腹针治疗粘连期肩关节周围炎疗效观察  

Efficacy observation on abdominal acupuncture for adhesion-stage shoulder periarthritis

作　　者：莫晓枫[1] 宣丽华[1] 金亚蓓 程晓晖[3] 虞彬艳[1] 

机构地区：[1]浙江省中医院针灸科,杭州310006 [2]杭州红十字会医院针灸科 [3]浙江大学附属第一医院针灸科

出　　处：《中国针灸》2013年第9期847-849,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:评价腹针治疗粘连期肩周炎的疗效。方法:将157例肩周炎患者随机分为腹针组(79例)、体针组(78例)。腹针组穴取中脘、商曲、滑肉门;体针组采用常规取穴针刺,穴取肩髃、肩髎、肩贞,两组均每周治疗3次,10次为一疗程。于治疗前后分别以视觉模拟评分(VAS)评定疼痛程度,以功能活动积分(Mallet评分)评定肩关节功能情况,并比较两组疗效。结果:腹针组总有效率为92.4%(73/79),优于体针组的71.8%(56/78)(P<0.05);腹针组与体针组治疗后VAS评分分别为2.58±1.64、3.12±1.93,两组之间差异无统计学意义(P>0.05);腹针组与体针组治疗后肩关节功能积分分别为8.34±3.02、7.49±3.36,两组之间差异亦无统计学意义(P>0.05)。结论:腹针疗法是治疗粘连期肩周炎的理想方法,总体疗效优于常规取穴,对疼痛和关节功能活动的改善与常规取穴相当,具有取穴快捷、患者无不适针感的优势。Objective To evaluate the efficacy of abdominal acupuncture for adhesion-stage shoulder periarthri- tis. Methods One hundred and fifty-seven cases of shoulder periarthritis were randomly divided into an abdominal acupuncture group （79 cases） and a body acupuncture group （78 cases）. The abdominal acupuncture was applied at Zhongwan （CV 12）, Shangqu （KI 17） and Huaroumen （ST 24） in the abdominal acupuncture group while con- ventional acupuncture was applied at Jianyu （LI 15）, Jianliao （TE 14） and Jianzhen （SI 9） in the body acupuncture group. The treatment was given three times a week for both groups and ten times made an observation course. Be- fore and after treatment, visual analogue scale （VAS） was adopted for pain assessment and functional activity score （Mallet score） was used for shoulder joint function assessment for all the patients. Also the efficacy of both groups was compared. Results The total effective rate in the abdominal acupuncture group was 92.4% （73/79）, which was superior to 71.8% （56/78） in the body acupuncture group. The score of VAS after the treatment was 2.58±1.64 in the abdominal acupuncture group while 3.12±1.93 in the body acupuncture group, which had no statistical significance between each other （P〉0.05）. The functional activity score after the treatment was 8. 34± 3.02 in the abdominal acupuncture group while 7.49±3.36 in the body acupuncture group, which had no statisti- cal significance between each other （P〉0.05）. Conclusion The abdominal acupuncture is an ideal treatment for adhesion-stage shoulder periarthritis, which has better total efficacy than conventional acupuncture. It achieves the same effect in relieving pain and improving functional activity as conventional acupuncture, but also has an advan- tage at fast selection of acupoint and less discomfort of needling sensation.

关 键 词：肩凝症 腹针 针刺 

分 类 号：R246.2[医药卫生—针灸推拿学]