摘要
目的观察针刺结合关节松动术治疗肩周炎疼痛及活动障碍的临床疗效。方法将70例Ⅳ级、Ⅴ级肩周炎患者随机分为两组。治疗组针刺双侧中平穴、阳陵泉穴、条口穴透承山穴,结合关节松动术,每次治疗30min。对照组采用针刺肩三针(肩髃穴,肩髎穴,肩贞穴)结合其余配穴,针刺30 min后,行推拿手法30 min。两组治疗5次后观察患者的恢复状况。结果治疗组愈显率为91.42%,对照组愈显率为68.50%;治疗组总有效率97.14%,对照组总有效率为85.71%,治疗组优于对照组,差异有统计学意义(P<0.05)。治疗组患者肩关节疼痛VAS评分低于对照组;治疗组肩周炎康复评定中活动范围积分与日常生活活动能力积分均高于对照组,差异均有统计学意义(P<0.05)。结论针刺配合关节松动术治疗肩周炎较传统方法疗效好而且单次治疗时间及治愈时间短。
Objective To observe the clinical efficacy of acupuncture combined with joint mobilization in treatment of frozen shoulder.Methods 70 frozen shoulder patients of class IV and class V were randomly divided into experimental group of 35 cases and control group of35 cases. The experimental group acupunctured the Zhongping point,the Yanglingquan point and the Tiaokou point penetrating into the Chengshan point combined with joint mobilization treatment which lasted for 30 minutes. The control group acupunctured Jiansan point（ Jianyu points,Jianliao points and Jianzhen points） and the acupoints of dialectic of meridian. 30 minutes later,the control group was operated the ordinary mobilization treatment for another 30 minutes. After a course of 5 times treatments,the recovery rates of the two groups were compared. Results After a course of 5 times treatments,the curative and effective rate of the experimental group was 97. 14%,while the control group was 68. 50%. The total effective rate of the experimental group was 97. 14%,while the control group was 85. 71%. The result of treatment group was better than the control group and the difference was statistically significant（ P〈0. 05）; the VAS score in patients＇ shoulder joint pain of treatment group was lower than that of the control group. And the scores of shoulder joint activity range and daily activity ability in the evaluation of rehabilitation of periarthritis of shoulder in the treatment group were higher than those of the control group with statistically significance（ P〈0. 05）. Conclusion The method of acupuncture combined with joint mobilization is effective and takes less time in every single treatment and recovering,is superior to ordinary treatment.
出处
《湖北中医药大学学报》
2016年第1期99-101,共3页
Journal of Hubei University of Chinese Medicine
基金
湖北省十二五教育课题(课题编号:2014B095)
关键词
肩周炎
针刺疗法
关节松动术
frozen shoulder
acupuncture
joint mobilization treatment
