针刺触发点结合易罐治疗粘连期肩周炎疗效观察

Curative effect observation of acupuncture trigger point combined with Yiguan treatment on viscous phase shoulder periarthritis

目的:探讨针刺触发点结合易罐治疗粘连期肩周炎的临床疗效。方法:将120例粘连期肩周炎患者随机分为观察组和对照组各60例,观察组给予针刺肌筋膜触发点+易罐牵张疗法治疗,对照组给予推拿+拔火罐治疗,对两组患者分别在开始试验前和治疗10 d、20 d、30 d、40 d、50 d、60 d时测定NRS值、JOA肩关节疾患治疗成绩,比较两组的疗效。结果:治疗后,观察组和对照组患者疼痛、肩关节运动功能较治疗前均有明显改善(P<0.05),但针刺肌筋膜触发点结合易罐牵张疗法优于传统推拿手法+拔火罐治疗肩关节周围炎患者的疗效。结论:肩关节周围炎患者肩关节周围肌肉触发点与相应经穴有一定的相关性。针刺肌筋膜触发点结合易罐牵张疗法治疗粘连期肩关节周围炎患者有明显的治疗效果。

Objective:To explore the clinical curative effect of acupuncture trigger point combined with Yiguan treatment onviscous phase shoulder periarthritis.Methods:120 patietns with viscous phase shoulder periarthritis were randomly divided intothe observation group and the control group with 60 cases in each.The observation group was given acupuncture myofascial triggerpoint and Yiguan stretch therapy.The control group was given massage and cupping therapy.Before the beginning of theexperiment,treatment for 10 days,20 days,30 days,40 days,5 days,60 days,the NRS values,JOA shoulder joint disease treatmentresults of two groups were determined.The curative effects of two groups were compared.Results:After treatment,the pain andshoulder joint movement function of the observation group and the control group were significantly improved than those beforetreatment(P<0.05).The curative effect of acupuncture myofascial trigger point and Yiguan stretch therapy was better than that oftraditional massage and cupping in the treatment of patients with scapulohumeral periarthritis.Conclusion: The muscle triggerpoints around the shoulder joint of patients with scapulohumeral periarthritis have certain correlation with the correspondingacupoints.The acupuncture myofascial trigger point and Yiguan stretch therapy in the treatment of viscous phase shoulderperiarthritis has an obvious treatment effect.