循经远取动法结合体外冲击波治疗肩关节周围炎的临床疗效观察

Clinical Observation of Needling Distal Point along Meridian plus Exercising Combined with ESW in Treatment of Scapulohumeral Periarthritis

目的:观察循经远取动法结合体外冲击波对肩周炎的临床疗效。方法:选取60例符合肩周炎诊断标准的患者,随机分为循经远取动法组、冲击波组和循经远取动法结合体外冲击波联合治疗组,每组各20例患者。3组患者在治疗前及治疗结束后分别进行中文简化McGill疼痛量表(SF-MPQ)、肩关节活动度(ROM)及有效率的评估。结果:3组治疗前后SF-MPQ评分均有显著性差异(P<0.05),循经远取动法组与冲击波组治疗后的SF-MPQ评分比较无显著差异(P>0.05),联合治疗组的SF-MPQ评分与其他两组相比较有显著性差异(P<0.01);联合治疗组的ROM评定治愈率与其他两组相比较有显著性差异(P<0.05),冲击波组对肩关节活动度的疗效优于循经远取动法组,但两组比较无显著性差异(P>0.05);联合治疗组总有效率达95%,循经远取动法组总有效率达75%,冲击波组总有效率达70%,联合治疗组明显优于其他两组(P<0.05)。结论:循经远取动法结合体外冲击波联合治疗肩周炎效果明显优于循经远取动法或冲击波治疗,且能更好的缓解患者的疼痛及改善肩关节活动度。

Objective： To observe the clinical effect of the therapy of needling distal point along meridian plus exercising combined with extracorporeal shock wave（ ESW） in the treatment of scapulohumeral periarthritis.Methods： 60 cases of scapulohumeral periarthritis were randomly divided into three groups,i.e.group A（ needling distal point along meridian plus exercising）,group B（ extracorporeal shock wave）,and group C（ needling distal point meridian plus exercising ＋ extracorporeal shock wave）,with 20 cases in each group.Scores of SF-MPQ and ROM,as well as effective rate were compared in the two groups.Results： There were significant differences before and after the treatment in the three groups in terms of SF-MPQ score（ P〈0.05）; for which,there was no significant differences between group A and group B after the treatment（ P 0.05）; SF-MPQ score in group C had significant differences compared to group A and group B（ P 0.01）.In terms of ROM score,group C had significant differences compared to group A and group B（ P 0.05）; ROM score in group B was better than that in group A,but there was no statistical significance between the two groups（ P 0.05）.Effective rate was 95% in group C,which was significantly higher than 75% in group A,and higher than 70% in group B（ P 0.05）.Conclusion： The therapy of needling distal point along meridian plus exercising combined with ESW is superior to single needling distal point along meridian plus exercising or single ESW,it can effectively relieve the pain and improve the range of motion.