火针治疗肩关节周围炎多中心随机对照临床研究

A Multicenter Randomized Controlled Trial of Fire-needle Therapy for Scapulohumeral Periarthritis

目的观察火针治疗肩关节周围炎临床疗效,并观察治疗前后患者疼痛评分及肩关节运动功能变化。方法采用随机单盲法将180例患者随机分为火针组90例及毫针组90例。结果火针组和毫针组在治愈率,肩关节功能活动及30 d后复发率方面比较差异有统计学意义(P<0.01),在疼痛视觉模拟评分及总有效率方面比较差异无统计学意义(P>0.05)。结论火针治疗肩关节周围炎在治愈率及改善肩关节功能活动方面优于毫针刺法。

Objective To observe the clinical efficacy of fire-needle therapy in treating scapulohumeral periarthritis, and to observe the changes of pain score and the motor function of shoulder joint. Method Totally 180 patients were randomized into a fire-needle therapy group of 90 cases and a filiform needle group of 90 cases by randomized single-blinded method. Result There were significant differences between the two groups in comparing the recovery rate, motor function of shoulder joint, and the relapse rate 30 d after the whole intervention（P〈0.01）, while there were no significant differences in Visual Analogue Scale（VAS） score and total effective rate（P〈0.05）. Conclusion Compared to filiform needle therapy, fire-needle therapy can produce a better recovery rate and motor function of shoulder joint in treating scapulohumeral periarthritis.