“苍龟探穴”针法联合关节松动术对肩周炎患者的临床疗效观察

Observation on treating frozen shoulder by the Canggui Tanxue acupuncture plus joint mobilization

目的:观察"苍龟探穴"针法联合关节松动术在减轻肩周炎患者疼痛、关节活动受限方面的作用,以明确其临床疗效。方法:将本研究纳入标准的肩周炎患者42例作为研究对象,并随机分成A组、B组,每组各21例,A组给予常规针刺,并行肢体功能锻炼。B组给予"苍龟探穴"针法联合关节松动术。10次为一个疗程,采用McGill疼痛量表评价疼痛,对比治疗前后患者肩关节前屈上举、后伸、外展上举、水平外展、水平内收情况、分析其临床疗效。结果:治疗后,两组患者肩周疼痛均有减轻,活动范围扩大,P <0.05,差异有统计学意义。与A组治疗后相比,B组治疗后疼痛分级指数(Pain Rating Index,PRI)、现有疼痛强度(Present Pain Intensity, PPI)评分降低显著,P <0.05。肩关节前屈上举、外展上举、水平外展活动度方面明显改善,P <0.05;A组以显效和好转为主,而B组以好转和痊愈为主。结论:"苍龟探穴"针法联合关节松动术在减轻肩周炎患者疼痛、改善关节活动障碍方面疗效卓越,可一定程度提高临床疗效。

Objective: To observe the effect of the Canggui Tanxue(苍龟探穴) acupuncture plus joint mobilization in reducing pain and limited joint movement in patients with frozen shoulder. Methods: 42 cases were randomly divided into the group A and group B. Group A was given conventional acupuncture and physical exercises. Group B was given the Canggui Tanxue acupuncture plus joint mobilization. Results: After treatment, the shoulder pain in groups was relieved and the range of motion was enlarged, P<0.05, the differences were statistically significant.Compared with group A after treatment, PRI and PPI scores in group B were decreased significantly, P<0.05. The bend-up, abduction, horizontal abduction of shoulders were significantly improved, P<0.05. Group A was mainly markedly effective and improved, while Group B was mainly improved and cured. Conclusion: The Canggui Tanxue acupuncture plus joint mobilization shows excellent curative effect in reducing pain and improving joint dysfunction, and can improve clinical efficacy.