针刺联合独活寄生汤及SPS螺旋稳定肌肉链技术治疗风寒湿痹型肩关节周围炎临床研究

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[中图分类号]R246；R684.3 [文献标志码］A [文章编号]0256-7415（2026）06-0138-06

DOI:10.13457/j.cnki.jncm.2026.06.022

Clinical Study on Acupuncture Combined with Duhuo Jisheng Decoction and SPS Spiral Stabilization of Spine for Shoulder Periarthritis of Wind-Cold-Damp Bi Type

ZHU Lijuan,DU Yiqing Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine，Hangzhou Zhejiang 3112O1，China

Abstract：Objective：To evaluate the clinical eficacy of acupuncture combined with Duhuo Jisheng Decoction and the SPS spiral stabilization of spine in the treatment of shoulder periarthritis of wind-cold-dampness bi type. Methods:A total of124 patients with shoulder periarthritisadmited to Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine from August 2O22 to August 2O24 were selectedandrandomlydivided intoacontrolgroup（62cases） and a study group（62 cases）according to a random number table method.The control group received acupuncture combined with Duhuo Jisheng Decoction，while thestudy group receivedadditional treatment with the SPS spiral stabilizationof spine basedon thecontrol group'sregimen.Shoulder range of motion(including forwardflexion, backward extension，adduction，and abduction），pain intensity，shoulder function，pain mediators [including prostaglandin E2 ( PGE2 ），5-hydroxytryptamine (5-HT），and substance P（SP)]，inflammatory factor levels [calcitonin gene-related peptide（CGRP），cyclooxygenase-2（COX-2），interleukin-2（IL-2），and interleukin-17 (IL-17)]，traditional Chinese medicine syndrome scores (including shoulder pain，cold and heavy limbs with aversion to wind，and limited shoulder flexion and extension），and clinical eficacy were compared between the two groups. Results：After treatment，therange of motion for forward flexion，backward extension，adduction，andabduction in both groups increased compared to before treatment，with the study group showing greater improvementthan the control group，and the diffrences were statistically significant ( P2 ，5-HT，SP，CGRP，COX-2，IL-2，and IL-17 decreased in both groups compared to before treatment，with the study group showing lower levels than the control group，and the differences were statistically significant ( P

Keywords: Shoulder periarthritis；Wind-cold-dampness bi type；Acupuncture；Duhuo Jisheng Decoction; SPS spiral stabilization of spine

肩关节周围炎为关节囊纤维化、滑膜炎引起的特异性慢性炎症，可限制患者肩关节活动，影响生活质量-2。（剩余11839字）