齐刺肌筋膜扳机点配合温针治疗肩关节周围炎疗效观察

目的观察齐刺肌筋膜扳机点配合温针治疗肩关节周围炎的临床疗效。方法将84例肩关节周围炎患者随机分为治疗组44例和对照组40例。治疗组采用齐刺肌筋膜扳机点配合温针治疗,对照组采用单纯温针治疗。两组均每日治疗1次,10次为1个疗程。治疗2个疗程后,观察两组治疗前后疼痛分级指数(PRI)、视觉模拟评分(VAS)和现有疼痛强度(PPI)及肩关节各项功能活动度数的变化情况,并比较两组临床疗效。结果治疗组治疗1、2个疗程后各项评分(PRI、VAS、PPI)与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。对照组治疗2个疗程后各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗2个疗程后各项评分与对照组比较,差异均具有统计学意义(P<0.01)。两组治疗1、2个疗程后肩关节各项功能活动度数与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗1、2个疗程后肩关节各项功能活动度数与对照组比较,差异均具有统计学意义(P<0.05,P<0.01)。治疗组愈显率和总有效率分别为70.5%和95.5%,对照组分别为52.5%和90.0%,两组比较差异均具有统计学意义(P<0.01,P<0.05)。结论齐刺肌筋膜扳机点配合温针是一种治疗肩关节周围炎的有效方法 。

针灸为主治疗颈性眩晕96例临床研究

目的观察针灸的治疗方式治疗颈性眩晕的临床效果。方法将96例颈椎病性眩晕的患者随机分成两组，治疗组采用针灸治疗，对照组采用超短波的方式治疗。结果观察组48人，总有效率为93．75％；对照组48人，总有效率为77．08％；治疗组总有效率明显高于对照组（p〈0．05）。结论针灸治疗方法对于颈性眩晕的改善效果明显，针对性强，治疗效果确切、持久且安全。

Observation on therapeutic effect of electroacupuncture plus Tanbo-plucking the trigger points for scapulohumeral periarthritis

Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an observation group and an EA group by the random number table, with 40 cases in each group. The EA group was treated with EA therapy, and the observation group was treated with EA therapy plus Tanbo-plucking the trigger points. After treatment, the visual analog scale (VAS) and Melle scores of the two groups were compared to evaluate the improvement of shoulder pain and functional activity, and meanwhile the clinical efficacy was observed. Results: After treatment, the total effective rate of the observation group was 95.0% and the cure and markedly effective rate was 72.5%. The total effective rate of the EA group was 87.5% and the cure and markedly effective rate was 42.5%. There was no significant difference in the total effective rate between the two groups (P>0.05). The cure and markedly effective rate of the observation group was higher than that of the EA group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the intra-group differences in VAS and Melle scores of both groups were statistically significant (bothP<0.001). The inter-group differences in the changes of the VAS and Melle scores after treatment were statistically significant (bothP<0.001). Conclusion: EA plus Tanbo-plucking the trigger points has a better curative effect than EA therapy alone in the treatment of SP.