臭氧水穴位注射治疗肩关节周围炎临床观察简

目的：评价臭氧水治疗肩周炎的临床疗效，探索肩周炎治疗的新方法。方法：将60例肩周炎患者随机分为臭氧水观察组和西药对照组，每组30例。臭氧水观察组穴取患侧肩移、肩髑、天宗、臂腑、曲池、手三里、外关、合谷，采用浓度为23μg／mL臭氧水治疗，西药对照组采用曲安奈德针、维生素B，针、维生素B，，针、生理盐水针所配成的注射用液治疗，取穴同上组。两组均7d治疗1次，4次为1个疗程，共治疗1个疗程。观察两组疼痛视觉模拟评分（VAS）、Constant-Murley肩关节功能评分在治疗1个疗程结束后第2天，治疗1个疗程结束3个月后的变化．．结果：臭氧水观察组镇痛效果优良率为83．4％（25／30），西药对照组为60％（18／30），两组间镇痛效果差异具有统计学意义（P〈O．05）；肩功能活动改善方面，臭氧水观察组愈显率为93．3％（28／30），西药对照组为80％（24／31）），经分析比较差异具有统计学意义（P〈O．05）；两组患者治疗后、随访时疼痛视觉模拟评分、Constant—Muflev肩关节功能评分均较治疗前改善（均P〈O．05），治疗后随访臭氧水观察组2项评分较西药对照组明显改善（均P〈O．05o结论：臭氧水治疗肩周炎临床疗效显著，远期效果较好，优于西药对照组，是治疗肩周炎的一种新方法。

Clinical Observation of Ozone Water Acupoint Injection in Treatment for Periarthritis of Shoulder

Objective： To evaluate the clinical efficacy of ozone water treatment of periarthritis of shoulder, and to explore the new treatment of periarthritis of shoulder. Methods ： 60 cases of periarthritis of shoulder were randomly divided into ozone water observation group and western medicine control group, 30 cases in each group. Ozone water observation group selected Jianliao （ SJ 14 ）, Jianyu （ LI 15 ）, Tianzong （SI 11 ）, Binao （LI 14）, Quehi （LI 11）, Shousanli （LI 10）, Waiguan （SJ 5）, Hegu （LI 4）with concentration of 23 p~ g/mL ozone water treatment, and western medicine control group with triamcinolone aeetonide needle, vitamin Bl needle, vitamin B12 needle, saline needle with the injection of liquid therapy, acupoint selection. The two groups were treated for 7 days once,4 times for a total of 1 course, 1 course of treatment. Visual analog pain score （ VAS ） and Constant-Murley shoulder function in a course of treatment second days after the end of treatment, a course of 3 months after the change were observed. Results ： For the analgesic effect of ozone water in observation group, the excellent and good rate was 83.4% （ 25/30 ）, in western medicine control group was 60% （ 18/30 ）, between the two groups, the difference was statistically significant （P〈0.05）; for shoulder function improvement of ozone water in observation group, the rate was 93.3% （ 28/30 ）, in western medicine control group was 80% （ 24/30 ）, the difference was statistically significant （P〈0.05）; for two groups＇ patients after treatment, follow-up pain visual analogue score and Constant-Murley shoulder function were improved more than those before treatment （ P〈0.05 ）. After treatment, follow-up of ozone water in observation group was 2 score which was significantly improved than that of the control group of western medicine （P〈0.05） .Conclusion ： Ozone water treatment has significant clinical effect, better long-term results, and is better than the control group of western medicine, and is a new method for treatment of periarthritis of shoulder.