毫火针结合点按牵拉法治疗肩周炎的临床研究

目的探讨毫火针结合点按牵拉法治疗肩周炎的临床价值。方法 60例肩周炎患者,随机分为对照组和治疗组,各30例。两组患者急性期均予药物消炎止痛,并适当休息。治疗组予以毫火针结合点按牵拉法治疗,对照组予以电针配合特定电磁波(TDP)及综合物理治疗。观察比较两组患者治疗前后的肩关节运动功能评分、疼痛评分及治疗效果。结果治疗后,两组肩关节运动功能评分及视觉模拟量表(VAS)评分均优于治疗前,且治疗组患者肩关节运动功能评分(327.63±27.65)分及VAS评分(1.06±0.45)分均优于对照组的(290.90±25.35)、(1.90±0.26)分,差异均有统计学意义(P<0.05)。治疗组总有效率为96.67%(29/30),明显高于对照组的73.33%(22/30),差异具有统计学意义(P<0.05)。结论在肩周炎治疗中采用毫火针结合点按牵拉法治疗效果优于电针配合TDP及综合物理治疗,且可减轻患者疼痛,改善肩关节运动功能,值得临床推广应用。

Clinical study on the treatment of scapulohumeral periarthritis by filiform fire needle combined with point-to-point traction

Objective To discuss the clinical value of scapulohumeral periarthritis treated by filiform fire needle combined with point-to-point traction. Methods A total of 60 scapulohumeral periarthritis patients were randomly divided into control group and treatment group, with 30 cases in each group. Both groups of patients were given anti-inflammatory and analgesic drugs in the acute phase, and rested appropriately. The treatment group was treated by filiform fire needle combined with point-to-point traction, and the control group was treated by electroacupuncture combined with specific electromagnetic wave(TDP) and comprehensive physical therapy. The shoulder movement function score before and after treatment, pain score and therapeutic effect were observed and compared between the two groups. Results After treatment, the shoulder movement function score and visual analogue scale(VAS) score in the two groups were better than those before treatment. The shoulder movement function score(327.63±27.65) points and VAS score(1.06±0.45) points in the treatment group were better than(290.90±25.35) and(1.90±0.26) points in the control group. Their difference was statistically significant(P<0.05). The total effective rate was 96.67%(29/30) in the treatment group, which was obviously higher than 73.33%(22/30) in the control group, and the difference was statistically significant(P<0.05). Conclusion Combination of filiform fire needle and point-to-point traction shows better therapeutic effect than electroacupuncture combined with TDP and comprehensive physical therapy for the treatment of scapulohumeral periarthritis, and it can relieve pain of patients and improve their shoulder movement function. It is worthy of clinical promotion and application.