镇静安神针法治疗粘连前期肩关节周围炎临床观察

Clinical Observations on Mind-tranquilizing Acupuncture for the Treatment of Scapulohumeral Periarthritis at the Early Stage of Adhesion

目的观察镇静安神穴位配合肩部常规针刺穴位对粘连前期肩关节周围炎(肩周炎)的疗效。方法将60例患者随机分为两组,治疗组采用镇静安神穴位配合肩部常规针刺穴位,对照组采用常规取穴,两组均治疗2星期,每星期治疗3次。治疗前后观察汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、肩关节疾患治疗成绩判定标准(JOA)、疼痛视觉模拟评分(VAS)。结果两组治疗后VAS评分、HAMA评分、HAMD评分、JOA评分较治疗前均有改善(P<0.05);治疗组VAS评分、HAMA评分低于对照组(P<0.05);治疗组HAMD评分、JOA评分与对照组比较差异无统计学意义(P>0.05)。结论镇静安神法配合常规针刺法治疗粘连前期肩周炎的疗效较常规针刺疗法更为显著。

Objective To investigate the efficacy of acupuncture at mind-tranquilizing points plus conventional shoulder points in treating scapulohumeral periarthritis（periarthritis of shoulder） at the early stage of adhesion. Method Sixty patients were randomly allocated to two groups. The treatment group received acupuncture at mind-tranquilizing points plus conventional shoulder points and the control group, at conventional points. In both groups, treatment was given three times a week, for two weeks. The Hamilton Anxiety Scale（HAMA） score, the Hamilton Depression Scale（HAMD） score, the Japanese Orthopaedic Association（JOA） score and the Visual Analogue Scale（VAS） score were recorded before and after treatment. Result The VAS score,the HAMA score, the HAMD score and the JOA score improved in both groups after treatment compared with before（P〈0.05）. The VAS score and the HAMA score improved more in the treatment group than in the control group（P〈0.05）. There were no statistically significant post-treatment differences in the HAMD score and the JOA score between the treatment and control groups（P〉0.05）. Conclusion Mind-tranquilizing acupuncture plus conventional acupuncture is more effective than conventional acupuncture in treating scapulohumeral periarthritis at the early stage of adhesion.