温通针法治疗肩胛肋骨综合征随机对照研究  

A Randomized Controlled Trial of Warming and Unblocking Acupuncture Treatment for Scapulocostal Syndrome

作　　者：蒲永乐 苏成红 张延菊[1] 杨晨光[1] 方晓丽[1] 

机构地区：[1]甘肃中医药大学针灸推拿学院,兰州730000

出　　处：《上海针灸杂志》2017年第2期198-201,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局郑魁山传统针法及临床经验传承研究工作室建设项目(2305135901)

摘　　要：目的观察温通针法治疗肩胛肋骨综合征的临床疗效。方法采用简单随机方法将符合纳入标准的80例肩胛肋骨综合征患者随机分为温通组和常规组,每组40例。温通组以患侧天宗、肩井、大椎、病变胸夹脊穴施以温通针法,曲池、合谷、外关施以平补平泻法;常规组取穴同温通组,针刺得气后施以平补平泻法。两组治疗均为隔日1次,10次为1个疗程,共治疗1个疗程。采用疼痛视觉模拟评分(VAS)评价两组患者治疗前后疼痛程度的变化,治疗结束后1个月随访评价其临床疗效。结果温通组总有效率为95.0%(38/40),常规组为80.0%(32/40),差异有统计学意义(P<0.05);两组患者治疗后疼痛视觉模拟评分(VAS)比治疗前明显降低,差异有统计学意义(P<0.05),且治疗后及治疗结束后1个月随访时温通组VAS评分降低程度更为明显(P<0.05)。结论温通针法对肩胛肋骨综合征的治疗具有较好的临床疗效。Objective To investigate the clinical efficacy of warming and unblocking acupuncture in treating scapulocostal syndrome. Method Eighty patients with scapulocostal syndrome meeting the inclusion criteria were allocated by simple randomization to warming and unblocking acupuncture and conventional acupuncture groups, 40 cases each. The warming and unblocking acupuncture group received warming and unblocking acupuncture at points Tianzong（SI11）, Jianjing（GB21） and Dazhui（GV14） on the affected side and affected chest Huatuo jiaji（Ex-B2） points and uniform reinforcing-reducing acupuncture at points Quchi（LI11）, Hegu（LI4） and Waiguan（TE5）. The conventional acupuncture group received uniform reinforcing-reducing acupuncture at the same points as those in the warming and unblocking acupuncture group after arrival of qi. Both groups were treated once every other day, 10 days as a course, for a total of one course. Pain severity was assessed using the Pain Visual Analogue Scale （VAS） in the two groups of patients before and after treatment. The clinical therapeutic effects were evaluated by follow-up at one month after the completion of treatment. Result The total efficacy rate was 95.0% （38/40） in the warming and unblocking acupuncture group and 80.0% （32/40） in the conventional acupuncture group; there was a statistically significant difference （P〈0.05）. The Pain Visual Analogue Scale （VAS） score was significantly lower in the two groups of patients after treatment than before treatment; there was a statistically significant difference （P〈0.05）. The VAS score was decreased more in the warming and unblocking acupuncture group after treatment and at the follow-up one month after the completion of treatment （P〈0.05）. Conclusion Warming and unblocking acupuncture has clinically a better therapeutic effect on scapulocostal syndrome.

关 键 词：针刺 肩胛肋骨综合征 随机对照试验 VAS评分 温通针法 

分 类 号：R246.2[医药卫生—针灸推拿学]