温针灸、手法松解结合西医常规疗法治疗原发性冻结肩  

Clinical study on primary frozen shoulder treated by warm acupuncture, manipulation combined with western medicine

作　　者：彭鹏鸣[1] 王蓉娣[1] Peng Pengming;Wang Rongdi(Department of Acupuncture of the Affiliated Jiangy in Hospital of Southeast University Medical College,Jiangyin 214400,China)

机构地区：[1]东南大学医学院附属江阴医院针灸科,214400

出　　处：《国际中医中药杂志》2018年第10期934-937,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的评价温针灸、手法松解结合西医常规疗法治疗原发性冻结肩的疗效。方法将符合入选标准的90例原发性冻结肩患者按随机数字表法分为3组，每组30例。西医组采用局部封闭结合肩关节腔内注射玻璃酸钠治疗，中医组采用温针灸配合手法松解治疗，中西医组在西医组治疗基础上隔日行中医组治疗。3组均治疗4周。采用Constant．Murley肩关节功能评分量表评价肩关节功能，采用VAS量表评价肩部疼痛程度，观察临床疗效。结果中西医组总有效率为100．0％（30／30）、西医组为76．7％（23／30）、中医组为83．3％（25／30），3组比较差异有统计学意义（χ^2=9．125，P=0．028）。治疗后，中西医组Constant．Murley肩关节评分[（72．4_4-3．8）分比（67．5±4．5）分、（58．9±5．4）分，F=66．251]高于西医组和中医组（P〈0．01）；中西医组VAS评分[（1．6±0．7）分比（2．5±0．8）分、（2．7±0．7）分，F=18．283]低于西医组和中医组（P〈0．01）。结论温针灸、手法松解结合西医常规疗法可改善原发性冻结肩患者肩关节功能，减轻肩部疼痛，提高临床疗效。Objective To evaluate the clinical effect of warm acuptmcture,manipulation combined with western medicine in the treatment of primary frozen shoulder. Methods A total of 90 patients with primary frozen shoulder, from October 2015 to February 2017, were randomly divided into three groups （n=30）： the western medicine group, the traditional Chinese medicine（TCM） group and the integrated TCM and western medicine group. The western medicine group was treated with local block and intra-articular injection. The TCM group was treated with acupuncture combined with manipulation. The integrated TCM and western medicine group were treated with western medicine and TCM. The three groups were treated for four weeks. The shoulder function （Constant-Murley shoulder scores） and shoulder pain （VAS scores） were evaluated in the three groups after treatment. Results The effective rate in TCM and western medicine group was 100% versus TCM group 83.3%,and Western medicine group 76.7%, which showed significantly higher differnce among three groups （P〈0.05）. The Constant-Murley shoulder scores in TCM and western medicine group were （72.4 ±3.8 vs. 67.5±4.5, 58.9±5.4）, which were significantly higher than those in TCM group and western medicine group （P〈0.05）. The VAS scores in TCM and western medicine group were （1.6±0.7 vs. 2.5±.8, 2.7 ＋ 0.7） which were lower than those in TCM group and western medicine group （P〈0.05）. Conclusions The combination of warm acupuncture, manipulation and western medicine could improve shoulder function and reduce shoulder pain in patients with primary frozen shoulder..

关 键 词：肩凝症 温针疗法 手法松解 穴 肩露 穴 肩髑 穴 肩贞 

分 类 号：R686[医药卫生—骨科学]