摘要
Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.Patients in the control group received celecoxib capsule plus CPM,while those in the observation group received filiform fire-needling plus CPM.The whole course of treatment lasted for 2 weeks in both groups.The visual analog scale(VAS),Constant-Murley score(CMS)and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.Results:The total effective rate was 91.7%in the observation group,higher than 72.2%in the control group,and the between-group comparison showed statistical significance(P<0.05).After treatment,the VAS scores in the two groups dropped significantly,the CMS as well as the range of motion including abduction,forward flexion and extension were all increased significantly,and the intra-group comparisons showed statistical significance(all P<0.05).The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder;it can alleviate pain,improve shoulder function and restore joint range of motion in such patients.
目的:观察毫火针加持续被动运动(CPM)治疗肩凝症的临床疗效.方法:将72例患者按随机数字表法分为观察组和对照组,每组36例.对照组予塞来昔布胶囊加CPM治疗,观察组予毫火针加CPM治疗.两组疗程均为2周.比较两组患者治疗前后视觉模拟量表(VAS)评分、Constant-Murley评分(CMS)及肩关节活动度,并评价临床疗效.结果:观察组的总有效率为91.7%,高于对照组的72.2%,两组总有效率差异有统计学意义(P<0.05).治疗后两组患者VAS评分均较本组治疗前下降,CMS评分及外展、前屈、后伸活动度均较本组治疗前增加,组内差异均有统计学意义(均P<0.05).组间治疗后比较,观察组上述指标的改善情况均优于对照组(均P<0.05).结论:毫火针加CPM治疗肩凝症疗效优于塞来昔布胶囊加CPM治疗,能迅速缓解疼痛,改善关节功能,恢复关节活动度.
基金
国家中医药管理局资助项目,No.LP0118041。
