火针联合针刀治疗冈上肌腱炎的临床疗效评价

Clinical Study on Fire-needle Combined with Acupotomy Therapy for Supraspinatus Tendinitis

目的:评价火针联合针刀治疗冈上肌腱炎的临床疗效。方法:62例患者随机分为4组。取穴:肱骨大结节附近压痛点和冈上窝附近压痛点。火针组、针刀组、火针结合针刀组,分别接受火针、针刀治疗。对照组口服洛索洛芬钠片,治疗2周,随访2周。结果:四种疗法均能改善VAS评分,提高C-M分值(P<0.05)。火针结合针刀组治疗后VAS=(11.56±13.51)分,C-M=(82.88±15.13)分,显著优于其他各组(P<0.01)。结论:火针联合针刀治疗冈上肌腱炎疗效显著。

Objective： To access the curative effect of fire-needle combined with acupotomy to treat supraspinatus tendinitis. Methods：Sixty two cases were randomly divided into 4 groups.Acupoints selected were tender point around greater tuberosity, and tender point around supraspinous fossa.Patients were divided into fire-needle group, acupotomy group, fire-needle combined with acupotomy group and recieved fire-needle therapy and acupotomy therapy.Patients in control group were taken Loxoprofen So-dium Tablets.The treatment lasted 2 weeks, and the follow up visits were acquired 2 weeks later.Results：All of the 4 therapies can relive shoulder pain and upgrade C-M scores （ P〈0.05 ） .After treatment, scores of fire-needle combined with acupotomy group （VAS=11.56 ±13.51,C-M=82.88 ±15.13） were significantly better than those of other groups（P〈0.01）.Conclusion：The curative effect of fire-needle combined with acupotomy is remarkable.