八段锦加电针治疗肩周炎疗效观察

Clinical observation on Ba Duan Jin combined with electroacupuncture treating scapulohumeral periarthritis

目的观察普通电针配合八段锦练习治疗肩周炎患者的临床疗效。方法肩周炎患者67例,按照随机数字表法分为治疗组34例和对照组33例。对照组行常规电针治疗。治疗组在电针治疗的同时进行八段锦锻炼(运动频率为每周5d,每日早晚各1次,每次练习2遍),疗程5周。治疗前后进行疼痛程度评定(VAS法评分)、肩关节活动功能程度评定(Melle评分)。3个月后远期疗效评定,并进行治疗前后及组间对比。结果两组治疗前VAS评分和Melle评分无统计学差异(P>0.05)。两组肩周炎患者治疗后与治疗前比较,VAS评分和Melle评分均有显著性差异(P<0.01或0.05)。治疗组和对照组治疗后比较也有显著性差异(P<0.01或0.05)。3个月后的远期疗效比较,治疗组的疼痛及肩关节活动功能的显效率和有效率均高于对照组,但经统计学检验,无显著差异(双侧P>0.05)。结论八段锦作为一种温和的体育锻炼方法,对肩周炎可起到良好的治疗效果,值得推广应用。

Objective To observe the clinical therapeutic effects of common electroacupuncture together with Ba Duan Jin exercise on scapulohumeral periarthritis.Methods 67 patients were divided into treatment group of 34 cases and control group of 33 cases according to random number table. The control group was treated by common electroacupuncture and the treatment group was not only treated by electroacupuncture but also attended Qi Gong exercise of Ba Duan Jin （fifth a week and twice one day for two times）.After 5 weeks of therapy, the pain degree （VAS Scores evaluation） and motivate functions degree of shoulder joint （MelleScores evaluation） of both groups were evaluated. Then therapeutic effect after three months of both groups were also evaluated. The scores before and after therapy, the scores between the groups were compared statistically. Results There was no significant difference of the VAS scores and Melle scores between the two groups before the treatment （P〉 0.05）. While aider the treatment, the VAS scores and MeUe scores were improved significantly in both groups （P〈0.01 or 0.05） and there was significant difference of the scores between two groups. The comparison of long-term therapeutic effect after 3 months indicates that the excellence and effective rate of pain and motivate functions of shoulder joint in the treatment group were higher than that in the control group, however ,there was no statistical difference （P〉0.05 double size）. Conclusion Ba Duan Jin, as a mild physical exercise, has a favorable therapeutic effect on scapulohumeral periarthritis.It is worth promoting the application.