分部针刺法治疗急性期肩关节周围炎的临床研究

Clinical Study on the Effect of Fenbu Needling Therapy for Acute Shoulder Periarthritis

目的：观察分部针刺法治疗急性期肩关节周围炎的疗效和作用规律。方法：60例急性期肩关节周围炎患者按临床就诊顺序随机分为治疗组和对照组，每组30例。治疗组选取阿是穴、第4—6颈夹脊、合谷、足三里，对照组选取肩祸、肩前、肩贞、阿是穴、阳陵泉、中平穴。电针刺激，每次30min，每周2—3次，共2周。比较观察两种疗法治疗急性期肩关节周围炎的疗效。结果：首次治疗后，治疗组有效率为86．67％，对照组有效率为63．33％，治疗组首次治疗疗效与对照组比较，差异有显著性（P〈0.05）；疗程治疗后，治疗组有效率为96．67％，对照组有效率为93.33％，治疗组疗程治疗疗效与对照组比较，差异无显著性（P〉0．05）。进一步用两组数字疼痛量表（Nits）和描述疼痛量表（VRS）分析可知，两组首次治疗前后NRS和VRS比较，差异均有显著性（P〈0．01或P〈0．05）；治疗组首次治疗前及疗程治疗前NRS和VRS与对照组比较，差异无显著性（P〉0．05），治疗组首次治疗后NRS和VRS与对照组比较，差异有显著性（P〈0．05），而治疗组疗程治疗后NRS和VRS与对照组比较，差异无显著性（P〉0．05）。结论：分部针刺法治疗急性期肩关节周围炎疗效确切，收效快捷．值得推广应用。

Objective：To observe the therapeutic effect and regulations of fenbu needling therapy on shoulder periarthfitis. Method ： Sixty cases of shoulder periarthfitis were randomly divided into treatment group （ thirty cases） and control group （thirty cases）. Treatment group was treated with fenbu needling therapy, Ashi point, Jingjiaji4 - 6, Hegu（ LI4 ） and Zusanli （ ST36 ） were selected, while control group with general needling therapy, Jianyu （ LI15 ）, Jianqian, Jianzhen （ SI9）, Ashi point, Yanglingquan （GB34） and Zhongping point were selected. Electroacupuncture was adopted, thirty minutes a time, two or three times a week. The course of treatment tic effects of these two group were compared. was two weeks. The therapeuResult：After one day of treatment, the effective rate was 86.67% in treatment group, and 63.33% in control group. The effective rate in treatment group has satistical significance compared with that in control group（P 〈0.05）. After two weeks of treatment,the effective rate was 96.67% in treatment group ,and 93.33% in control group. The effective rate in treatment group has no satistical significance compared with that in control group（ P 〉0.05 ）. Furthermore used by NRS and VRS, NRS and VRS of treatment group after one day have satistical significance compared with these of control group （P 〈 0.01 or P 〈 0.05 ）, NRS and VRS of treatment group after two weeks have no statistical significance compared with these of control group （ P 〉 0.05 ）. Conclusion：Fenbu needling therapy is effective in treating shoulder periarthritis, and is faster than general needling therapy in obtaining the therapeutic effect. It is worthy to study and apply in future.