“肩三针”温针配合电针治疗粘连期风寒湿型肩周炎19例

Warm-needling plus Ectroacupuncture at Jian San Zhen for Scapulohumeral Periarthritis of Adhesion Stage in Wind-cold-damp Syndrome: A Report of 19 Cases

目的观察"肩三针"温针配合电针对粘连期风寒湿型肩周炎的治疗作用。方法将58例粘连期风寒湿型肩周炎患者随机分为毫针组(18例)、电针组(21例)、温针合电针组(19例)。分别采用"肩三针"(肩前、肩髃、肩髎)毫针、电针、温针合电针疗法治疗。3组均每天1次,隔日治疗,5次为1个疗程。比较治疗后各组临床疗效,于治疗前后进行肩部疼痛评定及肩部活动评分。结果温针合电针组治疗总有效率为100%,优于毫针组(83.33%)及电针组(95.24%,P<0.05);3组治疗后疼痛指数及肩关节活动明显优于治疗前(P<0.01);温针合电针组及电针组治疗后疼痛指数及肩关节活动评分与毫针组比较有统计学意义(P<0.05)。结论 "肩三针"温针合电针法能有效缓解疼痛,并能明显改善粘连期风寒湿型肩周炎肩关节活动障碍。

Objective To observe the clinical effect of warm-needling plus electroacupuncture at Jian San Zhen（three shoulder points） for the scapulohumeral periarthritis of adhesion stage in wind-cold-damp syndrome.Methods A total of 58 cases of scapulohumeral periarthritis of adhesion stage in wind-cold-damp syndrome were randomized into three groups,18 in the filiform needle group,21 in the electroacupuncture group,and 19 in the warm needling plus electroacupuncture group.They were treated with acupuncture at three shoulder points,Jianqian（extra point）,Jianyu（LI 15）,and Jianliao（TE 14）,with filiform needles,electric needling,and the combination of warm needling with electroacupuncture respectively.The treatment was applied once everyday,5 times as one course.The effect of all groups after treatment was compared.The visual analogue scale（VAS） pain score and the index of the movement function of shoulder were used to evaluate the effect.Results The total effective rate of the warm needling plus electroacupuncture group was 100.00 %,better than 83.33% of the filiform needle group（P0.05） and 95.24% of the electroacupuncture group（P0.05）.The pain score and the index of the movement function of shoulder of all three groups after treatment were significantly improved（P0.01）.Pain score and the changing rate of the movement of shoulder of the warm needling plus electroacupuncture group and electro-acupuncture group showed statistical difference compared with that of the fili-form needle group（P0.05）.Conclusion The warm needling plus electroacupuncture at Jian San Zhen could effectively relieve the pain and significantly improve the movement function of shoulder joints of scapulohumeral periarthritis of adhesion stage in wind-cold-damp syndrome.