两种温针方法治疗肩周炎的疗效观察

Clinical Observation on Two Methods of Warming Acupuncture in Treating Scapulohumeral Periarthritis

目的观察比较艾条温针和乙醇温针治疗肩周炎的临床疗效。方法选择71例肩周炎患者随机分为两组,分别采用艾条温针治疗和乙醇温针治疗2个疗程,比较两组临床疗效。结果两组患者治疗后疼痛VAS评分及关节功能活动度Melle评分与治疗前比较差异均有统计学意义(P<0.01);两组患者疼痛VAS评分及关节活动度Melle评分治疗前后差值比较差异无统计学意义(P>0.05)。艾条温针组治愈1例,显效7例,有效20例,无效6例;乙醇温针组治愈0例,显效9例,有效22例,无效6例;两组疗效比较差异无统计学意义(P>0.05)。结论艾条温针治疗及乙醇温针治疗均能有效缓解肩周炎患者的疼痛,改善肩关节的功能活动,两者疗效无差别,但乙醇温针具有操作简便、安全之优势。

Objective To evaluated the clinical effect of two methods of warming acupuncture in treating scapulo- humeral periarthritis. Methods Seventy - one scapulohumeral periarthritis patients were divided randomly into groups A （receiving moxa warming acupuncture） and B （receiving ethanol warming acupuncture）. The clinical effects of two groups were observed. Results There was significant difference in VAS pain score and Melle score of joint function activity between post - treatment and pre - treatment in two groups （ P 〈 0.01 ）. No significant difference was noted in difference of VAS and MeUe scores between pretreatment and posttreatment （P 〉 0. 05）. In group A, 1 was cured, marked effectiveness was seen in 7, ef- fectiveness in 20, ineffectiveness in 6, while in group B, 0, 9, 22, 6, respectively, the difference was not significant （P 〉 0. 05 ）. Conclusion Moxa wanning acupuncture has the same effect as ethanol warming acupuncture in treating scapulohumeral periarthritis and improving the function activity of shoulder joint, but the latter is easier to handle and safer.