腕踝针对肩关节周围炎急性期的镇痛效果及其对血清P物质的影响

Analgesia efficacy of wrist-ankle acupuncture on acute stage of scapulohumeral periarthritis and its impacts on serum substance P

目的观察腕踝针治疗急性期肩周炎的临床疼痛改善效果及体内血清P物质的变化,并进行分析。方法随机选取我科62例肩周炎急性期患者,随机数字表法分为治疗组与对照组,每组各31例,对照组予口服双氯芬酸钠缓释胶囊,治疗组予利多卡因行星状神经节阻滞后加腕踝针治疗,两组均连续治疗4周后进行主动、被动功能锻炼,共治疗4周。比较两组临床疗效、视觉模拟评分(Visual analogue scale score,VAS)及血清内P物质水平变化。结果①疗程结束后,治疗组临床总有效率为100.00%,与对照组的77.42%比较,差异有统计学意义(χ^(2)=4.348,P<0.05);②治疗组治疗4周后VAS为(2.07±0.44)分,与治疗前(8.24±1.52)分比较,差异有统计学意义(P<0.05);对照组治疗后VAS为(4.22±0.65)分,与治疗前(8.36±1.14)分比较,差异有统计学意义(P<0.05);治疗后治疗组VAS评分低于对照组,差异有统计学意义(P<0.05)。③治疗组治疗4周后P物质浓度为(33.07±6.74)pg/mL,与治疗前(69.24±7.52)pg/mL比较,差异有统计学意义(P<0.05);对照组治疗后P物质浓度是(40.22±6.65)pg/mL,与治疗前(70.36±8.02)pg/mL比较,差异有统计学意义(P<0.05);治疗后治疗组P物质浓度低于对照组,差异有统计学意义(P<0.05)。结论腕踝针治疗肩关节周围炎,可改善疼痛症状,且安全有效。

Objective To observe and analyze the clinical efficacy of pain improvement of wrist-ankle acupuncture on acute stage of scapulohumeral periarthritis and the changes of serum substance P in vivo.Methods A total of 62 patients with acute stage of scapulohumeral periarthritis admitted to our department were randomLy selected,and they were divided into the treatment group(n=31)and the control group(n=31)according to the random number table method.The control group was treated with diclofenac sodium sustained-release capsule,while the treatment group was treated with lidocaine and stellate ganglion block combined with wrist-ankle acupuncture.Both groups were treated with active and passive functional exercise in continuous treatment for 4 weeks.The clinical efficacy,visual analogue scale(VAS)and changes of serum substance P were compared between the two groups.Results①After the treatment,the total clinical efficacy rate of the treatment group was 100.00%,and there was statistically significant difference from 77.42%of the control group(χ^(2)=4.348,P<0.05).②After 4 weeks of treatment,the VAS of the treatment group was(2.07±0.44)points,and there was statistically significant difference from(8.24±1.52)points before treatment(P<0.05).The VAS of the control group after treatment was(4.22±0.65)points,and there was statistically significant difference from(8.36±1.14)points before treatment(P<0.05).After treatment,the VAS score of the treatment group was lower than that of the control group,with statistically significant difference(P<0.05).③After 4 weeks of treatment,the concentration of substance P in the treatment group was(33.07±6.74)pg/mL,and there was statistically significant difference from(69.24±7.52)pg/mL before treatment(P<0.05).The concentration of substance P in the control group after treatment was(40.22±6.65)pg/mL,and there was statistically significant difference from(70.36±8.02)pg/mL before treatment(P<0.05).After treatment,the concentration of substance P in the treatment group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Wrist-ankle acupuncture is safe and effective in treating scapulohumeral periarthritis and improving pain symptoms.