肩三带为主刮痧治疗肩关节周围炎的疗效观察  

Observations on the Efficacy of Scraping Mainly on Three Shoulder Belts in Treating Scapulohumeral Periarthritis

作　　者：舒怀 易展[2] SHU Huai;YI Zhan(Xiamen 174 Hospital,Xiamen 361003,China;Hunan University of Traditional Chinese Medicine,Changsha 410208,China)

机构地区：[1]厦门174医院,厦门361003 [2]湖南中医药大学,长沙410208

出　　处：《上海针灸杂志》2018年第9期1055-1058,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖南省教育厅科研计划项目(13C685)

摘　　要：目的观察肩三带为主刮痧联合塞来昔布胶囊、持续被动运动治疗肩关节周围炎(肩周炎)的临床疗效及对患者疼痛程度和功能活动的影响。方法 96例肩周炎患者随机分为观察组和对照组,每组48例。对照组予塞来昔布胶囊和持续被动运动,观察组在对照组的基础上予肩三带为主刮痧治疗。观察两组治疗前后的疼痛视觉模拟评分(VAS)及Constant-Murley肩关节功能评分(CMS评分)变化,并比较两组临床疗效。结果观察组总有效率为95.8%,高于对照组的81.3%(P<0.05)。两组患者治疗后VAS评分均较治疗前下降,CMS评分均较治疗前升高(P<0.05);观察组治疗后VAS评分及CMS评分优于对照组(P<0.05)。结论肩三带为主刮痧联合塞来昔布胶囊、持续被动运动治疗肩周炎疗效显著,并能减轻患者疼痛症状以及改善患者肩部功能活动。Objective To investigate the clinical efficacy of scraping mainly on three shoulder belts plus celecoxib capsules and continuous passive movements in treating scapulohumeral periarthritis and its effect on pain severity and functional activity in the patients.Method Ninety-six patients with scapulohumeral periarthritis were randomized to observation and control groups,48 cases each.The control group took celecoxib capsules and made continuous passive movements and the observation group received scraping mainly on three shoulder belts in addition.The Visual Analogue Scale(VAS)score and the Constant–Murley Score(CMS)score were recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 95.8%in the observation group,higher than 81.3%in the control group(P<0.05).The VAS score decreased and the CMS score increased in both groups of patients after treatment compared with before(P<0.05).Post-treatment VAS score and CMS score were more significant in the observation group than in the control group(P<0.05).Conclusion Scraping mainly on three shoulder belts plus celecoxib capsules and continuous passive movements has a marked therapeutic effect on scapulohumeral periarthritis.It can relieve the pain and improve the functional activity of the shoulder in the patients.

关 键 词：肩凝症 肩关节周围炎 刮痧疗法 肩三带 

分 类 号：R246.2[医药卫生—针灸推拿学]