毫火针针刺结筋病灶点联合常规针刺治疗疼痛期肩周炎临床研究

Clinical study on the treatment of periarthritis of shoulder with acupuncture of fibrous fire needle combined with conventional acupuncture

[目的]观察毫火针针刺结筋病灶点联合常规针刺治疗疼痛期肩周炎患者的临床疗效。[方法]64例疼痛期肩周炎患者随机分为治疗组和对照组,每组32例。对照组给予常规针刺,治疗组在常规针刺基础上加用毫火针针刺结筋病灶点,两组疗程均为14 d。观察并比较两组治疗前后McGill疼痛问卷(SF-MPQ)量表、Constant-Murley量表以及简明健康状况调查表(SF-36)评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平变化情况,并评估临床疗效。[结果]两组患者治疗后SF-MPQ量表评分明显低于治疗前(P<0.05),Constant-Murley量表评分及SF-36量表评分均明显高于治疗前(P<0.05),血清TNF-α、IL-6水平均明显低于治疗前(P<0.05)。治疗组对SF-MPQ量表、Constant-Murley量表、SF-36量表评分及TNF-α、IL-6水平的改善均明显优于对照组(P<0.05)。治疗组临床总有效率为93.75%,明显高于对照组75.00%(P<0.05)。[结论]在常规针刺基础上加用毫火针针刺结筋病灶点治疗疼痛期肩周炎能有效减轻疼痛,改善关节活动功能,提高患者生存质量,降低炎性指标,提高临床疗效。

[Objective]To observe the clinical effect of acupuncture with fibrous fire needle focus of tendon combined with conventional acupuncture in the treatment of patients with periarthritis of shoulder in the painful period.[Methods]The 64 patients with periarthritis of shoulder in painful period were randomly divided into treatment group and control group,with 32 cases in each group.The control group was given conventional acupuncture,and the treatment group was treated with conventional acupuncture combined fibrous fire filigree needle acupuncture on the focus of tendon.The treatment course of both groups was 14 d.To observe and compare the level changes of McGill Pain Questionnaire(SF-MPQ)Scale,Constant-Murley Scale,and Concise Health Status Form(SF-36)scores,tumor necrosis factor-α(TNF-α),and interleukins-6(IL-6)before and after treatment,and evaluate the clinical efficacy betweentwo groups.[Results]The scores of the SF-MPQ scale after treatment in the two groups were significantly lower than those before treatment(P<0.05).The scores of Constant-Murley scale and SF-36 scale were significantly higher than those before treatment(P<0.05).The levels of TNF-αand IL-6 were significantly lower than before treatment(P<0.05).The improvement of SF-MPQ scale,Constant-Murley scale,SF-36 scale score and TNF-αand IL-6 levels in the treatment group were significantly better than those in the control group.The total clinical effective rate of the treatment group was 93.75%,which was significantly higher than the one of the control group 75.00%(P<0.05).[Conclusion]On the basis of conventional acupuncture,acupuncture with fibrous fire needle to treat scapular periarthritis of shoulder can effectively reduce pain,improve joint mobility,improve the quality of life of patients,reduce inflammatory indicators,and improve clinical efficacy.