蜂毒针灸治疗肩周炎患者的疗效。
Effectiveness of bee venom acupuncture for patients suffering from periarthritis humeroscapularis.
机构信息
Senior Specialist Clinic, National Hospital of Acupuncture, Hanoi 1000, Vietnam.
Department of Senior Specialist National Hospital of Acupuncture, Hanoi 1000, Vietnam.
出版信息
J Tradit Chin Med. 2023 Aug;43(4):795-800. doi: 10.19852/j.cnki.jtcm.2023.04.002.
OBJECTIVE
To evaluate the efficacy of bee venom acupuncture in humeroscapularis (PHS) patients.
METHODS
One hundred and twenty patients diagnosed with PHS were assigned into four groups: BV1 (0.01 mg/kg), BV2 (0.005 mg/kg), BV3 (0.0025 mg/kg), and control group (vitamin B1 plus novocain 3% injection) with 15 d of treatment. The outcomes of the study including visual analogue scale (VAS) score and β-endorphin, inflammatory cytokines including interleukin-10 (IL-10), IL-1β and tumor necrosis factor α (TNF-α) and shoulder function score were assessed at baseline, after 10 and 15 d of treatment.
RESULTS
All four groups reported statistically significant improvement in VAS score, motion range, and shoulder function score ( < 0.01), only the BV3 group showed significant increase of anti-inflammatory (IL-10) and decrease of pro-inflammatory (IL-1β, TNF-α) cytokines after treatment ( < 0.05). The BV3 group presented a significant difference between all outcomes compared to the control and other groups.
CONCLUSION
BV3 groups showed better recovery including reduced pain, improved motor function and normalized inflammatory cytokines than current therapy used in Vietnam and other groups.
目的
评估蜂毒针灸治疗肩肱节律障碍（PHS）患者的疗效。
方法
将 120 例 PHS 患者分为 4 组：BV1（0.01mg/kg）、BV2（0.005mg/kg）、BV3（0.0025mg/kg）和对照组（维生素 B1 加 3%盐酸布比卡因注射液），治疗 15 天。采用视觉模拟评分（VAS）、β-内啡肽、白介素-10（IL-10）、白介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）和肩关节功能评分评估治疗前后的疗效。
结果
四组患者 VAS 评分、运动范围和肩关节功能评分均有统计学意义（ < 0.01），仅 BV3 组治疗后抗炎（IL-10）因子增加，促炎（IL-1β、TNF-α）因子减少（ < 0.05）。BV3 组与对照组及其他组比较，所有结果均有显著差异。
结论
与越南目前的治疗方法和其他组相比，BV3 组在减轻疼痛、改善运动功能和调节炎症因子方面有更好的恢复效果。
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