摘要
目的:观察"金钩钓鱼"针法联合推拿治疗肩周炎的临床疗效。方法:将72例肩周炎患者随机分为金钩钓鱼组和常规针刺组,每组36例。金钩钓鱼组取肩前、肩髃、肩髎、肩贞及阿是穴予"金钩钓鱼"针法治疗30 min;常规针刺组取相同腧穴予平补平泻针法治疗30 min。每次针刺治疗后,两组均予以推拿手法治疗20~30 min,1次/d,6 d为一疗程,共治疗2个疗程。观察两组患者治疗前后视觉模拟量尺(VAS)评分、肩关节功能评价量表(ROM)评分及日常生活活动能力(ADL)评分,并评价临床疗效。结果:治疗后,两组患者VAS评分均较治疗前明显降低(P<0.05),ROM评分、ADL评分均较治疗前明显升高(P<0.05)。与常规针刺组比较,治疗后金钩钓鱼组VAS评分明显降低(P<0.05),ROM评分、ADL评分明显升高(P<0.05)。金钩钓鱼组总有效率为91.7%(33/36),常规针刺组总有效率为86.1%(31/36),金钩钓鱼组临床疗效优于常规针刺组(P<0.05)。结论:"金钩钓鱼"针法联合推拿治疗肩周炎疗效显著,可明显减轻患者的肩关节疼痛,改善患者肩关节的活动功能。
Objective To observe the clinical effect of"metal hook fishing"(MHF)-like needling technique combined with Tuina manipulation in the treatment of scapulohumeral periarthritis.Methods A total of 72 patients with scapulohumeral periarthritis were randomly divided into MHF-like needling(MHF)and conventional needling groups(n=36 in each group).For patients of the GHF group,the doctor pressed the acupoint with the left index finger,held the disposable acupuncture needles to insert into the Jianqian,Jianyu(LI15),Jianliao(SJ5),Jianzheng(SJ9)and Ashi-point respectively with the right hand,waited for qi-arriving,twirled the needles forward about 3 to 6 times.When a tightened feeling was achieved beneath the needle tip,the doctor held the needle body to slightly shake it 3 to 6 times which mimicked a fish to swallow a hook,kept the situation for a while till relaxation,followed by retaining the needle for 30 min and then withdrew it slowly.Afterwards,the doctor performed Tuina manipulation at the upper limbs for 20 to 30 min.For patients of the conventional needling group,the same acupoints were needled and stimulated with the uniform reducing and reinforcing method for 1 min,followed by retaining the needles for 30 min.Then,massage was performed for 20 to 30 min in the same way as those in the MHF group.The treatment was conducted once daily,6 times a week for 2 weeks.After the treatment,the visual analogue scale(VAS)was used to assess the pain degree,the range of motion(ROM)scale of the shoulder joint adopted to assess the function,and the activity of daily living(ADL)scale used to assess the patients’daily living ability.The therapeutic effects of the two groups were evaluated after the treatment.Results After the treatment,the VAS scores of the two groups were notably decreased(P<0.05),being significantly lower in the GHF group than in the conventional needling group(P<0.05).The ROM score and ADL score of the two groups were obviously increased(P<0.05),being significantly higher in the MHF group than in the conventio
作者
张军
杨利平
ZHANG Jun;YANG Li-ping(Department of Orthopedics,Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518001,Guangdong Province,China;Department of Continuing Education and Training of Higher Education Press Limited Company,Beijing 100029)
出处
《针刺研究》
CAS
CSCD
北大核心
2020年第8期667-670,675,共5页
Acupuncture Research
关键词
肩周炎
针刺
“金钩钓鱼”针法
常规针刺法
Scapulohumeral periarthritis
Acupuncture
Metal hook fishing-like needling
Conventional needling
