网络首发时间：2023-04-1311：23：46网络首发地址：https:.ns.cnki.ne/kcm地黑由恽药2p2绳绣4月第s卷第☑期·25·肩周炎中西医结合诊疗专家共识世界中医药学会联合会骨质疏松专业委员会上海中医药大学附属龙华医院中日友好医院教育部筋骨理论与治法重点实验室摘要肩周炎是一种严重影响中老年人生命质量的慢性退行性疾病，属中医“痹证”范畴。作为中医骨伤科的优势病种之一，中医药治疗方法在肩周炎的临床治疗中发挥了重要作用，西医治疗手段徐手术介入之外，多以镇痛药物内服、封闭注射治疗，其疗效欠佳，为明确中西医结合在肩周炎诊疗中的作用，提高中西医结合诊疗水平，世界中医药学会联合会骨质疏松专业委员会组织专家，成立编写组，充分利用肩周炎的诊疗成果，分析循证医学证据，结合临床经验，经过多次讨论形成推荐意见，制定了肩周炎中西医结合诊疗专家共识。关键词肩周炎：中西医结合；辨证论治；专家共识Expert Consensus on the Diagnosis and Treatment of Periarthritis of the Shoulderwith Integrated Traditional Chinese and Western MedicineOsteoporosis Professional Committee of the World Federation of Chinese Medicine Societies,Longhua HospitalShanghai University of Traditional Chinese Medicine,China-Japan Friendship Hospital,Key Laboratoryof Muscle and Bone Theory and Treatment of Ministry of EducationAbstract Periarthritis of the shoulder is a chronic degenerative disease that seriously affects the quality of life of middle-agedand elderly people and falls under the category of "Bi syndrome"in traditional Chinese medicine(TCM).TCM treatment methodshave played an important role in the clinical treatment of periarthritis of the shoulder,one of the diseases responding specially toorthopedics in TCM.In addition to surgical intervention,westem medicine treatment methods mainly rely on oral analgesics andclosed injection therapy,and the curative effect is not good.To clarify the role of integrated traditional Chinese and westem medi-cine in the diagnosis and treatment of periarthritis of the shoulder and improve the level of integrated traditional Chinese and west-em medicine diagnosis and treatment,the Specialized Committee on Bone and Joint Diseases of World Federation of Chinese Med-icine Societies organized a group of experts to formulate an expert consensus on diagnosis and treatment of periarthritis of theshoulder with integrated traditional Chinese and western medicine by fully utilizing the achievements of periarthritis of the shoul-der diagnosis and treatment,analyzing evidence-based medical evidence,and combining clinical experience through multiplerounds of discussions.Keywords Periarthritis of the shoulder;Integrated traditional Chinese and western medicine;Treatment based on syndrome dif-ferentiation;Expert consensus中图分类号：R274文献标识码：Adoi:10.3969/j.issn.1673-7202.2023.07.0041概述备等因素，很多人出现了由于长时间固定姿势所致肩周炎(Periarthritis Humeroscapularis)是指肩关肩关节囊炎症、硬化、挛缩等症状，进而发展成肩周节周围软组织无菌性炎症引起的以肩部疼痛和活动炎。肩周炎在临床上主要表现为疼痛、肩关节运动功能障碍为主要特点的疾病，肩周炎在中医中属“痹受限等症状，病程长、容易反复发作，随着病情发展，病”，又称“五十肩”“漏肩风”。根据美国肩肘外科还会导致关节内外粘连，在工作中和生活中都给患医师学会的定义，肩周炎是一类引起肩关节僵硬的者带来了极大的不便。目前西医治疗手段除手术粘连性关节囊炎，表现为肩关节周围疼痛，夜间加介入之外，多以镇痛药物内服、封闭注射治疗为主，重，肩关节各个方向的主动和被动活动度降低，且进其疗效欠佳，而中西医结合在西医治疗的基础上增行性加重，造成肩关节活动受限。好发于50岁以上加了针灸、手法、火罐、针刀，以及理疗、液压扩张等的中老年人，发病常是因睡眠时肩部受凉等引起，但治疗，中西医结合治疗肩周炎有着明显的特色和在现代社会，由于生活环境的改变以及手持智能设优势。基金项目：国家重点研发计划(2018Y℉C1704300):国家自然科学基金重点项目(81730107,81930116,81920108032,81873321)：国家中医药“传承创新团队”计划项目(ZYYCXTD-C-202202):国家科技部重点领域“创新团队”计划项目(2015RA4002);国家教育部“创新团队”计划项目(RT1270):上海市市级科技重大专项(2017 SHZDZX01):上海市促进市级医院临床技能
