腕踝针治疗肩周炎针刺即时疼痛的影响研究

Study on Influence of Wrist and Ankle Acupuncture on Immediate Pain of Acupuncture in the Treatment of Scapulohumeral Periarthritis

目的:探讨腕踝针干预治疗对肩周炎的效果及对针刺即时疼痛的影响。方法:选取2022年7月—2023年6月就诊于南平市人民医院60例肩周炎患者作为研究对象,按随机数表法将患者分为对照组和观察组,各30例。对照组采用常规针刺治疗,观察组先行腕踝针干预治疗,再行常规针刺治疗,比较两组治疗效果,治疗后第1天、15天疼痛评分[视觉模拟评分法(VAS)],满意度。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后第1天,两组VAS评分比较,差异无统计学意义(P>0.05);治疗后第15天,两组VAS评分较治疗后第1天降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组总满意度高于对照组,差异有统计学意义(P<0.05)。结论:腕踝针治疗肩周炎针刺即时疼痛具有良好的临床效果,可显著降低患者疼痛程度,有利于提升患者的满意度,进而提高对肩周炎病情的治疗效果。

Objective:To investigate the effect of wrist and ankle acupuncture intervention for scapulohumeral periarthritis and its influence on immediate pain of acupuncture.Method:A total of 60 patients with scapulohumeral periarthritis in who treated in Nanping People's Hospital from July 2022 to June 2023 were selected as the research objects,according to the random number table method,the patients were divided into the control group and the observation group,with 30 cases in each group.The control group was treated with conventional acupuncture,while the observation group was treated with wrist and ankle acupuncture first,and then with conventional acupuncture,the therapeutic effect,pain scores[visual analogue scale(VAS)]on the 1st and 15th day after treatment and satisfaction were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).On the 1st day after treatment,there was no significant difference in VAS score between the two groups(P>0.05);On the 15th day after treatment,the VAS scores of two groups were lower than those on the 1st day after treatment,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Wrist ankle acupuncture has a good clinical effect in the treatment of immediate pain of scapulohumeral periarthritis,which can significantly reduce the pain degree of patients,improve patients'satisfaction,and thus improve the treatment effect.