夹脊电针为主针刺联合功能锻炼治疗肩关节周围炎的临床观察  

Clinical observation on Jiaji electro-acupuncture as main acupuncture combined with functional exercise for the treatment of scapulohumeral periarthritis

作　　者：孙兴华[1] 武文鹏[1] 赵静 高维滨[1] 王春英[1] SUN Xing-hua(The second affiliated hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang,150001,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《齐齐哈尔医学院学报》2020年第21期2661-2664,共4页Journal of Qiqihar Medical University

基　　金：国家中医药管理局全国名老中医药专家高维滨传承工作室建设项目(国中医药人教发[2012]149号);国家重点研发计划课题项目(2018YFC1704105)。

摘　　要：目的观察夹脊电针为主针刺联合功能锻炼治疗肩关节周围炎的临床疗效。方法选择2018年3月—2019年12月本院针灸科门诊就诊的肩关节周围炎患者60例作为研究对象,随机数表法分为观察组和对照组两组,每组各30例。对照组按照《针灸学》中“漏肩风”治疗方法进行治疗。观察组取穴颈椎C3~4、C4~5、C5~6棘突下的夹脊穴,肩髃、肩髎、新极泉,针下得气后,接通电针仪,选取疏波;夹脊电针治疗30分后,再分别刺入肩髃、肩髎、新极泉,捻转至产生麻胀感后出针;而后嘱患者做体位拉手和肩关节外旋锻炼20分钟。两组均6日为1个疗程,疗程间休息1日,连续治疗2个疗程。采用视觉模拟评分(VAS评分)评价肩周疼痛;采用肩关节功能评价量表(JOA)评价肩关节功能。结果治疗组总有效率为90.00%,对照组总有效率为66.67%,两组比较差异具有统计学意义(P<0.05)。治疗后,两组肩周疼痛VAS评分均显著降低,组内治疗前后比较差异具有统计学意义(P<0.01);与对照组比较,观察组肩周疼痛VAS评分降低更为显著(P<0.01)。治疗后,两组JOA评分均显著提高,组内治疗前后比较差异具有统计学意义(P<0.01);与对照组比较,观察组JOA评分提高更为显著(P<0.01)。结论以夹脊电针为主针刺联合功能锻炼治疗肩关节周围炎临床疗效确切,能够有效缓解肩周疼痛,提高患者肩关节功能。Objective To observe the clinical efficacy of Jiaji electro-acupuncture as main acupuncture combined with functional exercise for the treatment of scapulohumeral periarthritis.Methods 60 patients with periarthritis on the shoulder those admitted to the department of acupuncture from March 2018 to December 2019 were enrolled as study subjects and they were randomly divided into observation group and control group according to random number table method,30 patients in each group.The control group was treated according to the treatment method of“lou jian feng”in“acupuncture and moxibustion science”.Observation group find out cervical C3~4,C4~5,C5~6 point under the spine Jiaji(EX-B2),Jianyu(LI15),Jianliao(SJ14),Jiquan(HT1),after qi under the needle,turn on the electric acupuncture apparatus,selection of thin wave;Clip ridge cupping treatment after 30 minutes,and then respectively Pierce shoulder Yu,shoulder liao,new springs,twist to produce linen bilge feeling after a needle;Then ask the patient to do postural shake and shoulder joint outward rotation exercise for 20 minutes.Both groups received 1 course of treatment for 6 days,1 day of rest between courses,and 2 courses of continuous treatment.Visual analogue scale(VAS)was used to evaluate perishoulder pain.Shoulder joint function was evaluated by the shoulder joint function evaluation scale(JOA).Results the total effective rate was 90.00% in the treatment group and 66.67% in the control group,and the difference between the two groups was statistically significant(P<0.05).After treatment,VAS scores of perishoulder pain in both groups were significantly reduced,and the difference before and after treatment was statistically significant(P<0.01).Compared with the control group,the VAS score of perishoulder pain in the observation group decreased more significantly(P<0.01).After treatment,the scores of the shoulder joint function evaluation scale(JOA)in the two groups were significantly improved,and the difference between the two groups before and after treatmen

关 键 词：肩关节周围炎 夹脊穴 电针 疼痛 疗效 

分 类 号：R684.3[医药卫生—骨科学]