岐黄针疗法治疗关节镜下肩袖修复术后中期疼痛：随机对照试验

孙权; 许展杰; 余金艳; 向孝兵; 陈建发; 李杰; 王南卜; 陈振虎

doi:10.13703/j.0255-2930.20250217-0006

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岐黄针疗法治疗关节镜下肩袖修复术后中期疼痛：随机对照试验

临床研究 | 更新时间：2026-03-16

- 岐黄针疗法治疗关节镜下肩袖修复术后中期疼痛：随机对照试验
- Qihuang acupuncture therapy for mid-term postoperative pain after arthroscopic rotator cuff repair: a randomized controlled trial
- 中国针灸 2026年46卷第3期页码：341-346
- 作者机构：
  
  北京中医药大学针灸推拿学院，北京　100029
  广州中医药大学第一临床医院
  广州中医药大学第一附属医院，广东广州　510405
- 作者简介：
  
  孙权，北京中医药大学博士研究生。E-mail：1445887916@qq.com
  ✉陈振虎，主任医师。E-mail：936733729@qq.com
- 基金信息：
  
  国家中医药管理局中医药古籍文献和特色技术传承专项项目(GZY-KJS-2022-026);广州地区中西医协同临床重大创新技术建设项目(穗卫函〔2023〕2318号)
- DOI：10.13703/j.0255-2930.20250217-0006
  中图分类号：
- 收稿：2025-02-17，
  
  网络首发：2025-12-30，
  
  纸质出版：2026-03-12
- 稿件说明：
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孙权, 许展杰, 余金艳, 等. 岐黄针疗法治疗关节镜下肩袖修复术后中期疼痛：随机对照试验[J]. 中国针灸, 2026,46(3):341-346.

SUN Quan, XU Zhanjie, YU Jinyan, et al. Qihuang acupuncture therapy for mid-term postoperative pain after arthroscopic rotator cuff repair: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(3): 341-346. DOI: 10.13703/j.0255-2930.20250217-0006.
孙权, 许展杰, 余金艳, 等. 岐黄针疗法治疗关节镜下肩袖修复术后中期疼痛：随机对照试验[J]. 中国针灸, 2026,46(3):341-346. DOI： 10.13703/j.0255-2930.20250217-0006.

SUN Quan, XU Zhanjie, YU Jinyan, et al. Qihuang acupuncture therapy for mid-term postoperative pain after arthroscopic rotator cuff repair: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(3): 341-346. DOI: 10.13703/j.0255-2930.20250217-0006. DOI：

摘要

目的：

观察岐黄针疗法治疗肩袖修复术（ARCR）后中期疼痛的临床疗效。

方法：

将90例ARCR后中期疼痛患者随机分为岐黄针组（45例，脱落1例、剔除2例）和常规治疗组（45例，脱落2例、剔除2例）。两组均予基础康复治疗，常规治疗组采用常规治疗，岐黄针组在常规治疗基础上配合3次岐黄针疗法（第1、3、 7天各1次），第1次取肩前、肩髎，第2次取肩髃、肩髎，第3次取肩前、肩髎，两组均治疗7 d。分别于治疗前后和治疗结束后4周（随访）比较两组患者肩关节疼痛（活动痛、夜间痛）视觉模拟量表（VAS）评分、肩关节活动度（前屈、外展、后伸内旋和体侧外旋）、美国加州大学（UCLA）肩关节评分和Constant-Murley（CM）肩关节功能评分，并评定临床疗效和安全性。

结果：

治疗后和随访时，两组患者活动痛和夜间痛VAS评分均较治疗前降低、各项肩关节活动度均较治疗前升高（

0.05）。治疗后，岐黄针组患者活动痛和夜间痛VAS评分低于常规治疗组、主被动前屈和外展活动度高于常规治疗组（

0.05）；随访时，岐黄针组患者活动痛VAS评分低于常规治疗组、各项肩关节活动度均高于常规治疗组（

0.05）。治疗后和随访时，两组患者UCLA肩关节评分、CM肩关节功能评分均较治疗前升高（

0.05），且岐黄针组高于常规治疗组（

0.05）。治疗后，岐黄针组总有效率为95.2%（40/42），高于常规治疗组的75.6%（31/41，

0.05）；随访时，岐黄针组治愈率为42.9%（18/42），高于常规治疗组的19.5%（8/41，

0.05）。两组患者试验期间均未出现严重不良反应。

结论：

在常规治疗的基础上，岐黄针疗法可有效降低ARCR后中期疼痛程度，加速肩关节功能康复，尤其在改善活动痛和前屈、外展活动度中具有优势，其疗效可持续到治疗结束后4周。

Abstract

Objective

To evaluate the clinical effect of

qihuang

acupuncture therapy on mid-term postoperative pain after arthroscopic rotator cuff repair (ARCR).

Methods

Ninety patients with mid-term postoperative pain after ARCR were randomized into a qihuang acupuncture therapy group (45 cases

1 case dropped out

2 cases eliminated) and a conventional treatment group (45 cases

2 cases dropped out

2 cases eliminated). The basic rehabilitation therapy was accepted in the two groups. Additionally

in the conventional treatment group

the routine treatment was administered. In the qihuang acupuncture therapy group

besides the regimen as the conventional treatment

the

qihuang

acupuncture therapy was op

erated for 3 sessions (once on day 1

and 7

respectively)

with Jianqian (Extra) and Jianliao (TE14) selected in the 1st session of treatment

Jianyu (LI15) and Jianliao (TE14) in the 2nd session and Jianqian (Extra) and Jianliao (TE14) in the 3rd session. The duration of treatment was composed of 7 days. Separately

before and after treatment

and in 4-week follow-up after treatment

the score of visual analogue scale (VAS) for shoulder pain (activity pain and nocturnal pain)

the range of motion (ROM) of the shoulder (forward flexion

abduction

extension-internal rotation

and lateral rotation)

the University of California-Los Angeles (UCLA) shoulder score

and the Constant-Murley (CM) shoulder function score were compared in the two groups. The clinical effect and safety were evaluated in the two groups.

Results

After treatment and in follow-up

the VAS scores of activity pain and nocturnal pain were reduced and each ROM of the shoulder was increased when compared with those before treatment in the two groups (

0.05). After treatment

the VAS scores of activity pain and nocturnal pain in the qihuang acupuncture therapy group were lower than those in the conventional treatment group (

0.05)

and the ROM of active and passive forward flexion and abduction was higher when compared with the conventional treatment group (

0.05). In follow-up

the VAS score of activity pain in the qihuang acupuncture therapy group was lower than that in the conventional treatment group (

0.05)

and each ROM of the shoulder was greater (

0.05). After treatment and in follow-up

the UCLA shoulder score and CM shoulder function score were increased in comparison with those before treatment in the two groups (

0.05)

and the scores in the qihuang acupuncture therapy group were higher than those in the conventional treatment group (

0.05). After treatment

the total effective rate in the qihuang acupuncture therapy group was 95.2% (40/42)

which was higher when compared with the conventional treatment group (75.6%

31/41

0.05). In follow-up

the recovery rate in the qihuang acupuncture therapy group was 42.9% (18/42)

higher than that in the conventional treatment group (19.5%

8/41

0.05). No serious adverse events were reported in either group during the trial.

Conclusion

Based on the conventional treatment

the

qihuang

acupuncture therapy effectively alleviates the mid-term postoperative pain after ARCR and accelerates the recovery of shoulder joint function. It shows the specific advantages in alleviating activity pain and improving ROM of forward flexion and abduction; and the therapeutic effect is sustainable up to 4 weeks after treatment completion.

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