Article(id=1322925994394399406, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322925862630339452, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2025.07.020, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793339735839, onlineDateStr=2026-10-30, pubDate=1752076800000, pubDateStr=2025-07-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793339735839, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793339735839, creator=13701087609, updateTime=1793339735839, updator=13701087609, issue=Issue{id=1322925862630339452, tenantId=1146029695717560320, journalId=1255847919539208197, year='2025', volume='43', issue='7', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1752076800000', pubDateStr='2025-07-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793339704424, creator='13701087609', updateTime=1793340532184, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322929334587105328, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322925862630339452, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322929334587105329, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322925862630339452, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=90, endPage=93, ext={EN=ArticleExt(id=1322925994604114607, articleId=1322925994394399406, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Observation on Therapeutic Effect of Duhuo Jisheng Decoction（独活寄生汤）Combined with Acupuncture on Patients with Rotator Cuff Injury after Major Joint Adhesion Lysis, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective To study the therapeutic effect of Duhuo Jisheng Decoction（独活寄生汤）combined with acupuncture on patients with rotator cuff injury after major joint adhesion lysis.
Methods From November 2022 to June 2023，80 patients with rotator cuff injury after major joint adhesion lysis were selected and divided into two groups according to the random number table method，with 40 cases in each group. The patients in the control group were treated with postoperative exercise therapy，and those in the observation group were treated with Duhuo Jisheng Decoction combined with acupuncture on the basis of the control group. The course of treatment was 8 weeks. The overall efficacy，shoulder joint mobility（flexion，abduction，external rotation），shoulder joint Chinese version of Constant-Murley score，inflammatory factors［C-reactive protein（CRP），tumor necrosis factor-α（TNF-α），interleukin-6（IL-6）］were observed and compared between the two groups.
Results The total effective rate was 97.50%（39/40）in the observation group and 92.50%（37/40）in the control group. There was no significant difference between the two groups（P>0.05）. The effective rate of the observation group was 77.50%（31/40），which was significantly higher than that of the control group（52.50%，21/40）（P<0.05）. After treatment，the abduction and external rotation activity of the observation group were significantly higher than those of the control group［（45.84±5.46）°，（137.96±10.17）°vs（42.26±4.93）°，（129.33±11.48）°］（P<0.05）. The scores of pain，activities of daily living，range of motion and muscle strength in the Chinese version of Constant-Murley score of shoulder joint in the observation group were higher than those in the control group［（12.74±1.21）points，（17.03±2.16）points，（31.93±4.50）points，（21.60±3.08）points vs（11.63±1.82）points，（14.92±2.06）points，（27.80±3.44）points，（19.23±2.10）points］（P<0.05）. The levels of CRP，TNF-αand IL-6 in the observation group were lower than those in the control group［（9.92±1.45）mg/L，（16.08±3.70）ng/L，（10.33±2.10）μg/L vs（13.28±1.19）mg/L，（P<0.05）］.
Conclusion Duhuo Jisheng Decoction combined with acupuncture has a satisfactory therapeutic effect on patients with rotator cuff injury after major joint adhesion lysis. It can reduce pain and inflammatory response，better promote the improvement of shoulder joint function，muscle strength and activity，and is conducive to the rehabilitation of patients.
, authors=Mian WANG, Fei ZHAO, Rui QI, Jinli WANG, authorsList=Mian WANG, Fei ZHAO, Rui QI, Jinli WANG, authorCompany=null, correspAuthors=Jinli WANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322925997141668536, articleId=1322925994394399406, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=独活寄生汤联合针刺对肩袖损伤大关节粘连松解术后疗效观察, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的 研究独活寄生汤联合针刺对肩袖损伤大关节粘连松解术后患者的治疗效果。
方法 选取2022年11月—2023年6月医院肩袖损伤大关节粘连松解术后患者80例，依据随机数表法均分为两组，观察组、对照组各40例。对照组患者进行术后运动疗法干预，观察组在对照组基础上增加独活寄生汤联合针刺治疗，疗程8周，观察并比较两组患者的总体疗效、肩关节活动度（前屈、外展、外旋）、肩关节中文版Constant-Murley法评分、炎症因子［C反应蛋白（Creactive protein，CRP）、肿瘤坏死因子-α（tumor necrosis factor-α，TNF-α）、白细胞介素-6（interleukin-6，IL-6）］情况。
结果 观察组总有效率为97.50%（39/40），对照组92.50%（37/40），两组间差异无统计学意义（P>0.05）；观察组显效率为77.50%（31/40）、显著高于对照组（52.50%，21/40）（P<0.05）。治疗后，观察组患者的外展、外旋活动度显著大于对照组［（45.84±5.46）°、（137.96±10.17）°vs（42.26±4.93）°、（129.33±11.48）°］（P<0.05），观察组肩关节中文版Constant-Murley法评分中疼痛、日常生活活动、关节活动度、肌力评分均高于对照组［（12.74±1.21）、（17.03±2.16）、（31.93±4.50）、（21.60±3.08）分vs（11.63±1.82）、（14.92±2.06）、（27.80±3.44）、（19.23±2.10）分］（P<0.05），观察组CRP、TNF-α、IL-6水平均低于对照组［（9.92±1.45）mg/L、（16.08±3.70）ng/L、（10.33±2.10）μg/L vs（13.28±1.19）mg/L、（18.73±3.85）ng/L、（11.82±1.94）pg/L］（P<0.05）。
结论 独活寄生汤联合针刺对肩袖损伤大关节粘连松解术后患者的治疗效果满意，能够减轻疼痛和炎症反应，更好地促进患者肩关节功能、肌力和活动度的提升，利于患者康复。
, authors=王冕, 赵菲, 齐蕊, 王金丽, authorsList=王冕, 赵菲, 齐蕊, 王金丽, authorCompany=null, correspAuthors=王金丽, authorNote=
王冕（1986-），男，陕西西安人，主治医师，硕士，研究方向：中医骨伤。
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世界中西医结合杂志，
2022，
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中国康复理论与实践，
2022，
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中医正骨，
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中国伤残医学，
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陕西中医，
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中医药临床杂志，
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中国民族民间医药，
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浙江中医杂志，
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中成药，
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上海中医药杂志，
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中国中医药信息杂志，
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中国老年学杂志，
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天津中医药，
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| 组别 | 例数 | 显效 | 有效 | 无效 | 总有效 |
|---|
| 观察组 | 40 | 31（77.50） | 8（20.00） | 1（2.50） | 39（97.50） |
| 对照组 | 40 | 21（52.50） | 16（40.00） | 3（7.50） | 37（92.50） |
| χ2值 | | 3.878 | - | - | 0.263 |
| P值 | | 0.049 | - | - | 0.608 |
), ArticleFig(id=1322925999322706651, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=CN, label=表1, caption=
两组肩袖损伤大关节粘连松解术后患者疗效比较
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 显效 | 有效 | 无效 | 总有效 |
|---|
| 观察组 | 40 | 31（77.50） | 8（20.00） | 1（2.50） | 39（97.50） |
| 对照组 | 40 | 21（52.50） | 16（40.00） | 3（7.50） | 37（92.50） |
| χ2值 | | 3.878 | - | - | 0.263 |
| P值 | | 0.049 | - | - | 0.608 |
), ArticleFig(id=1322925999394009820, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 前屈 | 外展 | 外旋 |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 86.94±11.20 | 153.85±14.39a | 22.68±4.51 | 45.84±5.46a | 64.33±9.35 | 137.96±10.17a |
| 对照组 | 40 | 87.48±10.75 | 149.67±17.30a | 24.19±5.08 | 42.26±4.93a | 65.90±8.71 | 129.33±11.48a |
| t值 | | 0.220 | 1.175 | 1.406 | 3.078 | 0.777 | 3.559 |
| P值 | | 0.826 | 0.244 | 0.164 | 0.003 | 0.440 | 0.001 |
), ArticleFig(id=1322925999482090205, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=CN, label=表2, caption=
两组肩袖损伤大关节粘连松解术后患者肩关节活动度比较（
±s）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 前屈 | 外展 | 外旋 |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 86.94±11.20 | 153.85±14.39a | 22.68±4.51 | 45.84±5.46a | 64.33±9.35 | 137.96±10.17a |
| 对照组 | 40 | 87.48±10.75 | 149.67±17.30a | 24.19±5.08 | 42.26±4.93a | 65.90±8.71 | 129.33±11.48a |
| t值 | | 0.220 | 1.175 | 1.406 | 3.078 | 0.777 | 3.559 |
| P值 | | 0.826 | 0.244 | 0.164 | 0.003 | 0.440 | 0.001 |
), ArticleFig(id=1322925999578559198, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 疼痛15分 | 日常生活活动20分 | 关节活动度40分 | 肌力25分 |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 6.03±2.11 | 12.74±1.21a | 9.15±1.72 | 17.03±2.16a | 18.34±3.44 | 31.93±4.50a | 14.31±2.47 | 21.60±3.08a |
| 对照组 | 40 | 5.72±1.96 | 11.63±1.82a | 8.78±1.63 | 14.92±2.06a | 17.92±2.96 | 27.80±3.44a | 14.78±1.98 | 19.23±2.10a |
| t值 | | 0.681 | 3.212 | 0.988 | 4.471 | 0.585 | 6.792 | 0.939 | 9.086 |
| P值 | | 0.498 | 0.002 | 0.326 | <0.001 | 0.560 | <0.001 | 0.351 | <0.001 |
), ArticleFig(id=1322925999662445279, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=CN, label=表3, caption=
两组肩袖损伤大关节粘连松解术后患者Constant-Murley评分比较（
±s）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | 疼痛15分 | 日常生活活动20分 | 关节活动度40分 | 肌力25分 |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 6.03±2.11 | 12.74±1.21a | 9.15±1.72 | 17.03±2.16a | 18.34±3.44 | 31.93±4.50a | 14.31±2.47 | 21.60±3.08a |
| 对照组 | 40 | 5.72±1.96 | 11.63±1.82a | 8.78±1.63 | 14.92±2.06a | 17.92±2.96 | 27.80±3.44a | 14.78±1.98 | 19.23±2.10a |
| t值 | | 0.681 | 3.212 | 0.988 | 4.471 | 0.585 | 6.792 | 0.939 | 9.086 |
| P值 | | 0.498 | 0.002 | 0.326 | <0.001 | 0.560 | <0.001 | 0.351 | <0.001 |
), ArticleFig(id=1322925999733748448, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | CRP/（mg/L） | TNF-α/（ng/L） | IL-6/（pg/L） |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 23.41±4.10 | 9.92±1.45a | 33.09±6.25 | 16.08±3.70a | 28.71±4.06 | 10.33±2.10a |
| 对照组 | 40 | 22.87±3.95 | 13.28±1.19a | 34.18±5.06 | 18.73±3.85a | 27.62±3.74 | 11.82±1.94a |
| t值 | | 0.600 | 11.329 | 0.857 | 3.139 | 1.249 | 3.296 |
| P值 | | 0.550 | <0.001 | 0.394 | 0.003 | 0.216 | 0.002 |
), ArticleFig(id=1322926001373721313, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322925994394399406, language=CN, label=表4, caption=
两组肩袖损伤大关节粘连松解术后患者CRP、TNF-α、IL-6水平比较（
±s）
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组别 | 例数 | CRP/（mg/L） | TNF-α/（ng/L） | IL-6/（pg/L） |
|---|
| 治疗前 | 治疗后 | 治疗前 | 治疗后 | 治疗前 | 治疗后 |
|---|
| 观察组 | 40 | 23.41±4.10 | 9.92±1.45a | 33.09±6.25 | 16.08±3.70a | 28.71±4.06 | 10.33±2.10a |
| 对照组 | 40 | 22.87±3.95 | 13.28±1.19a | 34.18±5.06 | 18.73±3.85a | 27.62±3.74 | 11.82±1.94a |
| t值 | | 0.600 | 11.329 | 0.857 | 3.139 | 1.249 | 3.296 |
| P值 | | 0.550 | <0.001 | 0.394 | 0.003 | 0.216 | 0.002 |
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