竹圈盐灸治疗肩周炎临床随机对照研究  

Clinically randomized controlled trials of moxibustion with salt in bamboo circle for treatment of periarthritis of shoulder

作　　者：许凯声[1] 黄漫为[1] 姚丽英[1] 陈杰[1] 苏健[1] 郑锦清[1] 

机构地区：[1]莆田学院附属医院针灸科,福建莆田351100

出　　处：《中国针灸》2009年第1期77-80,共4页Chinese Acupuncture & Moxibustion

基　　金：莆田市科技局项目:2007D09

摘　　要：目的:评价竹圈盐灸治疗肩周炎的临床疗效。方法:将86例患者随机分为盐灸组(43例)和电针组(43例)。盐灸组采用竹圈盐灸于患处疼痛明显部位及周边熨灸;电针组取肩髃、肩髎、肩贞等穴电针治疗,观察治疗前后对肩周炎的镇痛效应和肩关节活动功能的改善程度,以及治疗3个月后的随访结果。结果:两种疗法均有镇痛和改善功能活动的效果,盐灸组对肩周炎的即刻镇痛效应明显优于电针组(P<0.01),对肩关节活动功能的改善程度亦优于电针组(P<0.05),两组治疗后随访结果均有良好的临床疗效,疼痛改善的有效率盐灸组为97.7%、电针组为93.0%,肩关节活动功能改善有效率两组分别为93.0%、88.4%,盐灸组略显优势,但组间比较差异无统计学意义(P>0.05)。结论:竹圈盐灸治疗肩周炎疗效显著,具有即刻镇痛效应和改善肩部活动功能的效果,并具有良好的镇痛稳定性和远期疗效,有很好的临床使用价值。Objective To assess the clinical therapeutic effect of moxibustion with salt in hamhoo circle on periar-thritis of shoulder. Methods Eighty-six cases were randomly divided into a salt-moxibustion group and an electro-acupuncture group, 43 cases in each group. The salt-moxibustion group was treated by moxibustion with salt in bamboo circle on the part of obvious pain and hot compress moxibustion on its periphery. The electroacupuncture group was treated with electroacupuncture at Jianyu （LI 15）, Jianliao （TE 14）, Jianzhen （SI 9）, etc. After treat- ment, the analgesic effect and improvement degrees of active function of the shoulder joint were observed and 3 months later they were followed-up. Results The two therapies had analgesic effect and could improve active function of shoulder joint, but the salt-moxibustion group in the transient analgesic effect and the improvement degree of active function of the shoulder joint was better than the electroaeupuncture group （P〈0.01, P〈0.05）. Follow-up survey showed good clinical therapeutic effects in the two groups. The effective rates of pain and active function of shoulder joint were 97.7% and 93.0% in the salt-moxibustion group and 93.0M and 88.4% in the electroacupuncture group, respectively, with no significant differences between the two groups. Conclusion Moxibustion with salt in bamboo circle has an obvious therapeutic effect on periarthritis of shoulder, and it has transient analgesic effect and improves active function of shoulder joint, with a stable and long-term therapeutic effect;

关 键 词：肩凝症 随机对照试验 竹圈盐灸 间接灸 

分 类 号：R246.2[医药卫生—针灸推拿学]