针刀联合针刺疗法治疗肩周炎临床研究

Clinical study of needle knife combined with acupuncture therapy treating scapulohumeral periarthritis

目的探讨针刀联合针刺疗法治疗肩周炎的方法和效果。方法随机选择茂名市茂南区中医院2016年1月~2017年4月的68例肩周炎患者,根据入院先后分为治疗组34例和对照组34例。其中治疗组患者采用针刀松解粘连组织,联合肢体远端取穴行针刺运动疗法。对照组采用常规推拿治疗,并结合TDP治疗仪照射、口服戴芬胶囊治疗。比较两组的疗效和肩关节功能评分。结果治疗组的总有效率为91.2%,对照组为61.8%,两组差异有统计学意义(P<0.05);治疗组治疗后的肩关节功能评分为(88.27±3.28)分,高于对照组的(73.67±2.56)分(P<0.05)。结论针刀联合针刺疗法治疗肩周炎的效果显著,可提高患者的生活质量,减轻其疼痛,值得临床推广。

Objective To explore the method and effect of needle knife combined with acupuncture therapy treating scapulohumeral periarthritis.Methods Sixty-eight patients with scapulohumeral periarthritis treated in Traditional Chi- nese Medicine Hospital of Maonan District in Maoming City fiom January 2016 to April 2017 were selected randomly and they were divided into the treatment group （n=34） and control group （n=34）.The patients in the treatment group were treated with needle knife to release the adhesion tissue,and the distal limb acupuncture exercise therapy was given.The control group was treated with conventional massage combined with TDP treatment instrument to beam,oral Dai Fen Capsules treatment,The efficacy and shoulder function scores were compared between the two groups.Results The total effective rate was 91.2% in the treatment group and 61.8% in the control group,and there was a significant difference （P〈 0.05）.After treatmeng,the shoulder function score in the treatment group [（88.27±3.28） points] was higher than that of the control group [（73.67±2.56） points] （P〈0.05）.Conclusion Knife combined with acupuncture therapy treating seapulohumeral periarthritis has an obvious effect,and it can improve the quality of life of patients and relive the pain and it is worthy of promption.