温针结合刺络拔罐治疗肩周炎疗效观察

Effect observation of treating carotid-derived frozen shoulder by warm needle combined with pricking cupping method

目的探讨温针结合刺络拔罐治疗肩周炎的疗效。方法将笔者所在医院2010年5月～2011年5月中医理疗科门诊收治的90例肩周炎患者随机分为对照组和观察组,每组各45例。对照组采用针刺患侧肩井、肩髃、肩髎、肩前、臂臑、曲池等穴位,另外加艾灸治疗,每天1次;观察组在对照组的基础上采取刺络拔罐疗法,每周2次。两组患者15d为1个疗程,共进行1～3个疗程。结果两组治疗效果比较,观察组痊愈29例,占64.4%,显效10例,占22.2%,有效5例,占11.1%,无效1例,占2.2%;对照组痊愈8例,占17.8%,显效19例,占42.2%,有效10例,占22.2%,无效8例,占17.8%。两组比较,观察组疗效显著优于对照组,差异有统计学意义(P<0.05)。结论温针结合刺络拔罐治疗肩周炎临床疗效显著,值得广泛推广应用。

Objective To discuss the effect of treating carotid-derived frozen shoulder by warm needle combined with pricking cupping method. Methods 90 patients with the carotid-derived frozen shoulder from May 2010 to May 2011 in the TCM physiotherapy department of our hospital were randomly divided into the control group and the observation group. Each group had 45 cases. The control group was treated with the method of puncturing ipsilateral Jianjing, Jianyong, Jianliao, Jianqian, Binao, Quchi and then combined with moxibustion treatment with once a day. On the basement of the method of the control group, the observation group was treated with pricking cupping method with twice a week. Between the two groups, 15 days was one course and 1 to 3 courses was taken in progress. Results Among the observation group, 29 cases were cured accouting for 64.4%.The significantly effective cases were 10,accouting for 22.2%.The effective cases were 5,accouting 11.1%, and the invalid cases was 1,accouting for 2.22%.Meanwhile,the data of the control group were 8（17.8%）,19（42.2%）,10（22.2%）and 8（17.8%）.The effect of the observation group was better and the difference was statistically significant（P 0.05）. Conclusion Treating carotid-derived frozen shoulder by warm needle combined with pricking cupping makes an obvious clinical effect , which is worthy of widely promotion and application.