温针灸联合刺络放血拔罐治疗肩周炎疗效及对患者肩关节活动功能影响的研究

Clinical efficacy of warming acupuncture and bloodletting and cupping and its influence on shoulder joint function inscapulohumeral periarthritis

目的:探讨温针灸联合刺络放血拔罐治疗肩周炎的临床疗效及对肩关节活动功能的影响。方法:按照随机数字表法将78例肩周炎患者分为两组,观察组行温针灸联合刺络放血拔罐治疗,对照组行单纯温针灸治疗。比较两组患者临床治疗效果,采用美国肩肘外科协会评分系统(ASES)、肩关节活动度(ROM)评价两组患者治疗前后肩关节功能。结果:观察组总有效率为97.44%,高于对照组的84.62%(χ~2=3.924,P=0.047)。观察组临床治疗效果优于对照组(Z=-2.321,P=0.020)。两组患者治疗后VAS评分低于治疗前,日常生活能力评分、ASES总评分高于治疗前,且观察组治疗后VAS评分低于对照组,日常生活能力评分、ASES总评分高于对照组(P<0.05)。两组患者治疗后前屈、外展、后伸、内旋、外旋活动度均高于治疗前,且观察组治疗后前屈、外展、后伸、内旋、外旋活动度高于对照组(P<0.05)。观察组随访6个月的复发率为5.13%,低于对照组的20.51%(P<0.05)。结论:温针灸联合刺络放血拔罐能有效提高患者临床疗效,缓解疼痛,改善患者肩关节功能。

Objective：To explore the clinical effect of warming acupuncture and bloodletting and cupping and its influence on shoulder joint function in scapulohumeral periarthritis. Methods：78 patients with scapulohumeral periarthritis in our hospital were divided into two groups according to the random number table method. Observation group were treated by the warming acupuncture and bloodletting and cupping,and control group were only treated by the warming acupuncture. Comparisons of clinical effect, the shoulder function of two groups before and after treatment were evaluated by the ASES score and ROM. Results：The total effective rate of observation group was 97.44%,which was higher than 84.62% of control group（χ 2 =3.924, P =0.047）.The clinical efficacy of observation group was better than that of control group（Z=-2.321, P =0.020）.The pain score（VAS） of two groups after treatment was lower than that before treatment,the daily living ability score,ASES total score were higher than those before treatment,and the VAS score of observation group after treatment was lower than that control group,the daily living ability score,ASES total score were higher than those of control group（ P 〈0.05）.The anteflexion,outreach,extension,internal rotation,external rotation of two groups after treatment was higher than that before treatment,and the anteflexion,outreach,extension,internal rotation,external rotation of observation group after treatment was higher than that of control group（ P 〈0.05）.Followed for 6 months,the recurrence rate of observation group was 5.13%,which was lower than 20.51% of control（ P 〈0.05）.Conclusion：Warming acupuncture and bloodletting and cupping in the treatment of patients with scapulohumeral periarthritis can significantly improve the clinical efficacy,reduce pain and improve shoulder function.