextracorporeal shock waveacupoint therapyshoulder range of motion5-hydroxytryptamineprostaglandin E2

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Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE2 in patients with shoulder periarthritis

DOI：10.16305/j.1007-1334.2019.08.017

摘要

Abstract

关键词

Keywords

references

Clinical observation on effect of extracorporeal shock wave acupoint therapy on shoulder pain and levels of serum 5-HT and PGE₂ in patients with shoulder periarthritis