针刀与针灸治疗肩凝症同周期临床疗效比较

Comparison of the Same Period Clinical Effect of Needle-Scalpel and Acupuncture in Treating Scapulohumeral Periarthritis

目的观察针刀和针灸治疗肩周炎同周期临床疗效,为临床选择作参考。方法选择2012年9月—2014年12月,中国中医科学院望京医院骨科门诊与北京市垂杨柳医院针灸科门诊肩周炎患者各30例,分别进行针刀和针灸治疗,通过Constant评分系统对其治疗前、治疗后即刻、1周、2周、3周分别进行对比分析及疗效评价。结果治疗后即刻Constant评分无明显差异,1周针刀组有效率:70%,针灸组:63.33%;2周针刀组:83.33%,针灸组80%;3周针刀组:96.67%,针灸组93.33%。结论针灸和针刀对肩周炎有明确疗效,有效率均在90%以上。但两者具有不同适应性和针对性,在临床应用时应灵活使用。

Objective To observe the the same period clinical effect of needle-scalpel and acupuncture in treating scapulohumeral periarthritis. Methods Outpatients were selected from Wangjing Hospital of 30 cases and Beijing Chuiyangliu Hospital of 30 cases from September 2012 to December 2014. The needle-scalpel group and the acupuncture group were all had 30 cases. The curative effect after treatment immediately, a week, two weeks and three weeks by Constant-Murley shoulder joint scoring system were compared. Results There was no significant difference of immediately after treatment. One week after the treatment： the effective rate of the needle-scalpel group and the acupuncture group was 70% and 63.33%, respectively.Two weeks after the treatment： in the needle-scalpel control group：the effective rate of the needle-scalpel group and the acupuncture group was 83.33% and 80%, respectively. Three weeks after the treatment： the effective rate of the needle-scalpel group and the acupuncture group was 96.67% and 93.33%, respectively. Conclusion Acupuncture and needle-scalpel therapeutics has definite effect in the treatment of scapulohumeral periarthritis. The efficient were both above 90%. But they had different adaptability and pertinence, and we should be flexible in clinical use.