毫火针配合拔罐治疗颈源性肩周炎疗效观察

Clinical Trial of Treatment of Cervicogenic Scapulohumeral Periarthritis by Red-hot Needle Therapy Combined with Cupping

目的:观察毫火针配合拔罐治疗颈源性肩周炎的疗效。方法:将42例颈源性肩周炎患者随机分为毫火针组与常规针刺组,每组21例。毫火针组以毫火针配合拔罐治疗,隔日治疗1次,1周为一疗程,共治疗2个疗程;常规针刺组以常规针刺配合拔罐治疗,每日治疗1次,1周为一疗程,治疗2个疗程。对临床疗效及肩关节功能评分(调整的CMS评分)进行评定。结果:两组治疗后调整的CMS评分均高于治疗前(P<0.05),毫火针组调整的CMS评分单项(肩部疼痛积分、日常功能活动积分、肩关节活动度积分)均明显高于常规针刺组(P<0.05),临床治疗总有效率(95.24%,20/21)明显高于常规针刺组(85.71%,18/21,P<0.05)。结论:毫火针配合拔罐较常规针刺配合拔罐治疗颈源性肩周炎疗效更显著。

Objective To observe the therapeutic effect of red-hot needle therapy combined with cupping for cervicogenic periarthritis of shoulder.Methods Forty-two cases of cervicogenic periarthritis of shoulder were randomized into red-hot needle group and routine acupuncture group（n=21）.For patients of the routine acupuncture group,the filiform needles were applied to Tianzhu（BL 10）,Jianjing（GB 21）,Jianzhongshu（SI 15）,Jianzhen（SI 9）,Jianliao（TE 14）,Jianyu（LI 15）,Jianqian,Tianzong（SI 11）and Ashi-points on the affected side,followed by conducting cupping at the anterior and posterior regions of the affected shoulder,SI 11,GB 21 and SI 15.For patients of the red-hot needle group,the Ashi-points on the affected shoulder were punctured with cauterized filiform needles,following by performing cupping.The treatment was performed once daily and once every other day respectively for two weeks.The shoulder motor function was assessed according to the adjusted Constant-Murley test.Results After the treatment,the integrated scores of shoulder pain,shoulder-joint activities in daily living and shoulderjoint motion range were significantly increased in both groups compared with pre-treatment in the same one group（P〈0.05）and obviously higher in the red-hot needle group than in the routine acupuncture group（P〈0.05）.Of the two 21 cases of shoulder periarthritis patients in the routine acupuncture and red-hot needle groups,4and 8were cured,14 and 12experienced improvement,3and 1was invalid,with the effective rates being 85.71% and 95.24%,respectively.The therapeutic effect of the redhot needle therapy was significantly superior to that of the routine acupuncture（P〈0.05）.Conclusion The red-hot needle therapy combined with cupping is effective in relieving cervicogenic shoulder periarthritis and is remarkably superior to routine acupuncture combined with cupping in improving shoulder periarthritis patients＇ symptoms.