芒针深刺配合锋钩针、火罐治疗肩周炎:多中心随机对照研究  

Periarthritis of shoulder treated with deep puncture by elongated needle combined with spike-hooked needle and cupping:a multicentral randomized controlled study

作　　者：张江层 刘帅 吕俊玲 陈仲新[2] 李健 

机构地区：[1]三门峡市中医院针灸科,河南三门峡472000 [2]三门峡市中心医院 [3]三门峡市灵宝中医院

出　　处：《中国针灸》2011年第10期869-873,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局医药行业科研专项项目:2009ZL51

摘　　要：目的:评价芒针深刺配合锋钩针、火罐治疗肩周炎的临床疗效和安全性。方法:采用多中心随机对照研究,将120例患者分为观察组和对照组,每组60例。观察组采用芒针、锋钩针、拔罐治疗,穴取肩髃、臑俞、臑会、肩前;对照组采用常规针刺加拔罐治疗,取穴同观察组。采用视觉模拟评分(VAS)和肩关节功能活动Melle评分,分别于治疗前后对两组患者的镇痛疗效和肩关节功能活动疗效进行评价与比较。结果:观察组镇痛疗效愈显率为91.7%(55/60),明显优于对照组的20.4%(12/59)(P<0.001);肩部功能活动改善方面,观察组愈显率为91.7%(55/60),优于对照组的18.6%(11/59)(P<0.001)。两组治疗后VAS评分和Melle评分与治疗前比较均明显改善(均P<0.001),且观察组改善程度优于对照组(均P<0.001)。两组治疗期间无不良事件发生。结论:芒针深刺配合锋钩针、火罐治疗肩周炎临床疗效显著、安全无不良反应。Objective To assess the clinical efficacy and the safety for periarthritis of shoulder treated with deep puncture by elongated needle combined with spike-hooked needle and cupping. Methods A multieentral randomized controlled study was adopted. One hundred and twenty cases were divided into an observation group and a control group, 60 cases in each one. In observation group, elongated needle, spike-hooked needle and cupping were used to stimulate Jianyu （LI 15）, Naoshu （SI 10）, Naohui （TE 13） and Jianqlan （Extra）. In contro] group, a conven- tional needling and cupping were applied to the same points as observation group. Visual Analogue Scale （VAS） and Melle evaluation for the function activity of shoulder joint were adopted to assess and compare the efficacy on analgesia and the effect on shoulder joint range of motion before and after treatment in two groups. Results In observation group, the cured and markedly effective rate of analgesia was 91.7% （55/60）. which was obviously better than 20.4% （12./59） in control group （P〈0.001）. Concerning to the improvements of the range of motion in shoulder joint, the cured and markedly effective rate in observation group was 91.7% （55 60）, which was better than 18.6%A （11/59） in control group （P〈0. 001）. VAS score and Melle score after treatment were apparently improved as compared with those before treatment in two groups （all P〈0. 001）. The improvements in observa- tion group were superior to those in control group （both P〈0. 001）. There was no adverse event reported during the treatment in two groups. Conclusion The deep puncture by elongated needle combined with spike-hooked needle and cupping achieves a significant clinical efficacy on periarthritis of shoulder and has no adverse reaction reported.

关 键 词：肩凝症 针灸疗法 芒针 锋钩针 拔罐 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]