并针缠提法配合电针治疗肩关节周围炎的临床研究

发布时间：2019-01-17 19:47

【摘要】：目的:观察并针缠提法配合电针治疗肩关节周围炎的疗效。方法:将60例肩关节周围炎患者随机分为观察组和对照组各30例,取患侧肩毼、肩毭、佈俞、肩贞、臂佈、曲垣、曲池、手三里。观察组用双针并列对齐后针刺肩毼、肩毭、佈俞,再分别顺时针捻转至滞针状态后,向上提拉3次,每次5s,余穴常规针刺,再电针;对照组常规针刺及电针。均留针30min,1次/d,连续治疗6d为1个疗程,中间休息1d,共治疗2个疗程。比较两组患者视觉模拟量尺(VAS)评分、肩关节功能活动程度Melle评分和临床疗效。结果:两组治疗后VAS及Melle评分均低于治疗前(P0.001);治疗后观察组VAS及Melle评分均低于对照组(P0.001);两组VAS、Melle评分治疗前后差值比较,观察组明显高于对照组(P0.01)。对照组愈显率50.0%(15/30),总有效率93.3%(28/30);观察组愈显率83.3%(25/30),总有效率96.7%(29/30),观察组愈显率明显高于对照组(P0.01)。两组在治疗期间均无不良事件发生。结论:并针缠提法配合电针对肩关节周围炎具有明显的镇痛和改善肩关节活动功能的作用,疗效显著,优于常规电针治疗。
[Abstract]:Objective: to observe the curative effect of acupuncture combined with electroacupuncture in the treatment of shoulder periarthritis. Methods: 60 patients with periarthritis of shoulder joint were randomly divided into observation group (n = 30) and control group (n = 30). In the observation group, the shoulder, and cloth were pricked with two needles parallel to each other, and then twirled clockwise to the state of holding the needle respectively, then lifted up for 3 times, each time for 5 s, then the remaining points were treated with conventional acupuncture and then electroacupuncture; in the control group, the routine acupuncture and electroacupuncture were used. All patients were given 30 mins of acupuncture once a day for 6 days as a course of treatment and 1 day rest for 2 courses of treatment. The visual analogue scale (VAS) score, the degree of shoulder functional activity (Melle) and the clinical efficacy were compared between the two groups. Results: the scores of VAS and Melle in the two groups were lower than those before treatment (P0. 001), the VAS and Melle scores in the observation group were lower than those in the control group (P0. 001). The difference of VAS,Melle score between the two groups before and after treatment was significantly higher in the observation group than in the control group (P0.01). In the control group, the effective rate was 50.0% (15 / 30) and the total effective rate was 93.3% (28 / 30). The effective rate of the observation group was 83.3% (25 / 30) and the total effective rate was 96.7% (29 / 30). The effect rate of the observation group was significantly higher than that of the control group (P0.01). There were no adverse events in both groups. Conclusion: the combination of acupuncture and acupuncture combined with electroacupuncture has obvious analgesic effect on shoulder periarthritis and improves the function of shoulder joint movement. The curative effect is significant and superior to that of conventional electroacupuncture treatment.
【作者单位】：广州中医药大学;罗湖区中医院针灸推拿科;
【基金】：2013年罗湖区卫生系统软科学研究计划项目(No.2013019)
【分类号】：R246.9

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