以砭代针联合手法治疗肩袖损伤的临床疗效观察

Observation on the clinical effect of using flint acupuncture instead of needle acupuncture combined with manipulation therapy in the treatment of rotator cuff injury

目的探讨以砭代针联合手法治疗肩袖损伤的临床疗效。方法对2023年3-9月符合入组标准的116例患者,随机分为以砭代针联合手法治疗组(甲组),毫针联合手法治疗组(乙组)和手法治疗组(丙组),于治疗后4周观察三组患者疼痛评分(VAS)、肩关节活动度变化、砭石治疗后的安全性。结果治疗后4周,甲乙两组之间VAS评分、肩关节活动度比较,差异无统计学意义(P>0.05),甲乙两组与丙组之间比较,差异具有统计学意义(P<0.05),治疗后4周,甲组治愈率为87.18%,总有效率为97.44%;乙组治愈率为84.62%,总有效率为94.87%;丙组治愈率为73.68%,总有效率为76.32%。甲乙两组之间P值为1.000(P>0.05),差异无统计学意义,甲组与丙组、乙组与丙组对比,P值分别为0.02和0.03,均小于0.05,差异具有统计学意义。结论以砭代针联合手法治疗肩袖损伤临床疗效确切,具有无创、操作简单、安全性高、患者依从性好等优点。

Objective To investigate the clinical effect of using flint acupuncture instead of needle acupuncture combined with manipulation on rotator cuff injury.Method 116 patients who met the enrollment criteria from March to September 2023 were randomly divided into three groups.Group A:using flint acupuncture instead of needle acupuncture combined with manipulation therapy.Group B:needle acupuncture combined with manipulation therapy.Group C:Manipulation therapy.The pain score(VAS)and the changes of shoulder joint motion in the 3 groups were observed after the treatment for 4 weeks.Also the safety of flint acupuncture treatment was analyzed during this research.Result VAS score,shoulder joint motion were compared between group A and group B after 4 weeks treatment(P>0.05),and there was no statistically significant difference,while there was statistically significant difference between group A,B and group C(P<0.05).After 4 weeks treatment,the recovery rate of group A was 87.18%and the total effective rate was 97.44%.In group B,the recovery rate was 84.62%and the total effective rate was 94.87%.The recovery rate of group C was 73.68%and the total effective rate was 76.32%.The P value difference between the two groups A and B was 1.000(P>0.05),and the difference was not statistically significant.The P values difference between group A and group C and group B and group C were 0.02 and 0.03,respectively,all<0.05,and the differences were statistically significant.Conclusion Using flint acupuncture instead of needle acupuncture combined with manipulation has the advantages of noninvasive,simple operation,high safety and good patient compliance in the treatment of rotator cuff injury.