摘要
目的 探讨关节松动术配合针刺治疗对肩周炎的疗效及对肩关节功能的影响。方法 选择2010年1月~2013年1月我院就诊的肩周炎患者80例为研究对象。所有患者根据入院顺序采用随机数字表法分为观察组和对照组,每组各40例,两组患者均行关节松动术,观察组同时联合针刺治疗,针刺选取穴位：主穴肩髑、肩髎、肩贞、阿是穴、条口,配穴合谷、外关、曲池。每次选取3~4穴,施以提插捻转平补平泻综合针刺手法,得气为度,留针30min,1次/d;比较两组患者治疗后的疗效及VAS评分、肩关节活动度情况。结果 治疗后比较两组的疗效,观察组的优良率为92.5%,与对照组的优良率75.0%比较,差异具有显著性（P〈0.05）。观察组与对照组患者治疗前VAS评分比较,差异无统计学意义（P〉0.05）。观察组治疗1个疗程后、治疗2个疗程后VAS评分分别较治疗前显著降低,且观察组治疗1个疗程后、治疗2个疗程后VAS评分分别显著低于对照组,差异有统计学意义（P〈0.05）。对照组患者治疗1个疗程后VAS评分较治疗前未见明显变化,但对照组患者治疗2个疗程后VAS评分较治疗前显著降低。观察组与对照组患者治疗前前屈、外展、后伸、内旋、外旋活动度比较,差异无统计学意义（P〉0.05）。观察组患者前屈、外展、后伸、内旋、外旋活动度治疗后分别较治疗前明显增加,且观察组的肩关节活动度分别显著高于对照组,差异有统计学意义（P〈0.05）。结论 关节松动术配合针刺治疗肩周炎疗效确切,可以显著减轻患者的疼痛,改善患者的肩关节功能,值得推广和应用。
Objective To investigate the curative effect of joint mobilization combined withacupuncture in treatment of periarthritis, and to explore the influence on the function of shoulder. Methods From 2010 January to January 2013 in our hospital,selected 80 cases periarthritis of shoulder as the research object.According to the order of admission in all patients were randomly divided into the observation group and the control group,40 cases in each group,two groups of patient were treated with joint mobilization.At the same time,the observation group combined with acupuncture treatment,acupuncture point Selected：the main point of shoulder line,jianliao,Jianzhen,Ashi acupoints Hegu,mouth,Waiguan,quchi.Each selected 3-4 points,with lifting thrusting twirling reinforcing reducing manipulation of acupuncture to comprehensive,gas for degrees,the needle for 30 minutes,once a day;after treatment efficacy and VAS score,shoulder activity degree were compared between two groups. Results The efficacy of the two groups were compared after treatment,the excellent rate of the observation group was 92.5%,the excellent and good rate of the control group was 75%,the difference was significant between two groups（P 〈 0.05）.Before treatment,VAS score of the observation group compared with the control group,the difference was not statistically significant（P〈0.05）.After 1 courses of treatment and 2 courses Of treatment,VAS scores of observation group were significantly lower than those before treatment,and after 1 and 2 courses of treatment,the VAS scores of the observation group were significantly lower than those in the control group ,the difference was statistically significant（P〈0.05）.After 1 weeks treatment,VAS score of the control group had no obvious changes,but the VAS scores of control group after 2 courses of treatment were significantly lower than those before treatment.The flexion,abduction,flexion,pronatio n external rotationactivity of observation group was compared with the control group before treatment,th
出处
《中国医药科学》
2015年第13期24-27,60,共5页
China Medicine And Pharmacy
关键词
肩周炎
关节松动术
针刺
肩关节功能
疼痛
Periarthritis
Shoulder joint mobilization
Acupuncture
Shoulder joint function
Pain
