针刺治疗肩关节周围炎效果判定标准异同研究

Study on the similarities and differences of the effectiveness criteria of acupuncture in periarthritis of shoulder

目的通过查找国内判断针刺肩关节周围炎疗效的常用标准/量表,梳理不同标准/量表关注的内容,以期找到共性的疗效判定内容,为进一步确定针刺治疗该病疗效核心指标集奠定基础。方法运用文献研究法,在中国知网、万方数据库检索发表于2014年1月~2019年1月,关键词为“针刺”合并“肩关节周围炎/肩凝症/漏肩风/肩痹/五十肩/冻结肩”的文献,最终纳入研究文献65篇,围绕针刺治疗肩关节周围炎的疗效判定标准及其内容,主要结局及其测量工具,次要结局及其测量工具等进行文献计量分析。结果针刺治疗肩关节周围炎常用效果判定标准/量表不统一;效果判定以有效率、疼痛等联合效果为主;存在不同效果有不同评判标准和同一效果有不同判定标准的情况;现有的评价标准/量表多关注疼痛、活动、功能维度。结论针刺治疗肩关节周围炎疗效判定标准/量表不统一,疼痛、活动、功能是较关注的维度。针刺治疗肩关节周围炎应体现中医整体观治疗优势,关注远期疗效。

Objective To find out the common criteria/scales for evaluating the curative effect of acupuncture on periarthritis of shoulder in China,to sort out the contents concerned by different criteria/scales,and to find out the common content for the curative effectiveness for statement the core index set of curative effectiveness of acupuncture on periarthritis of shoulder.Methods By using the method of literature research,the articles were published in CNKI and Wanfang database from January 2014 to January 2019.The keywords were“acupuncture”combined“periarthritis of shoulder/shoulder coagulation/shoulder leakage/shoulder arthralgia/fifty shoulders/frozen shoulder”.Finally,65 articles were included.Literature metrological analysis was carried out around the criteria and contents of efficacy evaluation,main outcome and measurement tools,secondary outcome and measurement tools of acupuncture treatment for periarthritis of shoulder.Results The standard/scale of commonly used acupuncture therapy for periarthritis of shoulder was not uniform.The the main criterion was effective rate and pain.There were different criteria for different effectiveness and different criteria for the same effectiveness.Existing evaluation criteria/scales pay more attention to pain,activity and functional dimensions.Conclusion The criteria/scales for the effectiveness of acupuncture in the treatment of periarthritis of shoulder are not uniform,and pain,activity and function are the concerned dimensions.Acupuncture treatment of periarthritis of shoulder should reflect the advantages of Chinese medicine holistic treatment and focus on the long-term effect.