电针分期疗法论治肩关节周围炎临床观察  

Clinical observation on the treatment of shoulder periarthritis with staged electroacupuncture therapy

作　　者：李林[1] 王宇旭 王新荣 邓真 LI Lin;WANG Yuxu;WANG Xinrong;DENG Zhen(JinShan Branch of Shanghai Sixth People's Hospital,Shanghai 201599,China;Dhurakij Pundit University,Bangkok 10210,Thailand;Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 201999,China)

机构地区：[1]上海市第六人民医院金山分院,上海201599 [2]泰国博仁大学,曼谷10210 [3]上海市宝山区中西医结合医院,上海201999

出　　处：《湖南中医药大学学报》2024年第11期2085-2089,共5页Journal of Hunan University of Chinese Medicine

基　　金：上海市金山区医药卫生科技创新资金项目(2023-WS-10);上海市宝山区三江英才青年项目。

摘　　要：目的观察电针分期疗法论治肩关节周围炎的临床疗效。方法130例肩关节周围炎患者随机分为治疗组(采用电针分期疗法治疗)65例和对照组(仅采用电针治疗)65例,采用综合疗效标准对两组的总有效率进行判定、采用visual analog scale评分法评估患者治疗前后疼痛程度变化、应用关节被动活动范围(passive range of motion,PROM)测量肩关节活动度及采用Constant-Murley肩关节评分标准量表评估患者治疗前后肩关节功能变化情况。结果2个疗程治疗结束后,治疗组总有效率(90.77%),明显高于对照组总有效率(80.00%)(P<0.05);两组患者VAS评分均较治疗前降低(P<0.01),且治疗组低于对照组(P<0.05);两组患者前屈、后伸、外展、内旋、外旋角度均较治疗前扩大(P<0.01),且治疗组大于对照组(P<0.01);两组患者Constant-Murley肩关节功能评分均较治疗前升高(P<0.01),且治疗组高于对照组(P<0.05)。结论电针分期疗法论治肩关节周围炎获效甚至痊愈。Objective To observe the clinical effects of the staged electroacupuncture therapy on shoulder periarthritis.Methods A total of 130 patients with shoulder periarthritis were randomized into a treatment group(n=65,treated with staged electroacupuncture therapy)and a control group(n=65,treated solely with electroacupuncture).The total effective rates of both groups were evaluated by comprehensive efficacy criteria.The Visual Analog Scale(VAS)was employed to assess changes in pain levels before and after treatment.The passive range of motion(PROM)was measured to evaluate shoulder joint mobility,and the Constant-Murley score was used to assess changes in shoulder joint function before and after treatment.Results After two courses of treatment,the total effective rate of the treatment group(90.77%)was higher than that of the control group(80.00%),and the difference was statistically significant(P<0.05).The VAS scores of both groups were reduced compared to those before treatment(P<0.01),and the treatment group had lower scores than the control group(P<0.05).The angles of forward flexion,backward extension,abduction,internal rotation,and external rotation in both groups increased compared to those before treatment(P<0.01),and the treatment group showed greater increases than the control group(P<0.01).The Constant-Murley scores of both groups were higher than those before treatment(P<0.01),and the treatment group had higher scores than the control group(P<0.05).Conclusion The staged electroacupuncture therapy has achieved efficacy and even complete recovery in the treatment of shoulder periarthritis.

关 键 词：电针分期疗法 分期论治 肩关节周围炎 临床观察 疗效 

分 类 号：R245.9[医药卫生—针灸推拿学]