激痛点神经阻滞联合针刀治疗冈上肌腱炎的临床疗效评价  

Clinical Research on Nerve Block Combined with Acupotomy Therapy in the Treatment of Supraspinatus Tendinitis

作　　者：张昶[1] 周鹰[2] 张怡[3] 王瑞红[1] 徐耀[1] 廖奕歆[1] 

机构地区：[1]航天中心医院中医科,北京100049 [2]首都医科大学附属北京中医医院,北京100010 [3]首都医科大学附属北京朝阳医院,北京100020

出　　处：《世界中医药》2016年第1期131-133,139,共4页World Chinese Medicine

基　　金：航天中心医院科研项目(编号:201201)

摘　　要：目的:评价激痛点神经阻滞联合针刀治疗冈上肌腱炎的临床疗效。方法:63例患者随机分为"神经阻滞组"32例和"神经阻滞联合针刀组"31例,共2组。取穴:肱骨大结节激痛点和冈上窝激痛点。神经阻滞组于激痛点注射消炎镇痛液;神经阻滞联合针刀组注射消炎镇痛液后,行针刀治疗。1次/周,共3次,3周后随访。结果:2种疗法均能降低VAS评分,提高C-M分值(P<0.05)。神经阻滞联合针刀组治疗后VAS=(23.39±22.30)分,C-M=(81.06±15.83)分,优于神经阻滞组(P<0.01)。结论:神经阻滞联合针刀组冈上肌腱炎疗效显著。Objective： To observe the curative effect of nerve block combined with acupotomy in treating supraspinatus tendinitis.Methods： A total of 63 cases were randomly divided into two groups,namely,nerve block group（ n = 32） and nerve block combined with acuptomy group（ n = 31）. Acupoints： tender point around greater tuberosity and tender point around supraspinous fossa. At these two points,nerve block group receive anti-inflammatory analgestic injection and nerve block combined with acupotomy group accept acupotomy after the same injection. The treatment lasted for 3 weeks,and the follow up visits were acquired 3 weeks later. Results： Both of the therapies can relive shoulder pain and upgrade C-M scores（ P〈0. 05）. After treatment,scores of nerve block combined with acupotomy group（ VAS = 23. 39 ± 22. 30,C-M = 81. 06 ± 15. 83） were significantly better than that of nerve block group（ P〈0. 01）. Conclusion： The curative effect of nerve block combined with acupotomy group is remarkable.

关 键 词：针刀 神经阻滞 冈上肌腱炎 疗效评价 

分 类 号：R245.31[医药卫生—针灸推拿学]