浮针配合康复锻炼治疗肩关节周围炎的疗效观察

Clinical effect of floating needle combined with rehabilitation exercise on shoulder periarthritis

目的观察浮针配合康复锻炼对于改善肩周炎患者疼痛情况及肩关节活动度疗效。方法选择2019年8月1日至2020年1月31日就诊于常州市第三人民医院针灸推拿伤骨科门诊的100例急性期肩周炎患者,采用随机数字表法分为观察组和治疗组各50例。观察组采用浮针治疗并配合康复锻炼,隔日1次,共10次;对照组采用口服药物7日,自行康复锻炼3周。比较2组患者视觉模拟评分法(VAS)评分及肩关节前屈、外展、内旋、外旋的活动度。治疗前后VAS评分、肩关节前屈、外展、外旋活动度评分比较采用自身配对t检验,组间评分比较采用两独立样本t检验。结果(1)治疗后观察组VAS评分(1.06±0.07)分低于对照组评分(2.35±0.90)分,且差异均有统计学意义(t=3.646,P<0.05);(2)治疗前后组内比较:治疗后2组肩关节前屈、外展、内旋、外旋的活动度相较于治疗前差异均有统计学意义(观察组:t=25.798、21.740、20.338、24.466,P均<0.05;对照组:t=15.032、14.096、17.095、10.724,P均<0.05);(3)治疗后组间比较:治疗后观察组肩关节前屈、外展、外旋活动度评分高于对照组,且差异均有统计学意义(t=6.169、6.115、5.810,P均<0.05)。结论浮针配合指导下康复锻炼是改善肩周炎患者疼痛症状及活动度的方法之一。

Objective To observe the effect of floating acupuncture combined with rehabilitation exercise on improving the pain situation and shoulder joint mobility of patients with shoulder periarthritis.Methods 100 patients with acute shoulder periarthritis who were treated in the acupuncture clinic of Changzhou Third People′s Hospital from August 1st 2019 to January 31st 2020,were divided into an observation group and a treatment group with 50 cases each.The observation group was treated with floating needles coordinated with rehabilitation exercise,once/2 days,a total of 10 treatments;the control group took oral drugs for 7 days and self-recovery exercise for 3 weeks.The visual analogue scale(VAS)scores and flexion,abduction,internal rotation,and external rotation activities of the two groups were compared.The comparison of the VAS scores,shoulder flexion,abduction,external rotation activities before and after treatment was performed using self-paired t test,and the score comparison between groups was performed using two independent sample t test.Results(1)After treatment,the VAS score of the observation group(1.06±0.07)was lower than that of the control group(2.35±0.90),t=3.646,P<0.05.(2)Intra-group comparison before and after treatment:The range of motion of shoulder joint flexion,abduction,internal rotation,and external rotation after treatment was significantly different from that before treatment(observation group:t=25.798,21.740,20.338,24.466,all P<0.05;control group:t=15.032,14.096,17.095,10.724,all P<0.05).(3)Comparison between groups:After treatment,the scores of shoulder joint flexion,abduction,and external rotation were observed higher than the control group scores(t=6.169,6.115,5.810,all P<0.05).Conclusion Floating acupuncture with rehabilitation exercise under guidance is one of the methods to improve the pain symptoms and mobility of patients with shoulder periarthritis.