针刺阴陵泉穴配合推拿治疗肩关节周围炎临床观察

Clinical Observations on the Efficacy of Acupuncture at Point Yinlingquan plus Massotherapy in Treating Scapulohumeral Periarthritis

目的观察针刺阴陵泉穴配合推拿治疗肩周炎的临床疗效。方法将60例肩周炎患者随机分为治疗组(30例)和对照组(30例)。治疗组采用针刺阴陵泉穴配合推拿治疗,对照组只单独采用推拿治疗。结果治疗3个疗程后(每疗程6 d),治疗组治愈22例,愈显率为90.0%;对照组治愈13例,愈显率为56.7%,两组比较差异有统计学意义(P<0.01)。治疗前后肩关节上举外展、外旋、后伸内旋以及疼痛分级比较差异均有统计学意义(P<0.01),治疗组和对照组治疗对疼痛和肩关节功能改善比较差异有统计学意义(均P<0.05)。结论针刺阴陵泉穴配合推拿治疗肩周炎能够有效地干预肩周炎患者的临床症状、改善疼痛,恢复肩关节功能,促进其临床痊愈。

Objective To investigate the clinical efficacy of acupuncture at point Yinlingquan（GB34） plus massotherapy in treating scapulohumeral periarthritis.Methods Sixty patients with scapulohumeral periarthritis were randomly allocated to a treatment group（30 cases） and a control group（30 cases）.The treatment group received acupuncture at point Yinlingquan plus massotherapy and the control group,massotherapy alone.Results After 3 courses of treatment（6 days as 1 course）,22 patients were cured in the treatment group,with a cure and marked efficacy rate of 90.0%;13 patients were cured in the control group,with a cure and marked efficacy rate of 56.7%.There was no statistically significant difference between the two groups（P=0.166,0.05）.In both groups,scapulohumeral periarthritis was effectively treated and there were statistically significant pre-/post-treatment differences in glenohumeral forward flexion,abduction,external rotation,extension and internal rotation,and the pain grade（P0.01）.There were statistically significant differences in pain relief and an improvement in shoulder joint function between the treatment and control groups（both P0.05）.Conclusion Acupuncture at point Yinlingquan plus massotherapy can effectively treat the clinical symptoms,relieve the pain,restore shoulder joint function and promote a clinical recovery in patients with scapulohumeral periarthritis.