浮针治疗肩关节周围炎疗效评价(英文)

Assessment of therapeutic effect of superficial needling therapy on scapulohumeral periarthritis

目的:比较浮针疗法和温针灸治疗肩关节周围炎的疗效。方法:将66例患者随机分为两组,每组各33例。浮针组采用浮针治疗;温针灸组采用温针灸治疗,穴取肩髃、天宗、阿是穴等,两组均配合功能锻炼。治疗2个疗程后评价两组疗效及活动相关性疼痛评分(VAS)、肩关节活动范围(ROM)受限度及综合评分。结果:浮针组基本痊愈率为27·3%、总有效率为97·0%,温针灸组分别为6·1%、75.8%,浮针组疗效优于温针灸组(P<0·05)。两组治疗后VAS、ROM受限度及综合评分比治疗前均有显著改善(P<0·001) ;浮针组对VAS、ROM受限度及综合评分的改善均显著优于温针灸组(P<0·001)。结论:浮针疗法治疗肩关节周围炎疗效较为显著,操作简便,依从性较好。

ABSTRACT Objective To compare the efficacies on scapulohumeral periarthritis between superficial needling therapy （SN） and warm needling method. Methods Sixty-six cases were randomized into two groups, 33 cases in each one. In SN group, Superficial needling therapy was adopted. In warm needling group, warm acupuncture was applied to Jianyu （肩髃 LI 15）, Tianzong（天宗 SI 11） , Ashi, etc. Functional exercise was assisted in both groups. After 2 courses of treatment, it was to assess the efficacy, relevant pain scale on movement （VAS）, decrease range of motion of shoulder joint （ROM） and comprehensive score in two groups. Results In SN group, the basic curative rate was 27.3 % and total effective rate was 97.0 %. In warm needling group, the basic curative rate was 6. 1% and total effective rate was 75.8%. The efficacy in SN group was superior to that in warm needling group （P〈0.05）. The improvements of VAS, ROM and comprehensive score in SN group were all superior significantly to those in warm needling group （P〈0. 001）. Conclusion Superficial needling therapy achieves quite significant efficacy on scapulohumeral periarthritis and is convenient in operation and good in adherence.