小针刀联合中药塌渍法治疗风寒型肩关节周围炎疗效观察  

Clinical efficacy of small-needle-knife therapy combined with Chinese medicine collapsed stains method on 30 cases of scapulohumeral periarthritis with wind-cold type

作　　者：古力沙尔阿·吐尔逊 崔怀峰 刘欢[1] 周伟[2] 牛相来 周钰[1] TUERXUN·Gulishaera;CUI Huaifeng;LIU Huan;ZHOU Wei;NIU Xianglai;ZHOU Yu(Department of Acupuncture,Moxibustion and Tuina,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054;Department of Acupuncture,Moxibustion and Tuina,Sixth division Hospital of the Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300)

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,新疆乌鲁木齐830054 [2]新疆生产建设兵团第六师医院针灸推拿科,新疆五家渠831300

出　　处：《河北中医》2023年第7期1169-1171,1175,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：新疆维吾尔自治区科学技术协会科学咨询项目(编号:xjkx-2021-012)。

摘　　要：目的观察小针刀联合中药塌渍法治疗风寒型肩关节周围炎(以下简称肩周炎)的临床疗效。方法将60例风寒型肩周炎患者按照随机数字表法分为2组,对照组30例予小针刀治疗,治疗组30例在对照组的基础上联合中药塌渍法治疗。2组均治疗1周后统计疗效,比较2组治疗前后疼痛视觉模拟评分法(VAS)评分及Constant-Murley肩关节评分量表(CMS)评分变化情况。结果治疗组总有效率93.3%(28/30),对照组总有效率80.0%(24/30),治疗组疗效优于对照组(P<0.05)。与本组治疗前比较,2组治疗后疼痛VAS评分均降低(P<0.05),且治疗组治疗后疼痛VAS评分低于对照组(P<0.05)。与本组治疗前比较,2组治疗后CMS评分均升高(P<0.05),且治疗组治疗后CMS评分高于对照组(P<0.05)。结论小针刀联合中药塌渍法治疗风寒型肩周炎临床疗效确切,可有效缓解患者疼痛症状,改善肩关节功能,进一步提高临床疗效,安全可靠。Objective To study the clinical efficacy of small-needle-knife therapy combined with Chinese medicine collapsed stains method on scapulohumeral periarthritis(SP)with wind-cold type.Methods Sixty SP patients(wind-cold type)were randomized 1:1 to receive small-needle-knife therapy(the control group)or small-needle-knife therapy combined with Chinese medicine collapsed stains method(the treatment group)for one week.The efficacy,visual analogue scale(VAS)score,and Constant-Murley shoulder scale(CMS)score between two groups before and after treatment were compared.Results The total effective rate in the treatment group was better than that in the control group(93.3%[28/30]vs 80.0%[24/30],P<0.05).After treatment,VAS scores in the two groups were decreased(P<0.05),and which was significantly lower in the treatment group than in the control group(P<0.05).CMS scores in the two groups were increased(P<0.05),and the increase in the treatment group was more significant(P<0.05).Conclusion For SP patients(wind-cold type),the combined use of small-needle-knife therapy and Chinese medicine collapsed stains method shows better clinical effect,which can effectively relieve the pain symptoms,improve the function of shoulder joint,it is safe and reliable.

关 键 词：肩关节周围炎 小针刀 中药外治法 风寒型 

分 类 号：R289.6[医药卫生—方剂学]