基于倾向性评分法中渚穴循经传导效应治疗肩周炎的前瞻性队列研究

A Prospective Cohort Study of The Treatment of Periarteritis of Shoulder with The Conduction Effect of Zhongzhu Acupoints Based on The Propensity Score Method

目的:讨论中渚穴循经传导效应对肩周炎患者的疗效差异。方法:采用倾向性评分法前瞻性队列研究设计,选取中渚单穴将109例患者分为循经传导疗法组和普通针刺组,匹配后得到39对患者,运用VAS模拟评分、Michael fees肩关节功能评分及ADL日常生活活动能力评分对2组患者治疗后疗效差异进行评价。结果:PSM基线匹配一致后,VAS评分和Michael fees评分的最终检验结果均表明,循经传导针刺疗法对肩周炎患者的疼痛及肩关节活动改善均优于普通针刺疗法,ADL评分的临床疗效分布改善两者则差异无统计学意义,且循经传导针刺疗法的复发率相较于普通针刺疗法更低。结论:针刺中渚单穴激发循经传导效应对肩周炎患者的临床疗效优于普通针刺疗法。

Objective： To discuss the difference of curative effect of patients with periarteritis of medulla oblongata.Methods： 109 patients were divided into two groups according to the prospective cohort study. The patients were divided into two groups according to the conduction therapy group and the general acupuncture group. After matching,39 patients were treated with VAS simulation score. Shoulder function score and ADL daily life activity score were evaluated for the difference in the efficacy of the two groups after treatment. Results： After the match of PSM base line,the final test results of VAS score and Michael fees score showed that the improvement of pain and shoulder joint activity in patients with frozen shoulder was better than that of ordinary acupuncture therapy. ADL score of the clinical efficacy of the improvement of the two there was no significant difference. And the recurrence rate of guided acupuncture therapy was lower than that of conventional acupuncture. Conclusion： The clinical effect of acupuncture on the survival of patients with frozen shoulder is better than that of ordinary acupuncture therapy.