针灸联合推拿、功能锻练治疗肩周炎随机平行对照研究

Acupuncture Combined with Massage, Functional Exercise on Scapulohumeral Periarthritis Randomized Parallel Controlled Study

[目的]观察针灸联合推拿、功能锻练治疗肩周炎疗效。[方法]使用随机平行对照方法,将136例住院及门诊患者按随机数字表法分为两组。对照组68例推拿、功能锻练治疗,1次/d。治疗组68例①针刺:取穴肩髃、肩井、肩贞、肩前、曲池、外关、阳陵穴、阿是穴,以2寸或1.5寸毫针常规消毒后针刺,行提插泻法,得气后留针30min,1次/d;疼痛循太阴经加太渊;循少阳经加中渚;循太阳经加后溪;循阳明经加三间。②艾灸:以约2cm艾条套于针柄,燃烧完毕后为1壮,点燃后根据患者皮肤感觉调整距离,连续行3壮完毕后取针,1次/d。推拿、功能锻练治疗同对照组。连续治疗15d为1疗程。观测临床症状、疼痛治疗效果、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈51例,显效15例,有效2例,无效0例,总显效率97.06%。对照组痊愈39例,显效16例,有效13例,无效0例,总显效率80.88%。治疗组疗效优于对照组(P<0.01)。疼痛治疗效果两组均有改善(P<0.01),治疗组改善优于对照组(P<0.05)。[结论]针灸联合推拿、功能锻练治疗肩周炎效果显著,值得推广。

[ Objective ] To observe the curative effect of acupuncture combined with massage, functional exercise on scapulohumeral periarthritis. [ Methods ] Using randomized controlled methods, 136 cases of inpatient and outpatient were randomly divided into two groups. The control of massage, rehabilitation treatment group of 68 cases, 1 /d. The treatment group of 68 cases of acupuncture： Acupuncture Jianyu, Jianjing, Jianzhen, shoulder, Quchi, Waiguan, Yang Ling, Ashi points, with 2 inch or 1.5 inch needle after routine disinfection of acupuncture, lift and thrust line reducing method, was left after the gas 30min, 1 times/d ; pain on Taiyin meridian too yuan; follow the Shaoyang meridian and Zhu; follow the sun with Hou Xi ; Yang plus three. The moxibustion with moxa stick： about 2cm sheathed on the needle handle, after burning for 1 strong, lit according to the patient＇s skin feel distance adjustment, continuous 3 strong after the needle, 1 /d. Massage, rehabilitation treatment with the control group. Continuous treatment with 15d for 1 courses. Observation of clinical symptoms, therapeutic effect, adverse reaction of pain. 1 courses of treatment, the curative effect. [ Results ] The treatment group cured 51 cases, effective in 15 cases, effective 2 cases, invalid 0 cases, the total effective rate was 97.06%. The control group cured 39 cases, effective in 16 cases, effective 13 cases, invalid 0 cases, the total effective rate was 80.88%. The treatment group was better than control group （ P〈 0.01 ） . Treatment of pain in two groups were improved （ P〈 0.01 ）, the treatment group was better than the control group （ P〈 0.05 ） . [ Conclusion ] Acupuncture combined with massage for treatment of periarthritis of shoulder, functional exercise effect is significant, worthy of promotion.