针刺不同疗程治疗肩关节疼痛效果比较分析

Comparison and Analysis of Acupuncture Treatment of Shoulder Pain in Different Courses

目的分析和研究不同针刺疗程治疗肩关节疼痛效果。方法选取2016年6月至2017年6月我院收治的90例肩关节疼痛患者作为研究对象,将患者分成3组,均采用针刺治疗,A组1个疗程,B组2个疗程,C组3个疗程,观察3组患者治疗后视觉模拟疼痛(VAS)评分、肩关节功能障碍指数(SPADI)以及治疗效果。结果治疗后B、C两组疼痛VAS评分和肩关节功能障碍指数均明显低于A组,差异对比有统计学意义(P<0.05);A、B、C 3组治疗有效率分别为80.0%、96.7%和100.0%,B、C两组明显高于A组,差异对比有统计学意义(P<0.05),C组上述各项指标略优于B组,差异无统计学意义(P>0.05)。结论临床上行针刺治疗肩关节疼痛应以2个疗程为最佳,依据患者实际恢复状况增减治疗时间,避免发生治疗不充分或治疗过度。

Objective To analyze and study the effects of different acupuncture treatments on shoulder pain.Methods A total of 90 patients with shoulder pain treated in our hospital from June 2016 to June 2017 were selected as the study subjects.The patients were divided into 3 groups and treated with acupuncture.One course of treatment in group A,two courses of treatment in group B,and three courses of treatment in group C.The visual analogue pain(VAS)score,shoulder joint dysfunction index(SPADI)and treatment effect were observed in the three groups after treatment.Results After treatment,the pain VAS score and shoulder joint dysfunction index of group B and C were significantly lower than that of group A,and the difference was statistically significant(P<0.05).The treatment efficiency of group A,B and C was 80.0,96.7%and 100.0%,B and C groups were significantly higher than A group,the difference was statistically significant(P<0.05),the above indicators in group C was slightly better than B group,the difference was not statistically significant(P>0.05).Conclusion The clinically ascending acupuncture treatment for shoulder joint pain should be based on two courses.The treatment time should be increased or decreased according to the actual recovery of the patient to avoid under treatment or over treatment.