摘要
目的:探讨牵拉法配合温针灸对肩周炎患者疼及肩关节功能改善情况的影响。方法:将患者80例随机分为治疗组和对照组各4 0例,对照组予常规温针灸治疗,治疗组在对照组的基础上外加牵拉法治疗;观察记录2组患者治疗前后疼痛、肩关节活动度、肩关节功能评分及临床疗效。结果:治疗后,总有效率治疗组为9 7.5%,对照组为7 2.5%,2组比较,差异有统计学意义(P<0.05)。治疗后2组患者疼痛视觉模拟评分法(VAS)评分均较治疗前降低(P<0.05),且治疗组评分下降较对照组更显著(P<0.05)。治疗后2组患者肩关节前屈上举、后伸、外展上举、水平外展、水平内收情况均较治疗前改善(P<0.05),且治疗组上述各项指标改善较对照组更显著(P<0.05)。治疗后2组患者肩关节功能评分均较治疗前升高(P<0.05),且治疗组肩关节功能评分升高较对照组更显著(P<0.05)。结论:牵拉法配合温针灸治疗肩周炎,可减轻患者的疼痛程度,改善肩关节的活动度及关节功能情况,提高患者临床疗效。
Objective： To discuss the effect of traction combined with warming acupuncture on the improvements of pain and shoulder joint function of patients with scapulohumeral periarthritis. Methods：Divided 80 cases of patients into the treatment group and the control group randomly,40 cases in each group. The control group was given the routine treatment of warming acupuncture,while the treatment group additionally received traction. Recorded and observed the scores of pain, the range of motion in shoulders and shoulder joint function,and clinical effect of both groups before and after treatment. Results：After treatment,the total effective rate was 97.5% in the treatment group and 72.5% in the control group, difference being significant（P〈0.05）. After treatment, scores of VAS in both groups were lower than those before treatment（P〈0.05）, and the scores in the treatment group were decreased more significantly than those in the control group（P〈0.05）. After treatment,the status of flexion,up-lifting,posterior extension,abduction and up-lifting, horizontal abduction and horizontal adduction of shoulder joints in both groups were improved when comparing with those before treatment（P〈0.05）,and each index above in the treatment group was improved more evidently than those in the control group（P〈0.05）. After treatment,scores of shoulder joint function in both groups were higher than those before treatment（P〈0.05）,and the scores in the treatment group were increased more significantly than those in the control group（P〈0.05）. Conclusion：Traction combined with warming acupuncture can alleviate the pain degree of patients with scapulohumeral periarthritis and improve the range of motion in shoulders and shoulder joint function,thus to promote the clinical effect.
作者
陈星
高文飞
CHEN Xing;GAO Wenfei
出处
《新中医》
CAS
2018年第8期180-183,共4页
New Chinese Medicine
关键词
肩周炎
牵拉法
温针灸
疼痛
肩关节功评分
Scapulohumeral periarthritis
Traction
Warming acupuncture
Pain
Shoulder joint function scores
