循经远取针刺配合不同运动时机治疗肩周炎的相关性分析

目的:探究循经远取针刺配合不同运动时机治疗肩周炎的临床疗效,进一步验证循经远取动法治疗肩周炎的科学性和实用性。方法:将60例患者随机分为治疗组、对照组Ⅰ、对照组Ⅱ共3组,每组各20例,均取患侧合谷、鱼际、中渚、后溪等穴。治疗组采用循经远取针刺的同时配合运动;对照组Ⅰ、对照组Ⅱ分别在循经远取针刺前、起针后进行运动,分别留针20 min,每隔10 min捻转1次,每日1次,12次为一疗程。比较3组患者治疗前后(VAS)评分、肩关节活动度Melle评分和临床疗效,观察即刻效应和结束效应。结果:3组均有即刻效应,3组治疗结束后VAS及Melle评分均明显改善(P<0.05),且治疗组均低于对照组(P<0.01);总有效率治疗组为95%(19/20),对照组Ⅰ为75%(15/20),对照组Ⅱ为80%(16/20),治疗组总有效率高于对照组(P<0.05)。结论:循经远取针刺的同时配合运动治疗肩周炎取穴简便、疗效确切、安全性高,疗效优于针刺配合其他不同运动时机的治疗。

Correlation Analysis on Acupuncture of Distal Acupoints Selection along Its Own Meridian Combined with Different Exercise Timing in Treating Periarthritis of Shoulder

Objective:To explore the clinical efficacy of acupuncture of distal acupoints selection along its own meridian combined with different exercise timing in the treatment of periarthritis of shoulder,and to further verify the scientific and practical nature of the therapy.Methods:60 patients were randomly divided into the treatment group,the control groupⅠand the control groupⅡ,with 20 cases in each group.Points selected were LI4,LU10,TE3 and SI3 on the affected side.In the treatment group,acupuncture was performed combined with exercise at the same time.In the control groups,exercise was before or after acupuncture.Needle retaining was 20 minutes,with twisting needles every 10 minutes,one time a day,12 times were taken as one course of treatment.VAS scores,Melle scores of shoulder motion range and clinical efficacy were compared before and after the treatment,and the immediate effect and the end effect were observed as well.Results:All the three groups had immediate effect.VAS scores and Melle scores were significantly improved after the treatment in the three groups(P<0.05);the improvements in the treatment group were more significant(P<0.01).Total effective rate was 95%(19/20)in the treatment group,which was significantly higher than 75%(15/20)in the control groupⅠand 80%(16/20)in the control groupⅡ(P<0.05).Conclusion:Acupuncture of distal acupoints selection along its own meridian combined with simultaneous exercise is effective and safe in the treatment of periarthritis of shoulder,which is better than the therapies of acupuncture combined with different timing of exercise.