条口透承山针刺配合局部活动治疗肩周炎的疗效观察  

Acupuncture from Tiaokou(ST 38) to Chengshan(BL 57) combined with local exercise for periarthritis

作　　者：徐森磊 张宏如[1] 顾一煌[1] XU SenleiA;ZHANG Hongru;GU Yihuang(the Second Clinical Medical College,Nanjing University of CM,Nanjing 210023,Jiangsu Province,China)

机构地区：[1]南京中医药大学第二临床医学院,江苏南京210023

出　　处：《中国针灸》2018年第8期815-818,共4页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:81674063

摘　　要：目的:观察条口透承山针刺配合局部活动肩关节与单纯条口透承山针刺治疗肩周炎的疗效差异。方法:将60例患者随机分为针刺组和针刺配合运动组(动针组),每组30例。两组均予条口透承山针刺治疗,动针组针刺时配合活动肩关节;针刺组单纯针刺,不配合肩关节活动。隔天治疗1次,5次为一疗程,共治疗2个疗程。观察两组治疗前后活动相关疼痛(VAS评分)、肩关节活动度(Melle评分)、日常生活能力(ADL评分)。结果:与治疗前比较,两组治疗后VAS评分、Melle评分、ADL评分均明显降低(均P<0.05);动针组治疗后VAS评分、Melle评分、ADL评分均低于针刺组(均P<0.05)。结论:条口透承山配合局部活动治疗肩周炎的疗效优于单纯条口透承山针刺治疗者。Objective To compare the effect difference between acupuncture, from Tiaokou （ST 38） to Chengshan （BL 57） combined with local exercise and acupuncture, Methods Sixty patients with periarthritis were randomly divided into an acupuncture group and an acupuncture combined with exercise group （active acupuncture, group）, 30 cases in each group. Acupuncture from Tiaokou （ST 38） to Chengshan （BL 57） was given in both groups. The active shoulder joint during acupuncture was applied in the active acupuncture group. The treatment was given once every two days, 5 times as one course and a total of 2 courses were required. The activity-related pain （VAS score）, shoulder joint activity （Melle score）, and daily living ability （ADL score） were observed before and after treatment in the two groups. Result The VAS score, Melle score and ADL score were significantly lower in the two groups ＂after treatment compared with those before treatment （all P〈 0.05）; the VAS score, Melle score, and ADL score in the active acupuncture, group were lower than those in the acupuncture group （all P〈 0.05）. Conclusion The curative effect of acupuncture from Tiaokou （ST 38） to Chengshan （BL 57） combined with local exercise on periarthritis is superior to that of acupuncture from Tiaokou （ST 38） to Chengshan （BL 57） alone.

关 键 词：肩周炎 条口透承山 活动 针灸 VAS评分 Melle评分 ADL评分 

分 类 号：R246.2[医药卫生—针灸推拿学]