筋针联合毫火针速刺治疗肩周炎的临床观察

Clinical Observation on Sinew Acupuncture Combined with Filiform-heated Needling in the Treatment of Periarthritis of Shoulder

【目的】观察筋针联合毫火针速刺治疗肩周炎的临床疗效。【方法】将60例肩周炎患者随机分为观察组和对照组,每组各30例。对照组给予常规针刺治疗,观察组给予毫火针速刺联合筋针治疗,治疗周期均为7 d。治疗7 d后,观察2组患者治疗前后视觉模拟量表(VAS)评分以及肩关节活动范围(ROM)的变化情况;比较2组患者治疗前后日常生活活动能力量表(ADL)评分的变化情况,并评价2组的临床疗效。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的ROM评分在前屈、外展、后伸、内旋、外旋方向均明显改善(P<0.05),且观察组在改善ROM评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的ADL评分明显改善(P<0.05),且观察组在改善ADL评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为96.67%(29/30),对照组为83.33%(25/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】筋针联合毫火针速刺治疗肩周炎,能够有效地缓解患者肩部的疼痛症状,提升肩关节活动度,进而提升患者的日常生活能力,疗效显著。

Objective To observe the clinical efficacy of sinew acupuncture combined with filiform-heated needling in the treatment of periarthritis of shoulder.Methods Sixty patients with periarthritis of shoulder were randomly divided into observation group and control group,with 30 cases in each group.The control group was treated with conventional acupuncture,while the observation group was treated with quick-pricking of filiformheated needling combined with sinew acupuncture,and the treatment period was 7 days.After 7 days of treatment,Visual Analogue Scale(VAS)scores and range of motion(ROM)of shoulder in two groups were observed before and after treatment.The changes of Activities of Daily Living Scale(ADL)scores in two groups were compared before and after treatment.The clinical efficacy of the two groups was evaluated.Results(1)After treatment,VAS scores of two groups was significantly improved(P<0.05),and the improvement of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,ROM scores in the directions of flexion,abduction,extension,internal rotation and external rotation of two groups was significantly improved(P<0.05),and the improvement of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(3)After treatment,ADL scores of two groups were significantly improved(P<0.05),and the improvement of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(4)The total effective rate was 96.67%(29/30)in the observation group and 83.33%(25/30)in the control group.The curative effect of observation group was superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion Sinew acupuncture combined with quick-pricking of filiformheated needling has effect in treating periarthritis of shoulder by effectively relieving the pain symptoms of shoulder,improving the range of motion of shoulder joint,furthered improving the ability of daily living of patients.