体外冲击波结合局部腧穴治疗肩关节周围炎的疗效观察  

Efficacy of Extracorporeal Shock Wave Combined with Local Acupoints Selection for Treating of Periarthritis of Shoulder

作　　者：吴国林 陈红卫 季向荣 黄洪斌 陈超丽 何元诚 黄民锋 

机构地区：[1]温州医科大学附属义乌医院,浙江义乌322000 [2]广西中医药大学附属瑞康医院

出　　处：《中国中医骨伤科杂志》2017年第10期14-18,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：浙江省医学会临床科研基金项目(2016ZYC-100);义乌市公益性科技计划项目(2016Y53006)

摘　　要：目的:探讨应用体外冲击波结合局部腧穴治疗肩关节周围炎引起功能障碍的疗效。方法:选取肩关节周围炎患者68例,采用随机数字表法分为对照组和治疗组,每组34例。对照组采用常规体外冲击波治疗,治疗组在此基础上结合局部穴位治疗。分别于治疗前,治疗7,14,21,28和48d后,采用视觉模拟评分(VAS)对患者肩关节疼痛程度进行评估。治疗前和治疗结束后采用关节活动度(Range of Motion,ROM)对患者肩关节功能运动情况进行评定。结果:治疗结束后,两组患者的VAS评分和ROM变化较治疗前差异有统计学意义(P<0.05)。治疗组与对照组VAS评分在治疗7,14,21和28d后均降低(6.24±1.21,6.32±1.12;4.44±1.31,4.53±1.24;3.59±0.99,3.74±1.05;3.38±0.82,3.47±0.75),两组间比较差异无统计学意义(P>0.05);两组VAS评分在治疗48d后(3.15±0.70,3.44±0.61)比较,差异有统计学意义(P=0.001)。结论:体外冲击波结合局部腧穴治疗肩关节周围炎疗效显著,具有远期疗效持久的效应,值得在临床治疗中推广应用。Objective：To explore the efficacy of extracorporeal shock wave combined with acupuncture point in the treatment of patients with scapulohumeral periarthritis. Methods： Sixty-eight patients with scapulohumeral periarthritis were randomly divided into control group and treatment group in table method,34 cases in each group. The patients in control group were treated with conventional extracorporeal shock therapy, while, the patients in therapy group were treated combined with extracorporeal shock wave and acupuncture local points. The degree of shoulder pain was evaluated by visual analogue scale（VAS）at baseline and at 7th, 14th, 21st, 28th and 48th day after treatment. The range of motion（ROM）were used to evaluate the effectiveness of shoulder before and after treatment. Results： Outcome measures showed significant difference between baseline and after the treatment in the groups of VAS score and ROM（P〈0.05）. Mean VAS in the treatment group and control group showed reduction at 7th day, 14th day, 21th day,and 28th day after treatment（treatment group：6.24±1.21,4.44±1.31,3. 59±0.99,3.38±0.82,3. 154-0.70;control group 6. 32±1. 12,4. 53±1.24, 3.74 ±1.05,3.47 ± 0.75,3.44±0.61）, there was no significant difference between the groups. However, there was significant difference at 48th days after treatment（treatment group 3.15 ± 0. 70 ; control group 3. 44±0.61）between the groups （P = 0. 001）. Conclusion：Extracorporeal shock wave combined with local acupoint selection is effective for treating scapu-lohumeral periarthritis, with long-term efficacy and lasting effect,so it is worth for expanding in the clinical treatment applications.

关 键 词：体外冲击波治疗 肩关节周围炎 骨科 腧穴 

分 类 号：R685[医药卫生—骨科学]