经筋刺法联合雷火灸治疗粘连期肩周炎的疗效观察  

Observation on curative effects of needling tendon method combined with thunder-fire moxibustion in treatment of scapulohumeral periarthritis in adhesion phase

作　　者：区颖豪[1] 梁丽婷 伍冬妮 OU Yinghao;LIANG Liting;WU Dongni(Department of Pain,Zhaoqing First People’s Hospital,Zhaoqing 526060,China;Zhaoqing Central Blood Station,Zhaoqing 526000,China)

机构地区：[1]广东省肇庆市第一人民医院疼痛科,广东肇庆526060 [2]广东省肇庆市中心血站,广东肇庆526000

出　　处：《中国医药科学》2019年第23期44-47,共4页China Medicine And Pharmacy

摘　　要：目的观察经筋刺法联合雷火灸治疗粘连期肩周炎的临床疗效及安全性。方法选取2018年7月~2019年3月我院收治的80例粘连期肩周炎患者作为研究对象,随机分为对照组和观察组,每组40例。对照组患者采用口服非甾体类抗炎药和功能锻炼进行治疗,观察组患者在此基础上联合经筋刺法和雷火灸进行治疗,治疗时间均为4周。对比两组患者临床疗效、疼痛视觉模拟评分(VAS)、肩关节功能评分(Constant-Murley)以及治疗期间的不良反应。结果经过治疗后,观察组患者治疗总有效率高于对照组,差异有统计学意义(P <0.05)。经过治疗后,两组患者VAS评分均低于治疗前,且观察组患者VAS评分低于对照组,差异均有统计学意义(P <0.05)。经过治疗后,两组患者Constant-Murley评分均高于治疗前,且观察组患者Constant-Murley评分高于对照组,差异均有统计学意义(P <0.05)。治疗期间,两组患者不良反应发生率比较,差异无统计学意义(P> 0.05)。结论经筋刺法联合雷火灸治疗粘连期肩周炎效果确切,可明显减轻患者疼痛症状,改善肩关节功能,且无明显副作用。Objective To observe clinical curative effects and safety of needling tendon method combined with thunder-fire moxibustion in treatment of scapulohumeral periarthritis in adhesion phase. Methods Eighty patients with scapulohumeral periarthritis in adhesion phase who were admitted and treated in our hospital from July 2018 to March 2019 were selected as research objects. They were randomly divided into the control group and the observation group, with 40 cases in each group. Patients in the control group were treated with oral non-steroidal antiinflammatory drugs and functional exercise while patients in the observation group were treated with needling tendon method combined with thunder-fire moxibustion on basis of the control group. They were treated for 4 weeks. The clinical curative effects, visual analogue scale(VAS) score, shoulder function score(Constant-Murley) and adverse reactions during treatment were compared between the two groups. Results After treatment, the total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P < 0.05). After treatment, the VAS scores of the two groups were lower than before the treatment, and the VAS score of the observation group was lower than that of the control group. The differences were statistically significant(P < 0.05). After treatment, the Constant-Murley score of both groups was higher than that before treatment, and the Constant-Murley score of the observation group was higher than that of the control group. The differences were statistically significant(P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups during the treatment(P > 0.05). Conclusion Needling tendon method combined with thunder-fire moxibustion in treatment of scapulohumeral periarthritis in adhesion phase has accurate curative effects. It can significantly reduce pain symptoms and improve shoulder joint function without obvious side effects.

关 键 词：经筋刺法 雷火灸 肩周炎 疼痛 肩关节功能 

分 类 号：R246[医药卫生—针灸推拿学]