肩周炎关联肌筋膜疼痛触发点的湿针治疗临床分析

Identification of myofascial trigger points associated with scapulohumeral periarthritis and its treatment with wet needling

目的:以湿针为主治疗肩周炎关联肌筋膜疼痛触发点,观察其治疗效果。方法:80例评分在5分以上肩周炎患者,根据肩关节疼痛和功能障碍特征认证受累肌肉,定位受累肌肉肌筋膜疼痛触发点的位置。以湿针治疗结合受累肌肉的自我牵张锻炼,并做治疗前中后的疼痛评估。结果:治疗中期,好转率100%;2个月后治愈率和良好率分别达85%和15%,比较差异具有统计学意义(P<0.05)。结论:治疗肩周炎时,考虑治疗受累肌肉筋膜疼痛触发点。

Objective： To identify myofascial trigger points associated with scapulohumeral periarthritis and observe the effects of wet needling therapy.Methods： A total of 80 patients with scapulohumeral periarthritis with scores above 5 according to characteristics of shoulder pain and functional conditions were selected ant treated with wet needling after the identification of myofascial trigger points of involved muscles.And the pain severity was evaluated before,during and after the treatments.Results： After treatment of half course,all patients showed improvement,2 months later,85% and 15% were cured and showed significant improvement,separately（P0.05）.Conclusions： Identification and treatment of myofascial trigger points is necessary for the treatment of shoulder periarthritis.