【目的】 观察彭氏“分筋推拿”疗法联合经筋恢刺法治疗急性期肩关节周围炎（简称肩周炎）的临床效果，为临床治疗 急性期肩周炎提供治疗思路及证据。【方法】 将60例急性期肩周炎患者随机分为治疗组和对照组，每组各30例。对照组给予 经筋恢刺法治疗，治疗组给予彭氏“分筋推拿”疗法联合经筋恢刺法治疗，每天治疗1次，10次为1个疗程，共治疗2个疗 程。观察 2组患者治疗前、治疗 1个疗程和 2个疗程后的疼痛程度视觉模拟量表（VAS）评分、肩关节功能 Constant-Murley量 表（CMS）评分的变化情况，并评价 2 组患者的临床疗效。【结果】（1）疗效方面，治疗 2 个疗程后，治疗组的总有效率为 90.00%（27/30），对照组为 73.30%（22/30），组间比较，治疗组的总体疗效（秩和检验）和总有效率（χ2检验）均明显优于对照 组，差异均有统计学意义（P＜0.05）。（2）疼痛程度方面，治疗1个疗程和2个疗程后，2组患者的疼痛程度VAS 评分均较治疗 前明显下降（P＜0.05或P＜0.01），且治疗2个疗程后又较治疗1个疗程后下降（P＜0.05），组间比较，治疗组治疗1个疗程和 2个疗程后对疼痛程度VAS 评分的下降幅度均明显优于对照组，差异均有统计学意义（P＜0.05或P＜0.01）。（3）肩关节功能方 面，治疗1个疗程和2个疗程后，2组患者的肩关节功能CMS评分均较治疗前明显升高（P＜0.01），且治疗2个疗程后又较治 疗1个疗程后升高（P＜0.05），组间比较，治疗组治疗1个疗程和2个疗程后对肩关节功能CMS评分的升高幅度均明显优于对 照组，差异均有统计学意义（P＜0.01）。【结论】 彭氏“分筋推拿”疗法联合经筋恢刺法治疗急性期肩周炎患者的临床疗效确 切，能够有效缓解患者的肩关节疼痛不适，提高患者的肩关节活动功能。

Objective To observe the clinical effect of PENG’s tendon-separating tuina therapy combined with lateral needling technique for meridian sinew in the treatment of acute scapulohumeral periarthritis（referred to as frozen shoulder）， and to provide therapeutic ideas and evidence for the treatment of acute scapulohumeral periarthritis. Methods Sixty patients with acute scapulohumeral periarthritis were randomly divided into treatment group and control group，with 30 cases in each group. The control group was treated with lateral needling technique for meridian sinew，and the treatment group was treated with PENG’s tendon-seperating tuina therapy combined with lateral needling technique for meridian sinew. Both groups were treated for once a day，10 times as a course of treatment，and for a total of 2 courses of treatment. The changes of pain Visual Analogue Scale（VAS）score and Constant-Murley Scale（CMS）score of shoulder joint function in the two groups were observed before treatment and after one and two course（s）of treatment. Moreover， the clinical efficacy of the two groups was evaluated. Results（1）After two courses of treatment，the total effective rate of the treatment group was 90.00%（27/30）， and that of the control group was 73.30%（22/30）. The overall efficacy（tested by rank sum test）and total effective rate（tested by chi-square test）of the treatment group were significantly superior to those of the control group，and the differences were statistically significant（P＜0.05）.（2）After one and two course（s）of treatment，the VAS scores of pain in the two groups were significantly decreased than those before treatment（P＜0.05 or P＜0.01）； after two courses of treatment，VAS scores in the two groups were significantly lower than those after one course of treatment（P＜0.05）. The decrease of VAS scores in the treatment group after one and two course（s）of treatment was significantly superior to that in the control group，and the difference were statistically significant（P＜0.05 or P＜0.01）.（3）After one and two course（s）of treatment，the CMS scores of shoulder joint function in the two groups were significantly higher than those before treatment（P＜0.01）；after two courses of treatment，the CMS scores in the two groups were higher than those after one course of treatment（P＜0.05）. The increase of CMS scores in the treatment group after one and two course（s）of treatment was significantly superior to that in the control group，and the difference was statistically significant（P＜0.01）. Conclusion PENG’s tendon-separating tuina therapy combined with lateral needling technique for meridian sinew has a definite clinical effect in the treatment of patients with acute scapulohumeral periarthritis， which can effectively relieve the pain and discomfort of shoulder joint and improve the movement function of shoulder joint.

R274.9

广东省东莞市名中医药专家传承工作室建设项目[编号：东函（2022）124号]