肩三针针刺不同深度治疗肩周炎疗效观察

Clinical Therapeutic Effect of Shoulder Three Needles with Different Depth in the Treatment of Shoulder Periarthritis

目的:观察采用相同腧穴情况下,肩三针不同针刺深度对于治疗肩周炎的临床疗效情况。方法:将87例肩周炎患者按随机数字表法分为3组,分别采用不同进针深度进行治疗,比较3组患者治疗前后疼痛程度、活动程度及功能改善评分。结果:治疗4周后,在临床总有效率方面,治疗组(96.55%)高于对照1组(93.33%)及对照2组(75%),治疗组与对照1组差异无统计学意义(P>0.05),与对照2组具有明显统计学差异(P<0.05);在痊愈率上,治疗组(20.69%)与对照1组(3.33%)及对照2组(0%)均存在明显统计学差异(P<0.05)。分别对3组治疗前后VAS评分、肩关节活动度评分比较,均P<0.05,表明3组治疗均有疗效;治疗组分别与对照组组间VAS差值、肩关节活动度评分差值比较,均P<0.05。结论:采用肩三针深刺的方法治疗肩周炎能达到较好的治疗效果,在减轻疼痛及改善肩关节活动度方面均优于浅刺治疗,说明针刺深度与治疗效果呈正相关。

Objective:To observe the clinical therapeutic effect for the shoulder periarthritis by using the shoulder three needles at different depth on the same points.Methods:87patients were randomly divided into three groups according to different depth needling,with29cases in the treatment group,58cases in the control group.The control group was sub-divided into two groups,30cases in the first control group,and28cases in the second control group.Pain degree and movement improvement and function improvement of the shoulders were compared before and after the treatment among the three groups.Results:After four weeks of treatment,the effective rate of the treatment group was96.55%,compared to93.33%in the first control group and75%in the second control group;there was no statistical difference between the treatment group and the first control group(P>0.05),but there was significant difference between the treatment group and the second control group(P<0.05).In terms of the cure rate,it was20.69%in the treatment group,which was significantly higher than3.33%in the first control group and0%in the second control group(P<0.05).There were obvious difference in terms of scores of VAS and shoulder movement between before and after the treatment in all the three groups(P<0.05),in which the treatment group was better than the other two control groups(P<0.05).Conclusion:Deep-needling is an effective therapy for shoulder periarthritis,it has better therapeutic effect than shallow needling,which shows positive correlation of needling depth and clinical effect.