摘要
[目的]观察肩四针联合玻璃酸钠肩关节腔注射治疗肩关节周围炎疗效。[方法]使用随机平行对照方法,将140例门诊患者按就诊顺序号方法随机分为两组。对照组70例玻璃酸钠肩关节腔注射,患者端坐位,患肩稍后展,常规消毒,1%利多卡因局部浸润麻醉,玻璃酸钠25mg+生理盐水20mL肩关节腔注射,1次/周,按症状轻重适当增减剂量。治疗组70例肩四针,取患侧肩髃、肩前(肩内陵)、肩贞、肩髎,肩髃向极泉方向针刺2寸,肩前向肩后方向针刺1寸,肩贞向肩前喙突直刺2寸,肩髎向极泉透刺2寸,行平补平泻手法,均以酸胀为得气感,得气后留针30min,每周3次;玻璃酸钠治疗同对照组。连续治疗1周为1疗程。观测临床表现、疼痛评分、肩关节活动度、不良反应。连续治疗5疗程(5周),判定疗效。[结果]治疗组临床痊愈43例,显效15例,有效5例,无效7例,总有效率90.00%;对照组临床痊愈35例,显效10例,有效7例,无效18例,总有效率74.28%;治疗组疗效优于对照组(P<0.05)。疼痛评分、肩关节活动度评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]肩四针联合玻璃酸钠肩关节腔注射治疗肩关节周围炎,疗效满意,可缓解疼痛,改善关节活动度,无严重不良反应,值得推广。
[Objective] To observe the curative effect of four needles of shoulder combined with sodium hyaluronate injection in the treatment of periarthritis of shoulder. [Method] 140 outpatients were randomly divided into two groups according to the order number of visits by randomized parallel control method. In the control group, 70 cases of sodium hyaluronate were injected into the shoulder joint cavity. The patients were sitting at the end of the shoulder, extending the shoulder later, routine disinfection, local infiltration anesthesia with 1% lidocaine, 25 mg sodium hyaluronate and 20 mL saline were injected into the shoulder joint cavity once a week. The dose was increased or decreased according to the weight of the symptoms. In the treatment group, 70 patients received four needles for shoulder, including shoulder condyle, shoulder anterior(shoulder inner mausoleum), shoulder zhen, shoulder condyle, shoulder condyle 2 inches toward the pole spring direction, shoulder front to shoulder back direction 1 inch, shoulder Zhen to shoulder anterior coracoid straight needle 2 inches, shoulder chin toward the pole spring penetration needle 2 inches, flat reinforcing and diarrhea manipulation, all of which had sour swelling to get a sense of breath and retained needle 30 minutes a week;sodium hyaluronate treatment was the same as the control group. Continuous treatment for one week is a course of treatment. The clinical manifestations, pain scores, shoulder motion and adverse reactions were observed. Continuous treatment for 5 courses(5 weeks) to determine the efficacy. [Result] In the treatment group, 43 cases were cured, 15 cases were markedly effective, 5 cases were effective, 7 cases were ineffective, and the total effective rate was 90.00%. In the control group, 35 cases were cured, 10 cases were markedly effective, 7 cases were effective, 18 cases were ineffective, and the total effective rate was74.28%. The curative effect of the treatment group was better than that of the control group(P<0.05). Pain score and should
作者
邓伟沛
DENG Weipei(Maoming Traditional Chinese Medicine Hospital, Maoming 525000, Guangdong, China)
出处
《实用中医内科杂志》
2018年第12期61-63,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
肩关节周围炎
痹症
肩四针
肩髃
肩前
肩贞
肩髎
玻璃酸钠
疼痛评分
肩关节活动度
随机平行对照研究
periarthritis of shoulder
arthralgia
four needles of shoulder
condyle of shoulder and anterior shoulder
shoulder chastity
shoulder buckling
sodium hyaluronate
VAS score
ROM grade
randomized parallel controlled study
