文献类型：期刊文献

中文题名：遮盖视觉对针刺治疗肩关节周围炎患者痛感觉及痛情绪疗效影响的临床观察

英文题名：Clinical observation on the effect of visual occlusion on pain sensation and pain emotion in patients with scapulohumeral periarthritis treated with acupuncture

作者：魏玉婷[1];马翠[1];刘安国[1];崔莹[1];谈守香[1];严兴科[1]

第一作者：魏玉婷

机构：[1]甘肃中医药大学针灸推拿学院,兰州730000

第一机构：甘肃中医药大学针灸推拿学院

年份：2025

卷号：50

期号：6

起止页码：675

中文期刊名：针刺研究

外文期刊名：Acupuncture Research

收录：;北大核心:【北大核心2023】；

基金：甘肃省省级重点人才项目(No.甘组通字[2023]20号);甘肃中医大学科学研究与创新基金项目(No.2023KCZD-6)。

语种：中文

中文关键词：遮盖视觉;心理因素;针刺;肩关节周围炎;痛情绪

外文关键词：Visual occlusion;Psychological factor;Acupuncture;Scapulohumeral periarthritis;Pain emotion

摘要：目的:观察遮盖视觉针刺急性期肩关节周围炎患者的肩关节疼痛、肩关节功能及焦虑抑郁情绪,探讨心理因素对针刺疗效的影响。方法:将74例急性期肩关节周围炎患者根据针刺紧张度、焦虑及抑郁评分结果分为心理状态稳定组34例与心理状态异常组40例,进一步采用随机数字表法将心理状态稳定组分为心稳针刺组(17例,脱落1例)、心稳遮盖针刺组(17例),心理状态异常组分为心异针刺组(20例,脱落1例)、心异遮盖针刺组(20例)。两针刺组行单纯针刺治疗,两遮盖针刺组在针刺治疗前,协助受试者戴上遮光眼罩,其余操作同针刺组。4组均隔日治疗1次(3次/周),每次30 min,共治疗3周。观察治疗前后4组患者疼痛视觉模拟量尺(VAS)评分、肩关节活动度(ROM)、日常生活活动能力(ADL)。观察治疗前后两心异组患者的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分。治疗结束后评定临床疗效。结果:与治疗前比较,治疗后4组患者VAS评分均降低(P<0.05),ROM评分和ADL评分均升高(P<0.05)。心稳针刺组与心稳遮盖针刺组比较,治疗后VAS、ROM和ADL评分差异无统计学意义。与心异针刺组比较,心异遮盖针刺组VAS评分降低(P<0.05),ADL评分升高(P<0.05),SAS评分降低(P<0.05)。与治疗后的心稳针刺组比较,心异针刺组VAS评分升高(P<0.05),ADL评分降低(P<0.05)。心稳遮盖针刺组与心异遮盖针刺组相比,差异无统计学意义。各组有效率差异无统计学意义。结论:针刺能有效改善不同心理状态下肩关节周围炎患者的痛觉及痛情绪,心理状态稳定有助于针刺发挥镇痛作用,遮盖视觉可加强针刺对心理状态异常的肩关节周围炎患者疼痛症状和焦虑情绪的调节作用。
Objective To observe the effect of visual occlusion acupuncture on shoulder pain,shoulder function,anxiety and depression in patients with acute scapulohumeral periarthritis,so as to evaluate the influence of psychological factors on the efficacy of acupuncture.Methods A total of 74 patients with acute scapulohumeral periarthritis were randomly divided into heart-stable acupuncture group(17 cases,1 dropped off),heart-stable covering acupuncture group(17 cases),heart-abnormal acupuncture group(20 cases,1 dropped off)and heartabnormal covering acupuncture group(20 cases)based on the results of acupuncture tension,anxiety and depression scores.Patients in the heart-stable acupuncture and heart-abnormal acupuncture groups were treated with acupuncture at Jianyu(LI15,affected side),Jianliao(SJ14,affected side),Jianzhen(SI9,affected side),Jianqian(EX-UE12,affected side),Ashi point,Yanglingquan(GB34,affected side),Tiaokou(ST38)to Chengshan(BL57,healthy side),Dazhui(GV14),Yinlingquan(SP9,affected side).While patients in the heart-stable covering acupuncture and heartabnormal covering acupuncture groups wore eye mask before acupuncture treatment,and the same acupoints were needled.The treatment was conducted for 30 min,three times per week for 3 weeks.Before and after treatment,visual analogue scale(VAS)score,range of motion(ROM)of shoulder joint and activity of daily living(ADL)were observed for patients in the four groups.While the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of patients in the heart-abnormal acupuncture and heart-abnormal covering acupuncture groups were observed.The therapeutic effects were evaluated after the treatment.Results After the treatment,the VAS scores of the 4 groups were notably decreased(P<0.05),while the ROM scores and ADL scores were obviously increased(P<0.05).Compared with the heart-abnormal acupuncture group,the VAS score and SAS score were significantly lower in the heart-abnormal covering acupuncture group(P<0.05),while the ADL score were significantly higher(P<0.05).Compared with the heart-stable acupuncture group,the VAS score was increased(P<0.05)and ADL score was decreased(P<0.05)in the heart-abnormal acupuncture group.Conclusion Acupuncture can effectively improve the pain sensation and pain emotion of patients with scapulohumeral periarthritis under different psychological states.The stability of psychological state is helpful for acupuncture to exert analgesic effect.Visual occlusion can strengthen the regulation of acupuncture on pain symptoms and anxiety in scapulohumeral periarthritis patients with abnormal psychological state.