【目的】 观察颊针联合推拿治疗肩周炎的临床疗效，并探讨其可能的作用机制。【方法】 选取2024年5月至2024年12月广 州中医药大学附属清远中医院康复科病房及门诊收治的64例明确诊断为肩周炎的患者为研究对象。按随机数字表将患者随 机分为观察组和对照组，每组各 32 例。对照组给予中医推拿治疗。观察组在对照组治疗的基础上，给予颊针治疗。治疗 3 次为 1 个疗程，共治疗 2 个疗程。治疗 2 个疗程后，评价 2 组临床疗效。观察 2 组患者治疗前后肩关节疼痛视觉模拟量表 （VAS）评分与Constant-Murley肩功能量表（CMS）评分的变化情况，以及汉密尔顿焦虑量表（HAMA）评分的情况。比较2组患 者治疗前后白细胞介素（IL）-6和C反应蛋白（CRP）的变化情况。【结果】（1）治疗后，观察组总有效率为93.75%（30/32），对照 组为75.00%（24/32），观察组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的VAS评分明显降低（P＜ 0.05），且观察组在改善患者VAS评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2组患者的CMS评分 明显升高（P＜0.05），且观察组在改善患者CMS评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，2组患者 的 HAMA 评分明显升高（P＜0.05），且观察组在改善患者 HAMA 评分方面明显优于对照组，差异有统计学意义（P＜0.05）。 （5）治疗后，2组患者的 IL-6和 CRP水平明显改善（P＜0.05），且观察组在改善 IL-6和 CRP水平方面明显优于对照组，差异 有统计学意义（P＜0.05）。【结论】 颊针联合中医推拿治疗肩周炎，能明显减轻患者肩部疼痛的临床症状，提高患者肩关节的 功能，从而缓解患者的焦虑状态，降低炎症因子IL-6、CRP水平，临床疗效显著。

Objective To evaluate the clinical efficacy of buccal acupuncture combined with tuina in treating frozen shoulder and explore its potential mechanism of action. Methods Sixty-four patients diagnosed with frozen shoulder were enrolled from the Rehabilitation Department of Qingyuan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine between May 2024 and December 2024. Patients were randomly divided into an observation group and a control group using a random number table，with 32 cases in each group. The control group received traditional Chinese tuina therapy， while the observation group received additional buccal acupuncture treatment. Three treatment sessions constituted one course， with a total of two courses administered. Clinical efficacy was evaluated after treatment， and the Visual Analogue Scale（VAS） scores for shoulder pain， Constant-Murley Shoulder Score（CMS）， and Hamilton Anxiety Scale（HAMA） scores were observed before and after intervention. Serum levels of interleukin 6（IL-6） and C-reactive protein（CRP） were also compared. Results（1） After treatment，the total effective rate of the observation group was 93.75%（30/32），and that of the control group was 75.00%（24/32），and the efficacy of the observation group was superior to that of the control group，and the difference was statistically significant（P＜0.05）.（2）After treatment，the VAS scores of patients in the two groups were significantly reduced（P＜0.05）， and the observation group was significantly superior to the control group in improving the patients’ VAS scores，with a statistically significant difference（P＜ 0.05）.（3）After treatment，the CMS scores of patients in the two groups were significantly increased（P＜0.05）， and the observation group was significantly superior to the control group in improving patients’ CMS scores，with statistically significant differences（P＜0.05）.（4）After treatment，the HAMA scores of patients in the two groups were significantly increased（P＜0.05），and the observation group was significantly superior to the control group in improving patients’ HAMA scores，with statistically significant differences （P＜0.05）.（5）After treatment，the IL-6 and CRP levels of patients in the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving the IL-6 and CRP levels， and the difference was statistically significant（P＜0.05）. Conclusion The combination of buccal acupuncture and traditional Chinese tuina therapy significantly alleviates shoulder pain， improves shoulder joint function， reduces anxiety， and decreases inflammatory markers IL-6 and CRP in patients with frozen shoulder， demonstrating notable clinical efficacy.

R246.9

广东省中医药局科研资助项目（编号：20241385）；广东省中医药局科研项目立项资助课题（编号：20223025）