穴位贴敷疗法联合肩三针温针灸治疗肩周炎的临床疗效分析

Analysis of clinical efficacy of acupoint therapy combined with warm needle moxibustion of “shoulder three needle” in treating periarthritis of shoulder

目的:观察穴位贴敷疗法结合肩三针温针灸法治疗风寒湿型肩周炎的临床疗效。方法:60例随机分为两组,对照组30例只用穴位贴敷治疗。治疗组30例用穴位贴敷联合肩三针温针灸治疗。结果:治疗组治愈率60.0%、总有效率93.3%,对照组治愈率36.6%、总有效率83.3%(P<0.01)。两组比较均有极显著性差异。治疗后,两组的疼痛积分相比较P<0.01。说明两组疗效具有高度统计学意义,也可以得知治疗组治疗风寒湿型肩周炎的止痛作用远远强于对照组。治疗组平均恢复时间(9.4±0.4)d与患手负重时间(11.7±0.4)d均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:穴位贴敷疗法联合肩三针温针灸治疗风寒湿型肩周炎能显著减轻疼痛,明显改善肩关节功能。

Objective: To observe the clinical effect of acupoint therapy combined with warm needle moxibustion of “shoulder threeneedle” in treating cold dampness type scapulohumeral periarthritis. Methods: 60 cases were randomly divided into two groups, 30 cases inthe control group were treated with acupoint sticking therapy while 30 cases in the treatment group received acupoint therapy combinedwith warm needle moxibustion of “shoulder three needle”. Results: The cure rate of the treatment group was 60%, the total effective ratewas 93.3% while that of the control group was 36.6% and 83.3% respectively (P<0.01). There were significant differences between twogroups. After treatment, the pain scores of the treatment group and the control group were compared, P = 0.0033<0.01, which indicatedthat the clinical effects of two groups were of high statistical significance, it was also known that the analgesic effect of the treatment groupwas much better than that of the control group treating cold dampness type scapulohumeral periarthritis. The average recovery time (9.4±0.4 day) and the weight bearing time (11.7±0.4 day) of the treatment group were significantly lower than that of the control group; and thedifference was statistically significant (P<0.05). Conclusion: Acupoint therapy combined with warm needle moxibustion of “shoulder threeneedle” could significantly reduce pain and improve function of the shoulder joint in treating cold dampness type scapulohumeralperiarthritis.