摘要
目的:通过对肩周肌筋膜炎的患者进行触发点针刺治疗,以观察其临床效果。方法:选择2002-04/2004-10玉溪市人民医院骨科门诊治疗的肩关节周围炎(简称肩周炎)患者30例。肩关节前屈、外展受限。应用10g/L利多卡因注射液对肩周的三角肌、肱二头肌痛点进行针刺治疗,每隔7～12d1次,治疗两三次。并进行三角肌、肱二头肌的牵张锻炼,3次/d。治疗后3个月采用自拟评分对患者疼痛和肩关节活动度进行评定(共为8分,1分为无痛,8分为受累肌疼痛较重,整个肩关节活动受限,夜痛)。结果:按意向处理分析,30例患者均进入结果分析。①患者疼痛评分:治疗后3个月疼痛评分明显低于治疗前[(1.40±0.67),(5.90±0.99)分,t=48.7,P<0.01]。②患者肩关节活动度:治疗后平均外展、前屈角度明显大于治疗前治疗前(113.4°比46.3°,98.4°比33.5°)。结论:针刺治疗肩周肌筋膜炎能够明显地减轻疼痛,改善因其引起的肩关节活动障碍。
AIM： To treat patients with periarthritis of shoulder by using acupuncture at myofascial trigger points around shoulder, and observe the clinical effects, METHODS： Thirty cases suffering from shoulder periathritis with the motion restriction of abduction and anterior flexion of shoulder were selected from the Department of Orthopedics, Yuxi People＇s Hospital between April 2002 and October 2004. They were treated with acupuncture of lidocaine injection （10 g/L） at trigger points of the deltoid muscle and biceps brachii muscle around shoulder, once every 7-12 days for two or three times. They also participated in the stretch exercise of deltoid muscle and biceps brachii muscle and deltoid muscle for three times a day. The ache and motion range of shoulder joints in all the patients were evaluated with the self-made scoring system at 3 months after operation （the total score was 8, 1 as painless, 8 as severe, the motion of should joint was restricted and nyctalgia）. RESULTS： According to intention-to-treat analysis, all the 30 cases were involved in the analysis of results. ① Aching score： The aching score at 3 months after treatment was obviously lower than that before treatment [（1.40±0.67）, （5.90±0.99） points, t=48.7, P 〈 0.01].② Motion range of shoulder joints： The average abduction and anterior flexion after treatment were obviously larger than those before treatment （113.4° vs 46.3°, 98.4° vs 33.5°）. CONCLUSION： Acupuncture treatment in periarthritis of shoulder can obviously relieve ache, and improve the motion disorder of shoulder joints caused by it.
出处
《中国临床康复》
CSCD
北大核心
2005年第30期162-163,共2页
Chinese Journal of Clinical Rehabilitation
