远道取穴治疗粘连期肩周炎的临床疗效与不同针刺强度的相关性分析  

Analysis of Relativity between Acupuncture Distal Acupoints by Different Intensities to Treat Periarthritis of Adhesion Type and Clinical Therapeutic Effect

作　　者：王维强 房连强[2] 彭菊华 李霞[2] 谭朝坚[2] 袁双双 

机构地区：[1]桑植县民族中医院,湖南桑植427100 [2]湖南中医药大学附属第一医院,湖南长沙410007

出　　处：《中华中医药学刊》2014年第6期1498-1501,共4页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:观察不同强度针刺远道腧穴治疗粘连期肩周炎的疗效,并分析针刺强度与疗效的相关性。方法:将96例粘连期肩周炎患者随机分为强、中、弱、无刺激量4组,通过不同强度针刺远道穴位,配合肩关节运动,以临床症状、体征改善情况及肩关节疼痛评分等指标评价其疗效,并分析两者相关性。结果:第1疗程后,4组(强、中、弱、无刺激组)疗效比较,差异无统计学意义(P>0.05);第2疗程后,四组疗效比较,差异有统计学意义(P<0.05);改善疼痛方面,两疗程后比较,差异有极显著统计学意义(P<0.01),1、2疗程后,强、中、弱组与无刺激组分别比较,差异均有统计学意义(P<0.01),强、中度刺激组比较,差异无统计学意义(P>0.05);改善肩关节活动度方面,1、2疗程后,强、中度刺激量组与无刺激量组比较,差异均有统计学意义(P<0.05);强、中、弱3组每两组间比较,差异均无统计学意义(P>0.05);疗程后比较,差异无统计学意义(P>0.05)。疗效与针刺强度、疗程相关性分析显示,疗程间差异有统计学意义(P<0.01),强、中度两组与无刺激量组比较,差异有统计学意义(P<0.01),弱刺激组与无刺激组差异无统计学意义(P>0.05)。结论:治疗粘连期肩周炎,采用中、强度针刺,增加治疗疗程,可提高临床疗效,更有效消除疼痛症状,改善肩关节活动度。Objective ： To observe the clinical therapeutic effect of acupuncturing distal acupoints by different intensities to treat periarthritis of adhesion type, and analyze the relativity between the two. Methods ： 96 patients were randomly divided into four groups. By different intensities of acupuncture stimulation, with the activity of the shoulder joint and the situation of improving clinical symptoms and signs and shoulder pain score index, its efficacy was evaluated, and the correlation between them was analyzed. Results： After the first course of treatment, there was no significant difference between four groups （ P 〉 0.05 ）. After the second course, the efficacy of four groups had was statistically significant difference （P 〈 0. 05 ）. In improving pain, after two courses of treatment, the difference had statistical significance （ P 〈 0.01 ）. After 1 and 2 treatments, comparisons between either two groups had statistically significant differences （ P 〈 0.01 ）. The comparison between strong and weak stimulation groups had no significant difference （ P 〉 0.05 ）. In improving shoulder joint activity,after 1 and 2 treatments, strong and moderate stimulation groups and no stimulation group had statistically significant differences （ P 〈 0.05）. Strong, moderate and weak stimulation groups comparisons between either two groups had no statistically significant difference （ P 〉 0.05）. After treatment, there was no significant difference （ P 〉 0. 05）. Analysis of correlation between curative effect and acupuncture intensity and course showed that the difference was statistically significant between treatments （ P 〈 0. 01 ）. Strong and moderate stimulation groups compared with no stimulation group, the differences were statistically significant （ P 〈 0.01 ）. The weak group and no stimulation group had no significant difference （ P 〉 0.05 ）. Conclusion ：Treatment of periarthritis of shoulder, using strong or moderate stimulation, can increase the cour

关 键 词：肩周炎 远道取穴 针刺 临床疗效 

分 类 号：R245[医药卫生—针灸推拿学]