Z型拨针治疗肩周炎64例

目的?评价Z型拨针治疗肩周炎的临床疗效。方法?将128例入选的肩周炎患者按照随机数字表法分为2组，每组64例。治疗组:Z型拨针治疗，对照组:电针治疗。2组治疗后指导患者行肩关节上举、后伸、内收、外展等功能锻炼，并评估治疗前后的临床疗效。结果?经过2个疗程，治疗前后的患侧肩关节活动程度2组均有明显改善(P<0.01)，治疗组关节活动改善较对照组更明显(P<0.01)；2组VAS评分，治疗组疼痛评分下降幅度高于对照组（P<0.01），治疗组UCLA评分上升幅度高于对照组（P<0.05）；治疗组总有效率（93.75%）明显高于对照组总有效率（84.38%），P<0.05。结论?Z型拨针治疗肩周炎疗效确切，操作简单，值得临床推广。 

Z-poke Needle in the Treatment of Periarthritis of Shoulder: A Study of 64 Cases

OBJECTIVE?To evaluate the clinical effect of Z-poke needle in the treatment of periarthritis of shoulder. METHODS?A total of 128 patients with periarthritis of shoulder were randomly divided into 2 groups， with 64 cases in each group. Z-poke needle therapy was performed in the treatment group. Electroacupuncture therapy was conducted in the control group. After the treatment， the patients of two groups were guided to do the functional exercise of shoulder joint such as lift， extension， adduction， abduction， etc， in order to evaluate the clinical curative effect before and after the treatment. RESULTS?After 2 courses of treatment， the functional level of shoulder joint significantly improved after the treatment(P<0.01)， and the joint mobility of the treatment group improved more obviously than that of the control group(P<0.01). As for VAS score， the pain score of the treatment group decreased more significantly compared with that of the control group(P<0.01)， and the UCLA score of the treatment group rose higher than that of the control group（P<0.05）， and the difference was statistically significant. The total effective rate of the treatment group (93.75%) was significantly higher than that of the control group (84.38%)，P<0.05.CONCLUSION?The method of Z-poke needle has definite curative effects on periarthritis of shoulder with simple manipulation and should be widely applied to clinical practice.