针刺痛点配合艾灸足三里治疗肩周炎临床观察

Clinical observation on acupuncture at pain point combined with moxibustion at Zusanli (ST 36) for treatment of periarthritis of shoulder

目的:探寻治疗肩周炎的有效疗法。方法:以肩部疼痛、肩关节活动功能为观察指标,分别运用针刺痛点配合艾灸足三里和常规针刺,对60例(每组30例)患者进行对比治疗,并观察两组的临床疗效。结果:治疗组总有效率为96.7%,常规组总有效率为90.0%,两组总有效率差异无显著性意义(P>0.05);但两组治愈率(分别为46.7%和20.0%)之间差异有显著性意义(P<0.05)。在改善肩关节活动功能和减轻疼痛方面亦同样具有统计学意义(均P<0.01)。结论:针刺痛点配合艾灸足三里治疗肩周炎在提高治愈率和减轻疼痛、改善肩关节功能方面优于常规针灸疗法。

Objective To find an effective therapy for periarthritis of shoulder. Methods Sixty cases were divided into two groups, 30 cases in each group. They were treated by acupuncture at pain point combined with moxibus-tion at Zusanli (ST 36) and routine acupuncture, respectively. Pain of the shoulder and movement functions of shoulder joints were used as indexes of therapeutic effects and their therapeutic effects were compared. Results The total effective rate was 96. 7% in the treatment group and 90. 0% in the routine group with no significant difference between the two groups (P>0. 05); the cured rate in the two groups were 46. 7% and 20. 0% respectively with a significant difference between the two groups (P<0. 05). There were statistically significant differences between the two groups in improvement of movement function of shoulder joints and alleviation of pain (both P<0. 01). Conclusion Acupuncture at pain points combined with moxibustion at Zusanli (ST 36) in increase of the cured rate and alleviation of pain, and improvement of movement function of shoulder joints is better than the routine acupuncture and moxibustion for treatment of periarthritis of shoulder.