压痛点强刺激推拿配合药物注射治疗肩周炎的疗效

Curative effect of strong stimulation on tenderness points through manipulation combined with drug injection for scapulohumeral periarthritis

目的观察压痛点强刺激推拿配合药物注射治疗肩周炎的疗效。方法选择2013年1—12月在上海交通大学医学院附属第九人民医院疼痛门诊接受治疗的肩周炎患者120例,随机分入治疗组和对照组,每组60例。治疗组患者采用压痛点强刺激推拿联合药物注射的方法治疗,对照组患者采用单纯药物注射的方法治疗。比较两组患者治疗前后的疼痛视觉模拟评分(VAS评分)和疗效。结果对照组治疗后1周、2周和1个月的疼痛VAS评分均显著高于治疗组同时间(P值均<0.05)。两组治疗后1周、2周和1个月的疼痛VAS评分均显著低于同组治疗前(P值均<0.05),治疗后2周和1个月的疼痛VAS评分均显著低于同组治疗后1周(P值均<0.05),治疗后1个月的疼痛VAS评分均显著低于同组治疗后2周(P值均<0.05)。治疗组的痊愈率显著高于对照组(P<0.05),两组间治疗总有效率的差异无统计学意义(P>0.05)。结论压痛点强刺激推拿配合药物注射能更有效地缓解肩周炎患者的疼痛程度,并显著提高肩周炎的治疗效果。

Objective To observe therapeutic effect of strong stimulation on tenderness points through manipulation combined with drug injection in patients with scapulohumeral periarthritis. Methods A total of 120 outpatients with scapulohumeral periarthritis were randomly divided into manipulation group and control group （n = 60）. The patients in manipulation group were treated with strong stimulation on tenderness points through manipulation combined with drug injection, and those in control group were treated with injection of drug only. Visual analog scale （VAS） score before and after treatment were recorded and compared between the two groups. Curative effects of two groups were analyzed. Results VAS scores of control group in week 1, week 2 and month I after treatment were significantly higher than those of manipulation group （all P〈0.05）. VAS scores were significantly decreased in week 1, week 2 and month 1 after treatment as compared with that before treatment in both groups （all P〈0.05）. VAS scores in week 2 and month 1 after treatment were significantly lower than that in week 1 after treatment in all patients （all P〈0.05）. VAS score in month 1 after treatment was significantly lower than that in week 2 after treatment in all patients （both P〈0.05）. The rate of complete healing in manipulation group was significantly higher than that in control group （P 〈0.05）, but there was no significant difference in curative efficacy between two groups （P〉0.05）. Conclusion Compared with drug injection, strong stimulation on tenderness points through manipulation combined with drug injection can significantly relieve pain and improve clinical outcome of scapulohumeral periarthritis.