痛点与穴位行体外发散式冲击波联合揿针治疗肩周炎患者的疗效  

Effects of radial shock wave therapy combined with intradermal acupoints needle in the treatment of patients with scapulohumeral periarthritis

作　　者：宗剑[1] 张邓新[1] Zong Jian;Zhang Dengxin(Department of Pain Management,Affiliated Hospital of Jiangnan University,Wuxi City,Jiangsu Province 214062,China)

机构地区：[1]江南大学附属医院疼痛科,江苏省无锡市214062

出　　处：《中华疼痛学杂志》2020年第6期474-480,共7页Chinese Journal Of Painology

摘　　要：目的观察痛点与穴位采用体外发散式冲击波联合揿针治疗肩周炎的疗效。方法收集2018年5月至2019年5月于江南大学附属医院疼痛科门诊就诊的肩周炎患者60例,年龄、性别不限,按照随机数字表法将其随机分为痛点治疗组及联合治疗组,各30例。痛点治疗组于肩周痛点进行冲击波治疗,每5日治疗1次,共5次。联合治疗组则在痛点冲击波治疗基础上,对肩髃、肩髎、肩贞、天宗、曲垣进行穴位冲击波治疗,然后以揿针于以上穴位埋针,每5日治疗1次,共5次。于治疗前及各次治疗后,记录数字等级评分(NRS)及Constant-Murley肩关节功能评分(CMS)。结果两组患者治疗前NRS、CMS比较,差异均无统计学意义(P均>0.05)。两组患者治疗各时点NRS比较差异有统计学意义(F=130.385,P<0.01),并且测试时间与组别存在交互作用(F=6.027,P=0.001),组间比较NRS差异有统计学意义(F=39.916,P<0.01)。两组患者治疗各时点CMS比较差异有统计学意义(F=1097.769,P<0.01),并且测试时间与组别存在交互作用(F=5.939,P=0.001),组间比较CMS差异有统计学意义(F=5.455,P=0.023)。结论痛点冲击波治疗和痛点与穴位冲击波治疗联合揿针治疗肩周炎均有效,但后者效果更佳。Objective To evaluate the effects of radial shock wave combined with intradermal acupoints needle in the treatment of patients with scapulohumeral periarthritis.Methods Sixty patients with scapulohumeral periarthritis,both sexes and all years old,were randomly divided into pain point group and combined group,30 cases in each group,from Department of Pain Medicine in Affiliated Hospital of Jiangnan University,May 2018 to May 2019.Patients were treated with shock wave on pain points in the pain point group,once every 5 days for 5 times,and treated with radial shock wave on acupoints of Jianyu,Jianliao,Jianzhen,Tianzong and Quyuan in the combined group,then intradermal needle was buried in the same acupoint,in addition to the same treatment as the pain point group.Numerical rating scale(NRS)and Constant-Murley score(CMS)were recorded at each time point.Results There was no significant difference in NRS and CMS in the two groups before the treatment(all P>0.05).There were significant differences in NRS between the two groups at each time point of treatment(F=130.385,P<0.01),and there was an interaction between the test time and the group(F=6.027,P=0.001).The difference of NRS was statistically difference between the two groups(F=39.916,P<0.01).There were statistically differences in CMS between the two groups at each time point of treatment(F=1097.769,P<0.01),and there was an interaction between the test time and the groups(F=5.939,P=0.001).The CMS was statistically different between the groups(F=5.455,P=0.023).Conclusion Radial shock wave on pain point only and shock wave on pain point and acupoint combined with intradermal acupoint needle are all effective in the treatment of scapulohumeral periarthritis,but the latter is more effective.

关 键 词：肩周炎 高能量冲击波 穴位 揿针 

分 类 号：R246.9[医药卫生—针灸推拿学]