温针灸联合刺络放血拔罐对疼痛期肩周炎患者肩关节活动度及疼痛的影响

Effect of Warm Acupuncture Combined with Bloodletting and Cupping on Shoulder Joint Range of Motion and Pain in Patients with Shoulder Periarthritis in Pain Stage

目的探讨温针灸联合刺络放血拔罐在疼痛期肩周炎患者中的应用效果.方法选取2020年4月—2021年4月本院收治的84例疼痛期肩周炎患者为研究对象,按随机数字表法分为两组,各42例.对照组采用温针灸治疗,观察组在对照组基础上加以刺络放血拔罐治疗,治疗10 d为1个疗程,1个疗程完毕后休息2 d再行治疗,两组均持续治疗2个疗程.对比两组临床疗效、治疗前后肩关节活动度及疼痛程度.结果观察组治疗总有效率高于对照组,组间差异有统计学意义(P<0.05).治疗前,两组肩关节前屈、外展、内旋、外旋、后伸评分与疼痛视觉模拟评分(VAS)相比,组间差异无统计学意义(P>0.05);治疗后,观察组肩关节前屈、外展、内旋、外旋、后伸评分均高于对照组,VAS评分低于对照组,组间差异有统计学意义(P<0.05).结论温针灸联合刺络放血拔罐在疼痛期肩周炎患者中的应用效果显著,能够有效增加患者的肩关节活动度,缓解疼痛程度.

Objective To explore the application effect of warm acupuncture combined with bloodletting and cupping in patients with shoulder periarthritis in pain stage.Methods A total of 84 patients with periarthritis of the shoulder who were treated in our hospital from April 2020 to April 2021 were selected as the research objects,and divided into two groups according to the random number table method,with 42 cases in each group.The control group was treated with warm acupuncture,and the observation group was treated with bloodletting and cupping on the basis of the control group.10 d of treatment was a course of treatment,after one course of treatment,the patients were rested for 2 d before treatment.Both groups continued to receive 2 courses of treatment.The clinical efficacy,the range of motion of the shoulder joint and the degree of pain before and after treatment were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in the scores of forward flexion,abduction,internal rotation,external rotation and extension of the shoulder joint and pain visual analogue scale(VAS)(P>0.05);after treatment,the scores of forward flexion,abduction,internal rotation,external rotation and extension of shoulder joint in the observation group were higher than those in the control group,and the VAS score was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Warming acupuncture combined with bloodletting and cupping has a significant effect in patients with shoulder periarthritis in the painful period,which can effectively increase the range of motion of the shoulder joint and relieve the pain.