温针配合手法治疗肩关节周围炎疗效观察

Clinical Observation on the Efficacy of Warm Needling Plus Manipulation in Treating Shoulder Periarthritis

目的观察温针配合手法治疗肩关节周围炎的临床疗效。方法将72例患者随机分为3组，每组24例。治疗组在温针基础上配合手法治疗，对照1组只采用温针治疗，对照2组只采用手法治疗。治疗两个疗程后，观察三组治疗措施对肩周炎患者的疼痛缓解程度和功能恢复程度的有效性。结果治疗两个疗程后，VAS、WOMAC量表评分治疗组优于对照组（P〈0．01，P〈0，05），治疗组VAS、WOMAC量表观察指标均较疗前好转，差异均有统计学意义（P〈0.01）。结论温针配合手法治疗肩关节周围炎疗明显效优于单纯温针和单纯手法治疗。

Objective To onvestigate the efficacy of warm needling plus manipulation in theating shoulder periarthritis .Methods Seventy-two patients were randomly allocated to three groups,in every which there are 24 cases .The treatment group of 24 cases was given warm needling plus manipulation and control groupl,warm needling only; control group2,manipulation.The therapeutic effects were evaluated in the three groups after two treatment courses.Results VAS and WONAC scoring after 2 treatment courses showed the effect was better in the treatment group then in the control groups（p〈0.01,p〈0.05）.All VAS and WOMAC indices improved after treatment; there was a statistically significant difference （p〈0.01）. Conclusion The warm needling plus manipu; ation has a marked therapeutic effect on shoulder periarthritis .The effect is better then that of the others.