火针疗法加体针对肩周炎患者疼痛变化与肩部功能活动的影响

Effects of fire-needling therapy combined with body acupuncture on pain changes and functional activities of the shoulder in patients with frozen shoulder

目的探究在治疗肩周炎过程中,采用火针疗法加体针治疗的价值。方法98例肩周炎患者,采用数字双盲法分为火针组与体针组,各49例。火针组采用火针联合体针治疗,体针组单独采用体针治疗。比较两组治疗前后的疼痛评分、不良反应发生率、治疗前后的肩部功能活动情况、治疗效果、治疗满意度。结果治疗后,火针组疼痛评分(4.03±1.23)分低于体针组的(7.03±1.23)分,差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。治疗后,火针组肩关节前屈度数(151.23±10.21)°、肩关节后伸度数(43.23±8.21)°、肩关节外展度数(146.23±12.21)°、肩关节外旋度数(50.23±4.21)°、肩关节内旋度数(45.23±4.21)°均高于体针组的(143.23±10.21)、(38.23±8.21)、(134.23±12.21)、(45.23±4.21)、(33.23±4.19)°,差异有统计学意义(P<0.05)。火针组治疗总有效率为100.00%,高于体针组的85.71%,差异有统计学意义(P<0.05)。火针组总满意度为97.96%,高于体针组的85.71%,差异有统计学意义(P<0.05)。结论采用火针与体针联合治疗方式,有利于改善患者疾病,提升治疗效果,患者满意度有所提升,因此在临床上可以广泛使用,是一种理想化治疗方式。

Objective To investigate the value of fire-needle therapy combined with body acupuncture on pain changes and functional activities of the shoulder in patients with frozen shoulder.Methods A total of 98 patients with frozen shoulder were divided into fire-needling group and body acupuncture group by digital doubleblind method,with 49 cases in each group.The fire-needling group was treated with fire-needling combined with body acupuncture,and the body acupuncture group was treated with body acupuncture alone.The pain scores before and after treatment,incidence of adverse reactions,functional activities of shoulder before and after treatment,therapeutic effect,and treatment satisfaction were compared between the two groups.Results After treatment,the pain score(4.03±1.23)points in the fire acupuncture group was lower than(7.03±1.23)points in the body acupuncture group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).After treatment,the degree of shoulder anteflexion(151.23±10.21)°,the degree of posterior extension(43.23±8.21)°,the degree of shoulder abduction(146.23±12.21)°,the degree of shoulder external rotation(50.23±4.21)°and the degree of shoulder internal rotation(45.23±4.21)°of the fire-needling group were higher than(143.23±10.21),(38.23±8.21),(134.23±12.21),(45.23±4.21),and(33.23±4.19)°of the body acupuncture group,and the differences were statistically significant(P<0.05).The total effective rate of fire-needling group was 100.00%,which was higher than 85.71%of body acupuncture group,and the difference was statistically significant(P<0.05).The total satisfaction rate of the fire-needling group was 97.96%,which was higher than 85.71%of the body acupuncture group,and the difference was statistically significant(P<0.05).Conclusion The combination of fireneedling and body acupuncture is beneficial to improve the patient's disease,improve the therapeutic effect,and improve the patient's satisfaction.Therefore,it can be widely used in clinical practice and is an ideal treatment method.