针刺加热敏温灸盒灸与针刺加电针治疗肩周炎临床对照观察

Clinical Observation of Frozen Shoulder Treated by TSM and EN

目的:观察在热敏灸基础上能持久作用的温灸盒疗法的临床治疗效果。方法:将60例肩周炎患者随机分为热敏灸温灸盒组30例、电针组30例,取穴(肩髃、肩髎、肩前、肩贞、肩井、巨骨、臂臑)。分别在治疗前后采用Joa肩关节功能评价量表和VAS(视觉模拟评分法)进行疗效评估。结果:两组治疗方法均有疗效,有效率均为100%。热敏灸组改善前屈活动度高于电针组有统计学意义(P<0.05),而电针组改善后伸活动度高于热敏灸组有统计学意义(P<0.05),但热敏灸组的痊愈率优于电针组。结论:研究观察到肩关节周围存在热敏灸穴敏感区域,温灸盒艾灸可加强此处的效应。

Objective：To compare the therapeutic effects of TSM and EN in the treatment of frozen shoulder. Methods：60 patients with frozen shoulder were randomly divided into two groups：30 cases in TSM group and 30 cases in EN group.The acupoints chosen for the treatment in both groups were Jianyu, Jianliao, Jianqian, Jianzhen, Jianjing, Jugu and Binao.Treatment was conducted for 3 times a week and 9 sessions as one course. The JOA shoulder function assessment scale and the VAS scale were used to evaluate the effectiveness before and after treatment.Results：The total effective rates for both groups were 100%.TSM and EN had certain effects in the treatment of frozen shoulder, while TSM was better than EN in improving ventriflexion function of shoulder joint（P〈0.05）,but EN was better than TSM in improving extensional function of shoulder joint（P〈0.05）.Conclusion：TSM exists most significantly aroud shoulder joints,and warming needling and moxibustion can strengthen the effect.