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双针刺法治疗肩关节周围炎的疗效评价 被引量:1

Clinical Observation of the Effect of Bi-needling Acupuncture Therapy on Shoulder Periarthritis
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摘要 目的探讨中医针灸双针疗法治疗肩关节周围炎的临床效果。方法将2014年12月至2015年12月前来我科就诊的64例肩关节周围炎患者随机分为观察组与对照组两组,每组各32例,治疗组采用针灸双针疗法,对照组采用常规毫针针刺治疗。观察两组治疗前后的有效率及VAS(visual analogue scale)评分,并于疗程结束2个月后进行随访,进一步比较2组患者的肩痛的VAS评分情况。结果两组基线资料无明显统计学差异,对照组治疗后有效23例,总有效率71.88%,治疗组治疗后有效31例,总有效率96.88%,2组差异具有统计学意义(卡方值=7.585,P=0.013,P<0.05)。治疗组治疗前VAS评分为(7.78±0.75),治疗后VAS评分为(3.72±1.25),2个月后随访VAS评分为(2.37±1.84);对照组分别为(7.97±0.82)、(5.16±1.98)、(5.16±1.98)。两组自身对照,两组治疗后VAS疼痛评分均有降低(治疗组Z=4.910,P<0.001;对照组Z=4.309,P<0.001),2个月后VAS评分进一步降低(治疗组Z=4.728,P<0.001;对照组Z=4.309,P<0.001),且差异均有统计学意义。两组组间对照,治疗后(Z=3.072,P=0.002)及2个月后(Z=4.116,P<0.001),双针组VAS评分降低程度均较普通毫针组更明显,且差异有统计学意义(P<0.05)。结论双针疗法治疗肩关节周围炎患者具有一定的临床优势,尤其是疼痛困扰较重的患者,值得在今后的临床实践中继续探索。 Objective The research is aimed at explore the clinical effect of bi-needling acupuncture method on the treatment of shoulder pcriarthritis. Methods Sixty four included participants suffering from shoulder periarthritis were outpatients in our department during December 2014 to December 2015. They were randomly divided equally into the treatment group and the control group. The treatment group took the bi-needling acupuncture treatment, while the control group took the conventional acupuncture treatment. Some outcomes such as the efficient, VAS score before and after the treatment were observed. All participants were followed up in 2 months late and VAS score were further compared between two groups. Results No significant statistical differences between baselines in two groups. After the treatment separately, 23 cases in control group show the effectiveness with the effective rate of 71.88%, while, 31 eases in treatment group with the total effective rate of 96.88%, and the difference of two groups show statistical significance (chi-square value=7.585, P=7.585, P〈0.05). VAS scores of treatment groups were (7.78±0.75) before the treatment, (3.72±1.25) after the treatment, and (2.37±1.84) in 2-months follow-up. As to the control group, VAS score were (7.97±0.82) before the treatment, (5.16±1.98) after the treatment, and (5.16±1.98) in 2-months follow-up. Compared within each group, VAS pain scores were both lower than VAS scores before treatment (treatment group Z=4.910, P〈0.001; control group Z=4.3039, P〈0.001). After 2 months follow-up, VAS scores were also lower (treatment group Z=4.728, P〈0.001; control group Z=4.3139, P〈0.001) than scores before and after the treatment with significant statistical differences. Contrast between the two groups, after the treatment (Z=3.072, P=3.072) and 2 months later (Z=4.116, P〈0.001), the VAS scores of bi-needling group were more obvious than common acupuncture group, and the difference was statistically significant (P〈0.05). Conclusion Bi-needling acupuncture has certain clinical advantages than ordinary acupuncture therapy to treat shoulder joint inflammation, especially for the painfulness It is worthy tO be explored in clinical practice in future.
出处 《中国医药指南》 2016年第30期194-195,共2页 Guide of China Medicine
关键词 双针治疗 肩周炎 VAS评分 Shoulder periarthritis Bi-needling acupuncture VAS
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