浮针治疗肩周炎的即刻疗效及安全性

Transient therapeutic effect and safety of superficial needling therapy for treatment of periarthritis of shoulder

目的:科学评价使用一次性浮针的有效性及安全性。方法:将60例肩周炎患者随机分为浮针组和常规针组,浮针组采用特制的浮针针具治疗,常规针组采用直径0.38mm、长40mm的一次性针灸针治疗,对比治疗前后患者最受限方位的关节活动度、肩关节活动中软组织疼痛自评分及肩部压痛自评分,以及2组患者分别在治疗进针、扫散、留针过程中发生刺痛的次数、出针时出血情况等不适情况。结果:活动相关性疼痛、压痛、最受限方位的关节活动程度的改善均为浮针组优于常规针组,提示浮针组的即刻疗效明显优于常规针组;进针过程中的刺痛次数浮针组少于常规针组,扫散时、留针时的刺痛次数以及出针时出血次数,2组差别无统计学意义。结论:从本试验看,在浮针疗法中使用一次性浮针比常规针灸针更为有效、更为安全。

Objective To scientifically assess effectiveness and safety of mono-use fu-needle. Methods Sixty cases of periartbritis of shoulder were randomly divided into a fu-needle group and a routine acupuncture group. The fu-needle group were treated with fu-needle, and the routine acupuncture group were treated with a needle of 0.38 mm in diameter and 40 mm in length. The articular mobility of the most limited direction, soft tissue pain self- rating score and self-rating score of shoulder tenderness before and after treatment, stabbing times and degree at inserting the needle, scattering and during retention of the needle, and bleeding at withdrawing the needle were compared in the two groups. Results The fu-needle group was better than the routine acupuncture group in improvement of mobility-related pain, tenderness, and the articular mobility of the most limited direction, indicating that the transient effect in the fu-needle group was better than the routine acupuncture group, and the stabbing times and degree at insertion of the needle were less than the routine acupuncture group. And there was no significant difference between the two groups in stabbing times and degree at scattering and retaining the needle and bleeding times in withdrawing the needle. Conclusion The superficial needling therapy with mono-use fu-needle is more effective and more safe than the routine acupuncture for treatment of periarthritis of shoulder.