摘要
目的探讨揿针结合推拿治疗肩关节周围炎的临床效果。方法将长春中医药大学附属第三临床医院2023年6—12月收治的100例肩关节周围炎患者采用随机数表法分为试验组和对照组,每组各50例。对照组予以推拿治疗,试验组在对照组基础上加用揿针治疗,两组均连续治疗6次为1个疗程,共治疗3个疗程。比较两组临床疗效、疼痛评分、肩关节日常生活活动能力(ADL)、肩关节活动度(ROM)以及上臂肌力。结果治疗后,试验组总有效率高于对照组,差异有统计学意义(P<0.05);两组视觉模拟评分法(VAS)评分低于治疗前,差异有统计学意义(P<0.05);试验组VAS评分低于对照组,差异有统计学意义(P<0.05);两组ADL、ROM、上臂肌力评分高于治疗前,差异有统计学意义(P<0.05);试验组ADL、ROM、上臂肌力评分高于对照组,差异有统计学意义(P<0.05)。结论揿针结合推拿治疗肩关节周围炎能提高临床疗效,缓解疼痛,改善日常生活能力,增加肩关节活动度和上臂肌力,值得临床推广。
Objective To explore the clinical efficacy of pressing-needle combined with massage in the treatment of periarthritis of shoulder.Methods A total of 100 patients with periarthritis of shoulder admitted to The Third Affiliated Hospital of Changchun University Chinese Medicine from June to December 2023 were randomly divided into an experimental group and a control group,with 50 cases in each group,using a random number table method.The control group received massage treatment,while the experimental group received additional treatment with pressingneedles on top of the control group.Both groups received 6 consecutive treatments for a total of 3 courses.The clinical efficacy,pain score,activity of daily living(ADL),range of motion(ROM)and upper arm muscle strength of the two groups were compared.Results After treatment,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05).The ADL score,ROM and upper arm muscle strength of the two groups were higher than those of the group before treatment,with a statistically significant difference(P<0.05).The ADL score,ROM and upper arm muscle strength of the experimental group were higher than those of the control group,with a statistically significant difference(P<0.05).Conclusion Pressing-needle combined with massage can improve the clinical efficacy,relieve pain,improve the ADL,and increase the ROM and the upper arm muscle strength,which is worth popularizing.
作者
杨春辉
刘玉欢
李晓敏
李海
YANG Chunhui;LIU Yuhuan;LI Xiaomin;LI Hai(Acupuncture and Moxibustion and Massage Center,the Third Affiliated Hospital of Changchun University Chinese Medicine,Jilin,Changchun 130117,China)
出处
《中国医药科学》
2024年第17期126-129,共4页
China Medicine And Pharmacy
基金
吉林省教育厅科学技术研究项目(JJKH20230976KJ)。
关键词
肩关节周围炎
痹证
揿针
推拿
Periarthritis of shoulder
Arthralgia syndrome
Pressing-needle
Massage
