摘要
目的探讨苍龟探穴针法联合激痛点推拿治疗肩周炎的临床效果。方法选取2021年3月至2023年6月湖南中医药大学附属衡阳医院针灸推拿科收治的肩周炎患者84例为研究对象,根据随机数表法将其分为苍龟探穴组和常规针刺组,每组各42例。苍龟探穴组选择肩髃穴、肩贞穴和臂臑穴给予苍龟探穴针法治疗30 min;常规针刺组选择相同穴位给予平补平泻针法治疗30 min。每次治疗后均予以激痛点推拿治疗20~30 min,6 d为1个疗程,治疗2个疗程后观察两组中医症候积分、疼痛、肩关节功能及临床疗效。结果治疗后,两组关节肿胀、关节疼痛、关节畏寒、关节沉重评分及总分低于治疗前,且苍龟探穴组低于常规针刺组,差异有统计学意义(P<0.05)。治疗后,两组视觉模拟评分法(VAS)、现在疼痛状况(PPI)、疼痛指数(PRI)评分及总分低于治疗前,且苍龟探穴组低于常规针刺组,差异有统计学意义(P<0.05)。治疗后,两组日常生活能力、关节活动度、疼痛、肌力评分及总分高于治疗前,且苍龟探穴组高于常规针刺组,差异有统计学意义(P<0.05)。苍龟探穴组总有效率为92.86%,高于常规针刺组的76.19%,差异有统计学意义(P<0.05)。结论针对肩周炎患者实施苍龟探穴针法,并配合激痛点推拿治疗,可减轻疼痛,提高活动范围,便于肩关节功能恢复,临床疗效明显。
Objective To investigate the therapeutic efficacy in the treatment of periarthritis humeroscapularis by Canggui Tanxue acupuncture method combined with trigger point massage.Methods A total of 84 patients with periarthritis humeroscapularis admitted to the Department of Acupuncture and Massage in Hengyang Hospital Affiliated to Hunan University of Chinese Medicine from March 2021 to June 2023 were selected as the research objects.They were divided into the Canggui Tanxue group(n=42)and the conventional acupuncture group(n=42)according to the random number table method.In the Canggui Tanxue group,Jianyu acupoint,Jianzhen acupoint and Bi’nao acupoint were selected and treated with black-tortoise-seeking-for-hole acupuncture for 30 min.In the conventional acupuncture group,the same acupoints were selected and treated with the even reinforcing-reducing acupuncture method for 30 min.After each treatment,they were all treated with massage on trigger points for 20-30 min,and 6 days was a course of treatment.After 2 courses of treatment,the symptom score,pain,shoulder function and clinical efficacy of the two groups were observed.Results After treatment,the scores of joint swelling,joint pain,joint chills,joint heaviness and total score of the two groups were lower than those before treatment,and the Canggui Tanxue group was lower than that of the conventional acupuncture group,with statistically significant differences(P<0.05).After treatment,the scores of visual analogue scale(VAS),present pain intensity(PPI),pain rating index(PRI)and total score of the two groups were lower than those before treatment,and the Canggui Tanxue group was lower than that of the conventional acupuncture group,with statistically significant differences(P<0.05).After treatment,the scores of activities of daily living,joint activity,pain,muscle strength and total score of the two groups were higher than those before treatment,and the Canggui Tanxue group was higher than that of the conventional acupuncture group,with statistically significant differences(P<0.05).The overal l response rate of the Canggui Tanxue group was 92.86%,higher than 76.19%of the conventional acupuncture group,with statistically significant difference(P<0.05).Conclusion For patients with periarthritis humeroscapularis,the implementation of Canggui Tanxue acupuncture method combined with trigger point massage can relieve pain,improve the range of motion,and facilitate the recovery of shoulder joint function,with obvious clinical effi cacy.
作者
曾欣欣
ZENG Xinxin(Department of Acupuncture and Massage,Hengyang Hospital Affiliated to Hunan University of Chinese Medicine,Hunan,Changsha 421001,China)
出处
《中国医药科学》
2024年第13期82-86,共5页
China Medicine And Pharmacy
关键词
苍龟探穴针法
激痛点推拿
肩周炎
疼痛
肩关节功能
Canggui Tanxue acupuncture method
Trigger point massage
Periarthritis humeroscapularis
Pain
Shoulder joint function
