肩穴电针对粘连前期肩关节周围炎的治疗作用

目的:观察肩穴电针刺激对粘连前期肩周炎的治疗作用。方法:采用规范化、标准化的诊断和疗效评价标准,明确和固定各治疗参数,以肩部疼痛和肩关节活动为观察指标。经治疗的216例粘连前期肩关节周围炎患者中,有108例接受电针刺激治疗,取穴为患侧肩穴,刺激参数为变频连续波,刺激强度(10±2)mA,时间40 min,每日治疗1次;另108例接受布洛芬治疗,每日0.6 g。两组均治疗7 d。结果:肩穴电针治疗对粘连前期肩周炎的治疗总有效率达到92.59%,布洛芬治疗对粘连前期肩周炎的总有效率为82.41%,两组比较有显著性差异;电针刺激组疼痛指数平均下降63.21%,肩关节活动4项指标总分提高22.64%,与治疗前比较有显著性差异,与布洛芬治疗的60.16%和16.95%比较差异无显著性。结论:肩穴电针刺激疗法不仅能有效止痛,对粘连前期的肩关节活动障碍也有明显的改善作用。

Therapeutic Effect of Electroacupuncture at Jianyu(LI 15) for Scapulohumeral Periarthritis of Prophase Adhesion Type

Objective: To observe the clinical therapeutic effect of electroacupuncture(EA) at Jianyu(LI 15) for scapulohumeral periarthritis of prophase adhesion type. Methods: In accordance with the requirements of evidence-based medicine,in the present study,unified criteria for diagnosis and assessment of therapeutic effects were adopted,various treatment parameters were fixed,and changes of shoulder pain index(visual analogue scale,VAS) and ranges of shoulder-joint movement were taken as the observed indexes.A total of 216 cases of scapulohumeral periarthritis of prophase adhesion type were randomized into EA group(108 cases) and medication group(108 cases).For patients of EA group,Jianyu(LI 15) was punctured and stimulated electrically with frequency of 100 Hz and 2 Hz and strength of (10±2) mA for 30 min,and those patients of medication group were ordered to take Brufen(0.6 g/day).The treatment was given once daily,with 7 days being a therapeutic course.Results: After one course of treatment,EA treatment gained a good therapeutic effect with the total effective rate and cure+markedly effective rate being 92.59% and 78.70% respectively which were significantly higher than those(82.41% and 59.25% separately) of medication group(P<0.05).Self-comparison of the two groups showed significant decrease in pain index and marked increase in the score of shoulder-joint movement(P<0.01).The decrease rate of the pain index and the improving rate of the shoulder-joint movement in EA group were 63.21% and 22.64% separately,being also slightly higher than 60.16% and 16.95% of medication group.Conclusion: EA of LI 15 can relieve scapulohumeral periarthritis patients' pain and improve the range of shoulder-joint movement,and its therapeutic effects are significantly better than those of Brufen.Thus EA of LI 15 is a better remedy for scapulohumeral periarthritis of prophase adhesion type.