独刺后溪穴配合颈肩运动治疗肩胛提肌劳损

Acupuncture on Houxi Combined with Neck and Shoulder Exercise therapy on Levator Scapulae Muscle Strain

目的：观察独刺后溪穴配合颈肩运动治疗肩胛提肌劳损的疗效。方法：40例肩胛提肌劳损患者随机分为独刺组和对照组各20例，独刺组针刺肩胛提肌劳损所在侧的后溪穴，并配合颈椎各方向活动和颈肩部龟缩运动，对照组穴位指压肩胛提肌走行部位的阿是穴，VAS量表评价两组治疗前后疼痛变化及疗效。结果：独刺组5次内治愈率为60%，明显高于对照组的30%（P〈0.05）；治疗后独刺组VAS评分显著低于对照组（P〈0.05）；独刺组治愈率及总有效率分别为70%及100%，显著高于对照组的35%及90%（P〈0.05）。结论：独刺后溪穴配合颈肩运动能有效缓解肩胛提肌劳损的疼痛，提高治愈率，缩短治愈时间。

Objective：To observe the curative effects of acupuncture on Houxi combined with neck and shoulder exercise therapy on levator scapulae muscle strain. Methods：40 cases of levator scapulae muscle strain were randomly divided into acupuncture group and control group with each of 20 cases, acupuncture group acupunctured on Houxi of sick side and made every direction movement of cervical spine and Guisuo exercise of neck and shoulder, control group with acupressure on A’shi point of levator scapulae muscle, VAS scale was used to evaluate the efficacy and changes in pain before and after treatment of the two groups. Results：The cure rate of acupuncture group in 5 times was 60%, significantly higher than that of control group by 30%（P〈0.05）;after treatment, VAS score of acupuncture group was significantly lower than that of control group （P〈0.05）;cure rate and total effective rate of acupuncture group were 70%and 100%, significantly higher than those of control group by 35%and 90%（P〈0.05）. Conclu-sion：Acupuncture on Houxi combined with neck and shoulder exercise can effectively alleviate the pain of levator scapulae muscles strain, improve the cure rate and shorten the healing time.