Observation on therapeutic effect of electroacupuncture plus Tanbo-plucking the trigger points for scapulohumeral periarthritis  

电针联合弹拨激痛点治疗肩关节周围炎疗效观察

作　　者：Hua Yu Li Ying Liu Hui-yang Ji Quan Ji Ling-lin Zhang Fu-qing 华宇;李瑛;刘会洋;吉权;季玲琳;张馥晴(翻译)(Community Health Service Center, Huajing Township, Xuhui District, Shanghai, Shanghai 200231, China;不详)

机构地区：[1]Community Health Service Center, Huajing Township, Xuhui District, Shanghai, Shanghai 200231, China [2]不详

出　　处：《Journal of Acupuncture and Tuina Science》2019年第3期209-214,共6页针灸推拿医学（英文版）

基　　金：上海市徐汇区中医药科研项目,No. SHXH201442.

摘　　要：Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an observation group and an EA group by the random number table, with 40 cases in each group. The EA group was treated with EA therapy, and the observation group was treated with EA therapy plus Tanbo-plucking the trigger points. After treatment, the visual analog scale (VAS) and Melle scores of the two groups were compared to evaluate the improvement of shoulder pain and functional activity, and meanwhile the clinical efficacy was observed. Results: After treatment, the total effective rate of the observation group was 95.0% and the cure and markedly effective rate was 72.5%. The total effective rate of the EA group was 87.5% and the cure and markedly effective rate was 42.5%. There was no significant difference in the total effective rate between the two groups (P>0.05). The cure and markedly effective rate of the observation group was higher than that of the EA group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the intra-group differences in VAS and Melle scores of both groups were statistically significant (bothP<0.001). The inter-group differences in the changes of the VAS and Melle scores after treatment were statistically significant (bothP<0.001). Conclusion: EA plus Tanbo-plucking the trigger points has a better curative effect than EA therapy alone in the treatment of SP.目的:观察电针加弹拨激痛点治疗肩关节周围炎(SP)的临床效果。方法:共纳入SP患者80例,按随机数字表法分为观察组和电针组,每组40例。电针组采用电针治疗,观察组在电针治疗基础上加用弹拨激痛点治疗。治疗后,观察比较两组的视觉模拟量表(VAS)和Melle评分,以评价肩部疼痛和功能活动改善情况,同时进行临床疗效观察。结果:治疗后,观察组总有效率为95.0%,愈显率为72.5%;电针组总有效率为87.5%,愈显率42.5%。两组总有效率差异无统计学意义(P>0.05);观察组愈显率高于电针组,组间差异有统计学意义(P<0.05)。治疗后,两组VAS和Melle评分与同组治疗前均有统计学差异(均P<0.001),观察组VAS和Melle评分的治疗前后差值均与电针组有统计学差异(均P<0.001).结论:电针加弹拨激痛点治疗SP疗效优于单独电针治疗。

关 键 词：Acupuncture Therapy ELECTROACUPUNCTURE TUINA MASSAGE Trigger Points Frozen Shoulder PERIARTHRITIS Shoulder Pain 

分 类 号：R246.2[医药卫生—针灸推拿学]