条口穴不同刺法对肩周炎疗效差异的观察

Observation on therapeutic effects of different needling methods at Tiaokou (ST 38) on periarthritis of shoulder

目的探讨条口穴不同刺法对肩周炎的疗效差异。方法将80例肩周炎患者随机分为治疗组、对照a组、对照b组、对照c组,均选用条口穴治疗。治疗组采用透刺法,对照a、b、c组分别采用刺入40mm、只刺入皮下、假针刺治疗。治疗前后通过Constant-Murley肩关节量表评价疗效。结果治疗组有效率100.0%,对照a组为68.4%,对照b组为52.6%,对照c组为38.0%,治疗组与对照a、b、c组比较疗效差异有显著或非常显著性意义(P<0.05,P<0.01)。对照a、b、c三组间比较疗效差异无显著性意义(P>0.05)。结论条口穴不同针刺深度对肩周炎有不同的疗效,透刺法疗效最好;假针刺疗效最小,作为对照方法更加适宜。

Objective To compare therapeutic effects of different needling methods at Tiaokou （ST 38） on periarthritis of shoulder. Methods Eighty cases of periarphritis of shoulder were randomly assigned to four groups. Tiaokou （ST 38） was selected in all the 4 groups. The treatment group were treated with penetration needling, and the control group A, B, C were treated by needling into 40 mm deep, needling into the subcutaneous tissue, sham acupuncture, respectively. Therapeutic effect was evaluated by Constant-Murley shoulder joint scale. Results The clinical effective rate was 100.0% in the treatment group and 68.4% in the control group A, 52.6% in the control group B, 38.0% in the control group C with significant differences as the treatment group compared with the control groups A,B,C （P〈0.05 or P〈0.01）. And with no significant difference as the control group A compared with the control group B, C, and the group B with the group C （P〈0.05）. Conclusion Different needling depths of Tiaokou （ST 38） have different therapeutic effects, the penetration needling being the best and the sham needling being worse which can be used as control method.