The authors have treated 178 cases of scapulohumeral periarthritis adopting water-acuppuncture combined with other therapies. The effective rate and the cure plus markedly effective rate of the treatment group are 100...The authors have treated 178 cases of scapulohumeral periarthritis adopting water-acuppuncture combined with other therapies. The effective rate and the cure plus markedly effective rate of the treatment group are 100% and 91. 8 % respectively while those of the control group 96. 3 % and 81. 4% respectively. Statistical analysis shows a significant difference (P < 0. 1 ) between the two groups in the cure plus markedly effecive rate.展开更多
Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis p...Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis patients were randomly divided into abdominal acupuncture plus body acupuncture (AABA) group (n=36) and simple body acupuncture (BA) group (n=32). In AABA group, abdominal acupuncture points used were Zhongwan(CV 12),Shangqu (KI 17) (on the healthy side) and Huaroumen sanjiao (on the affected side); and body acupoints employed were Jianyu (LI 15), Jianliao(TE 14), Binao (LI 14), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) on the affected side. In BA group, the body acupoints used were the same to those mentioned above. The acupuncture needles were retained for 20 min. Acupuncture treatment was given once daily, with 10 sessions being a therapeutic course and the interval between two courses being one week. 2 courses of treatment were conducted altogether. Results: Following 2 courses of treatment, in AABA and BA groups, 6 (16.7%) and 1 (3.1%) cases were cured, 19 (52.8%) and 12 (37.5%) had remarkable improvement, 11 (30.6%) and 17 (53.1%) had improvement, 0 and 2(6.25%) had no effect respectively. There was a significant difference between two groups in the therapeutic effect (P<0.05). Conclusion: The therapeutic effect of abdominal acupuncture plus body acupuncture is superior to that of simple body acupuncture in treatment of scapulohumeral periarthritis.展开更多
Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of...Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yújì （鱼际 LU 10） and the case of Hand-Yangming type was treated with Hégǔ （合谷 LI 4）,etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián （肩前 Extral）,Jiānyú （肩髃 LI 15） and Jiānliáo （肩髎 TE 14） were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0% （18/25）,which was superior to that of 40.0% （10/25） in control group （P0.05）.After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group （all P0.05）.Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.展开更多
Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients ...Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.展开更多
肩周炎是一种临床多发疾病,针刺“肩三针”在减轻肩周疼痛、改善肩关节功能方面疗效显著,但临床研究较少,且缺乏对相关手法术式以及临床研究的归纳总结。因此,试通过检索知网、维普、PubMed、Web of Science数据库,就针刺“肩三针”为...肩周炎是一种临床多发疾病,针刺“肩三针”在减轻肩周疼痛、改善肩关节功能方面疗效显著,但临床研究较少,且缺乏对相关手法术式以及临床研究的归纳总结。因此,试通过检索知网、维普、PubMed、Web of Science数据库,就针刺“肩三针”为主治疗肩周炎的操作方法以及临床研究做一综述,为今后针刺“肩三针”为主治疗肩周炎的试验研究和临床运用提供一定的参考。展开更多
目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施...目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。展开更多
目的:用单盲的研究方法评定冲击波治疗(ESWT)肩周炎的临床效果。方法:选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗(n=26),对照组给予关节松动术加短波治疗(n=21)。简化McGill疼痛问卷(short form McGill pain ...目的:用单盲的研究方法评定冲击波治疗(ESWT)肩周炎的临床效果。方法:选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗(n=26),对照组给予关节松动术加短波治疗(n=21)。简化McGill疼痛问卷(short form McGill pain questionaire,SF-MPQ)用来评估患者治疗前,疗程结束时,疗程结束后第1周,第4周,第8周疼痛症状的改变,肩关节功能使用关节活动度(ROM)改变来评估治疗前与疗程结束时的变化。结果:试验结束后,两组患者的疼痛症状较治疗前有明显改善(P<0.05)且ROM显著增加(P<0.05)。其治疗效果的两组间比较差异无显著性意义(P>0.05)。结论:冲击波治疗作为一种安全、有效且省时的治疗方法,能够用于肩周炎的治疗。展开更多
文摘The authors have treated 178 cases of scapulohumeral periarthritis adopting water-acuppuncture combined with other therapies. The effective rate and the cure plus markedly effective rate of the treatment group are 100% and 91. 8 % respectively while those of the control group 96. 3 % and 81. 4% respectively. Statistical analysis shows a significant difference (P < 0. 1 ) between the two groups in the cure plus markedly effecive rate.
文摘Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis patients were randomly divided into abdominal acupuncture plus body acupuncture (AABA) group (n=36) and simple body acupuncture (BA) group (n=32). In AABA group, abdominal acupuncture points used were Zhongwan(CV 12),Shangqu (KI 17) (on the healthy side) and Huaroumen sanjiao (on the affected side); and body acupoints employed were Jianyu (LI 15), Jianliao(TE 14), Binao (LI 14), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) on the affected side. In BA group, the body acupoints used were the same to those mentioned above. The acupuncture needles were retained for 20 min. Acupuncture treatment was given once daily, with 10 sessions being a therapeutic course and the interval between two courses being one week. 2 courses of treatment were conducted altogether. Results: Following 2 courses of treatment, in AABA and BA groups, 6 (16.7%) and 1 (3.1%) cases were cured, 19 (52.8%) and 12 (37.5%) had remarkable improvement, 11 (30.6%) and 17 (53.1%) had improvement, 0 and 2(6.25%) had no effect respectively. There was a significant difference between two groups in the therapeutic effect (P<0.05). Conclusion: The therapeutic effect of abdominal acupuncture plus body acupuncture is superior to that of simple body acupuncture in treatment of scapulohumeral periarthritis.
文摘Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yújì （鱼际 LU 10） and the case of Hand-Yangming type was treated with Hégǔ （合谷 LI 4）,etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián （肩前 Extral）,Jiānyú （肩髃 LI 15） and Jiānliáo （肩髎 TE 14） were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0% （18/25）,which was superior to that of 40.0% （10/25） in control group （P0.05）.After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group （all P0.05）.Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.
基金Supported by Key scientific research project of Heilongjiang administration of traditional Chinese medicine:No.ZHY18-065Inheritance studio project of national fa-mous traditional Chinese medicine experts Sun Yuanzheng,National education of traditional Chinese medicine:No.[2014]20Postgraduate innovative research project of Heilongjiang University of traditional Chinese medicine:No.2018yjscx047
文摘Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.
文摘肩周炎是一种临床多发疾病,针刺“肩三针”在减轻肩周疼痛、改善肩关节功能方面疗效显著,但临床研究较少,且缺乏对相关手法术式以及临床研究的归纳总结。因此,试通过检索知网、维普、PubMed、Web of Science数据库,就针刺“肩三针”为主治疗肩周炎的操作方法以及临床研究做一综述,为今后针刺“肩三针”为主治疗肩周炎的试验研究和临床运用提供一定的参考。
文摘目的:探讨小针刀联合拉伸疗法对肩关节周围炎患者肩关节功能、活动度及疼痛的影响。方法:选取2019年6月—2022年6月荆州市第五人民医院收治的102例肩关节周围炎患者为研究对象,按照随机数字表法分为对照组和观察组,各51例。对照组实施拉伸疗法,观察组给予小针刀联合拉伸疗法治疗,两组均维持治疗2周。对比两组临床疗效、疼痛程度、关节活动度、肩关节功能、生活质量。结果:观察组的临床总有效率为94.12%(48/51),高于对照组的78.43%(40/51),差异有统计学意义(P<0.05);观察组的视觉模拟评分法(visual analogue scale,VAS)评分、肩关节疼痛和功能障碍指数(shoulder pain and disability index,SPADI)中的功能问题评分、疼痛问题评分及SPADI总分均低于对照组,观察组关节活动度(range of motion,ROM)中后伸范围、前屈范围、外展范围、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)中心理功能、躯体功能、物质生活状态及社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论:小针刀联合拉伸疗法治疗肩关节周围炎患者能够明显提高临床效果,缓解患者肩关节疼痛症状,提高关节活动度,从而改善患者肩关节功能,进一步提升患者生活质量。
文摘目的:用单盲的研究方法评定冲击波治疗(ESWT)肩周炎的临床效果。方法:选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗(n=26),对照组给予关节松动术加短波治疗(n=21)。简化McGill疼痛问卷(short form McGill pain questionaire,SF-MPQ)用来评估患者治疗前,疗程结束时,疗程结束后第1周,第4周,第8周疼痛症状的改变,肩关节功能使用关节活动度(ROM)改变来评估治疗前与疗程结束时的变化。结果:试验结束后,两组患者的疼痛症状较治疗前有明显改善(P<0.05)且ROM显著增加(P<0.05)。其治疗效果的两组间比较差异无显著性意义(P>0.05)。结论:冲击波治疗作为一种安全、有效且省时的治疗方法,能够用于肩周炎的治疗。
