新砭石疗法治疗肩周炎多中心随机对照研究  

Multi-central randomized controlled observation on clinical therapeutic effect of the new Bian-stone therapy on scapulohumeral periarthritis

作　　者：郭长青[1] 芮娜[1] 刘焰刚[2] 刘云霞[2] 沙岩[3] 马广昊[4] 

机构地区：[1]北京中医药大学针灸学院,北京100029 [2]北京中医药大学第一附属医院东直门医院 [3]中日友好医院 [4]海军总医院

出　　处：《中国针灸》2007年第9期633-637,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局项目:2003ZL1

摘　　要：目的:观察新砭石疗法的临床疗效。方法:根据多中心、随机分组、平行对照、单盲(研究者、操作者、统计者三分离)的临床试验原则,砭石组入组120例,采用新砭石疗法,用多功能砭板分别疏通颈肩部、肩背部、上肢经脉气血;电针组入组120例,采用电针疗法,取患侧肩髃、肩髎、肩贞等穴,对比两组的临床疗效。结果:2种疗法均有镇痛、改善功能活动和即刻镇痛效果。镇痛疗效方面,砭石组总有效率为86.8%,电针组总有效率为72.5%,2组总有效率比较差异有显著性意义(P<0.05),砭石组优于电针组;肩部功能活动改善方面,砭石组总有效率为86.8%,电针组总有效率为79.8%,2组总有效率比较差异无显著性意义(P>0.05)。结论:新砭石疗法治疗肩关节周围炎疗效显著,具有镇痛和改善肩部功能活动效果,具有即刻镇痛效果,并有良好的远期疗效。Objective To study the clinical curative effect of the new Bian-stone therapy. Methods According to clinical trail principle of multi-centers, randomized grouping, parallel control and single-blind, the observation group （n=120） were treated by the new Bian-stone therapy, with multi-functional Bian-stone respectively dredging qi and blood of channels on the neck and shoulder, the shoulder and back, the limbs, and the control group （n=120） by electroacupuncture with Jianyu （LI 15）, Jianliao （SJ 14）, Jianzhen （SI 9）, and other points selected. Their therapeutic effects were compared. Results The two therapies had effects of analgesia, improving functional activity and transient analgesia. The total effective rate of the analgesic effect was 86.8% in the observation group and 72.5% in the control group with a significant difference between the two groups （P〈0. 05）, the observation group being better than the control group; the total effective rate of shoulder functional activity was 86.8% in the observation group and 79.8% in the control group with no significant difference between the two groups （P〉0.05）. Conclusion The new Bian-stone therapy has obvious therapeutic effect on scapulohumeral periarthritis, with effects of analgesia, improving functional activity, and transient analgesia, and good long-term therapeutic effect.

关 键 词：肩凝症/针灸疗法 砭石 砭法 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]