针刀与局部封闭疗法对照治疗肩周炎55例临床疗效观察

Clinical treatment of frozen shoulder using acupotomy, compared with local block therapy

目的:通过观察针刀治疗肩周炎与局部封闭治疗方法相对比,观察针刀治疗肩周炎的疗效。方法:采用随机数字表法对就诊病人进行随机分组,分为针刀治疗方法和局部封闭治疗方法对肩周炎患者进行治疗,将针刀治疗组与局部封闭对照组在疗程结束及治疗结束后3个月统计疗效,并进行对照分析。结果:近期疗效统计发现,针刀治疗组的治愈率为46．5％,有效率为89．3％;局部封闭对照组的治愈率为18．6％,有效率为70．4％,两组相比差异均有非常显著性意义(P<0．05);远期疗效比较结果为,针刀治疗组的治愈率为53．6％,有效率为89．3％,封闭对照组的治愈率为11．2％,有效率为70．4％,两组相比差异均有非常显著性意义(P<0．05)。结论:针刀组治疗肩周炎与局部封闭对照组相比,其治疗效果有显著差异,针刀治疗组的治疗效果远远好于封闭对照组。

Objective： observing the effect of treating the frozen shoulder with acupotomy, compared with the local block therapy. Method： randomly dividing 55 frozen shoulder cases into two groups. Group A （28 cases）is treated with acupotomy, and group B （27 cases）with the local block therapy. Observing the therapeutic effects of both groups, at the end of the 3-month treatment period. Results： after the treatment, the cure rate of group A reaches 46.5%, with a validity of 89.3%, and group B 18.6%, with 70.4% for the validity. The differences between two groups, in both the cure rate and validity are significant （P〈0.05）. Statistics collected 3 month after the treatment show that the cure rate of group A climbs to 53.6%, with a validity of 89.3%, while group B descends to 11.2%, with 70.4% for the validity. The differences between two groups are also significant （P〈0.05）. Conclusion： acupotomy and the local block therapy make significant differences in treating the frozen shoulder. The efficacy of acupotomy is much more promising, compared with the local block therapy.