岐黄针结合易罐治疗60例肩周炎的疗效探讨

Discussion on the Therapeutic Efficacy of Qihuang Needle Combined with Yiguan in the Treatment of Sixty Cases of Periostitis of the Shoulder

目的 观察岐黄针结合易罐治疗肩周炎的临床疗效,为肩周炎临床治疗方案的探寻提供一定程度的参考。方法 随机选取2022年9月—2023年7月宁德市中医院就诊的60例肩周炎患者为研究对象,按照随机数表法分为对照组和观察组,每组30例。观察组使用岐黄针联合易罐进行治疗,对照组采用常规针刺。对两组患者干预前后的疼痛评分(Visual Analogue Score,VAS)、肩关节功能评分量表(Constant-Murley Score,CMS)以及临床有效率进行分析。结果 两组患者治疗后的VAS评分与治疗前比均明显降低,差异有统计学意义(P<0.05);治疗后两组患者的CMS评分与治疗前比均明显升高,差异有统计学意义(P<0.05);观察组VAS评分和CMS评分均优于对照组,差异有统计学意义(P<0.05)。观察组的治疗有效率为86.7%,高于对照组的60.0%,差异有统计学意义(χ~2=5.455,P<0.05)。结论 相较于常规针刺而言,岐黄针联合易罐的治疗可明显缓解肩周炎患者疼痛,在改善肩关节活动度、提高日常生活能力方面的疗效优于前者。

Objective To observe the clinical efficacy of Qihuang needle combined with Yiguan in the treatment of periostitis of the shoulder,and to provide a certain degree of reference for the exploration of clinical treatment programs for periostitis of the shoulder.Methods From September 2022 to July 2023,60 patients with scapulohumeral periarthritis treated in Ningde Hospital of Traditional Chinese Medicine were randomly selected as the research objects.They were divided into control group and observation group according to the random number table method,with 30 cases in each group.The observation group was treated with Qihuang needle combined with Yiguan,and the control group was treated with conventional acupuncture.The data of Visual Analogue Score(VAS) pain score,ConstantMurley Score(CMS) shoulder function rating scale and clinical effective rate before and after the intervention were analyzed in both groups.Results The VAS scores of patients in both groups after treatment were reduced compared with those before treatment,and the differences were statistically significant(P<0.05),the CMS scores of patients in both groups were higher after treatment compared with before treatment,and the difference was statistically significant(P<0.05);the VAS score and CMS score of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The treatment effective rate of the observation group was 86.7%,which was higher than the 60.0% treatment effective rate of the control group,and the difference was statistically significant(χ~2=5.455,P<0.05).Conclusion Compared with conventional acupuncture,the treatment of Qihuang needle combined with Yiguan can significantly relieve the pain of patients with periostitis of the shoulder,and the therapeutic efficacy is better than the former in improving the mobility of the shoulder joints and improving the ability of daily life.