透刺配合手法治疗肩周炎临床观察

Clinical Study of Treatment of Shoulder Periarthritis by Point-through-point Acupuncture plus Manipulation

目的观察透刺配合手法治疗肩关节周围炎的临床疗效。方法采用随机分组方法,将336例符合纳入标准的肩周炎患者分为治疗组(透刺+手法)和对照组(单用透刺),分别采用肩髃透刺肩前穴配合手法以及单用透刺的方法治疗并进行比较研究,同时观察两组治疗前后肩关节功能活动分值以及红外热像图的改变。结果治疗组疗效明显优于对照组,差异有统计学意义(P<0.05)。结论透刺配合手法是治疗肩周炎的有效方法。

Objective To investigate the efficacy of point-through-point acupuncture plus manipulation in treating shoulder periarthritis. Methods A random allocation was used. Three hundred and thirty-six patients with shoulder periarthritis meeting the inclusion criteria were randomly allocated to a treatment group （ point-through-point acupuncture plus manipulation） and a control group （ simple point-through-point acupuncture） and treated by point Jianyu-through- Jianqian acupuncture plus manipulation and simple point-through-point acupuncture, respectively, for comparative study. Changes in shoulder joint activity score and infrared thermogram were examined in both groups after treatment. Results The therapeutic effect was significant better in the treatment group than in the control group ; there was a statistically significant difference （ P 〈 0.05 ）. Conclusion Point-through-point acupuncture plus manipulation is an effective way to treat shoulder periarthritis.