齐刺肌筋膜扳机点配合温针治疗肩关节周围炎疗效观察

Therapeutic Observation of Triple Needling at Myofascial Trigger Points plus Warm Needling for Periarthritis of Shoulder

目的观察齐刺肌筋膜扳机点配合温针治疗肩关节周围炎的临床疗效。方法将84例肩关节周围炎患者随机分为治疗组44例和对照组40例。治疗组采用齐刺肌筋膜扳机点配合温针治疗,对照组采用单纯温针治疗。两组均每日治疗1次,10次为1个疗程。治疗2个疗程后,观察两组治疗前后疼痛分级指数(PRI)、视觉模拟评分(VAS)和现有疼痛强度(PPI)及肩关节各项功能活动度数的变化情况,并比较两组临床疗效。结果治疗组治疗1、2个疗程后各项评分(PRI、VAS、PPI)与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。对照组治疗2个疗程后各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗2个疗程后各项评分与对照组比较,差异均具有统计学意义(P<0.01)。两组治疗1、2个疗程后肩关节各项功能活动度数与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗1、2个疗程后肩关节各项功能活动度数与对照组比较,差异均具有统计学意义(P<0.05,P<0.01)。治疗组愈显率和总有效率分别为70.5%和95.5%,对照组分别为52.5%和90.0%,两组比较差异均具有统计学意义(P<0.01,P<0.05)。结论齐刺肌筋膜扳机点配合温针是一种治疗肩关节周围炎的有效方法 。

Objective To observe the clinical efficacy of triple needling at myofascial trigger points plus warm needling in treating periarthritis of shoulder. Method Eighty patients with periarthritis of shoulder were randomized into a treatment group of 44 cases and a control group of 40 cases. The treatment group was intervened by triple needling at myofascial trigger points plus warm needling, while the control group was by warm needling alone. The two groups were treated once a day, 10 times as a treatment course. The Pain Rating Index （PRI）, Visual Analogue Scale （VAS）, Present Pain Intensity （PPI）, and motion of shoulder joint were observed before the treatment and after 2 treatment courses, and the clinical efficacies were compared between the two groups. Result In the treatment group, the PRI, VAS, and PPI scores respectively after 1 and 2 treatment courses were significantly different from those before the treatment （P〈0.05,P〈0.01）. In the control group, the scores after 2 treatment courses were significantly different from those before the treatment （P〈0.05）. After 2 treatment courses, the scores in the treatment group were significantly different from those in the control group （P〈0.01）. In both groups, the motions of shoulder joint respectively after 1 and 2 treatment courses were significantly changed compared with those before the treatment （P〈 0.01）. The motions of shoulder joint in the treatment group were significantly differem from those in the control group respectively after 1 and 2 treatment courses （P〈0.05,P〈0.01）. The recovery plus markedly-effective rate and total effective rate were respectively 70.5% and 95.5% in the treatment group, versus 52.5% and 90.0% in the control group, and the between-group differences were statistically significant （P〈0.01,P〈0.05）. Conclusion Triple needling at myofascial trigger points plus warm needling is an effective approach in treating periarthritis of shoulder.