灯火灸联合功能锻炼治疗肩周炎(寒凝血瘀证)临床观察  

Clinical Observation of Applying Lights Burning Therapy Combined with Functional Exercise in the Treatment of Scapulohumeral Periarthritis (Cold Coagulation and Blood Stasis Syndrome)

作　　者：沈世英 张光友 SHEN Shiying;ZHANG Guangyou(The People's Hospital of Nanchuan District,Chongqing 408400,China)

机构地区：[1]重庆市南川区人民医院,重庆408400

出　　处：《四川中医》2021年第5期186-188,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨灯火灸联合功能锻炼对肩周炎(寒凝血瘀证)患者的治疗作用。方法:选取2017年9月~2019年9月南川区人民医院中医科就诊的肩周炎患者,共计72例,按照随机数字表法分为观察组和对照组,每组各36例。对照组给予功能锻炼,观察组在对照组基础上加用灯火灸,连续治疗2个疗程,共12天。通过观察视觉疼痛模拟评分(VAS)及肩关节活动情况评价肩关节功能,并比较有效率。结果:观察组的临床有效率88.9%,对照组为69.4%,差异有统计学意义(P<0.05);治疗后,两组的肩关节疼痛较前改善,VAS评分均有所下降,观察组各疗程后VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者的肩关节活动功能改善优于对照组,差异有统计学意义(P<0.05)。结论:灯火灸联合功能锻炼利于缓解肩周炎患者的疼痛水平,改善肩关节功能活动,值得临床推广运用。Objective: To investigate the effect of lights burning therapy combined with functional exercise for patients with periarthritis of shoulder(cold coagulation and blood stasis syndrome). Methods: From September 2017 to September 2019, 72 cases of scapulohumeral periarthritis admitted to the People’s Hospital of Nanchuan District were selected as the research objects. According to the random number table method, they were divided into a controlled group and an observation group, with 36 cases in each group. Patients in the controlled group were given functional exercise, while patients in the observation group were treated with lights burning therapy on the basis of the controlled group. Both groups received continuous treatment for 2 courses, 12 days. Visual analogue scale(VAS) was used to evaluate the shoulder pain on the affected side. Functional assessment scale was used to evaluate shoulder function, and the clinical efficacy was compared. Results: The clinical effective rate of the observation group was 88.9%, while the controlled group was 69.4%, the difference was statistically significant(P < 0.05). Compared with before treatment, shoulder joint pain was improved in both groups after treatment, and VAS score was decreased in both groups. At the same time point, VAS score in the observation group was significantly lower than that in the controlled group(P < 0.05). After treatment, the shoulder function and activity were significantly higher than those in the controlled group, the difference was statistically significant(P < 0.05). Conclusion: Lights burning therapy combined with functional exercise is beneficial to alleviate the pain sensation of patients with periarthritis of shoulder and improve the functional of shoulder joint, so it is worthy of clinical promotion and application.

关 键 词：灯火灸 肩关节周围炎 寒凝血瘀 临床观察 

分 类 号：R246.2[医药卫生—针灸推拿学]