基于灸法原理的eMoxa电子灸治疗肩周炎临床研究

目的 观察电子灸治疗肩周炎的临床疗效.方法 将64例肩周炎患者随机分为观察组(电子灸)34例与对照组(温针灸)30例,疗程结束后(23 d)统计疗效.结果 治疗前后肩痛评分比较,两组均可缓解肩痛,但治疗第1～14天,观察组治疗肩痛的效果明显优于对照组(P＜0.05),而第21天两组疗效无明显差异(P＞0.05);治疗前后肩关节功能评分比较,观察组与对照组均能有效改善肩关节功能,两组之间无明显差异(P＞0.05);治疗前后肩关节活动度评分比较,两组均可改善肩关节活动度,治疗第1～14天,两组无明显差异(P＞0.05),而第21天后观察组对于肩关节活动度的改善则明显优于对照组(P＜0.05).观察组总有效率94.1％,对照组总有效率86.7％,两组比较差异无统计学意义(P＞0.05).结论 电子灸与温针灸治疗肩周炎都有较好疗效,但电子灸较温针灸更具安全、环保、能量化和便于操作等优点.

Clinical Study on Moxibustion-derived EMoxa for Shoulder Periarthritis

Objective To observe the therapeutic efficacy of electro-moxibustion （eMoxa） in treating shoulder periarthritis. Method Sixty-four patients with shoulder periarthritis were randomized into an observation group （eMoxa group） （n=34） and a control group （warm needling group） （n=30）. The therapeutic efficacy was statistically analyzed after a treatment course （23 d）. Result Regarding the shoulder pain score before and after treatment, the two groups both had shoulder pain relieved： during treatment day 1 ~ 14, the observation group had significantly better result than the control group in treating shoulder pain（P〈0.05）; while day 21, the difference of the therapeutic efficacy between the two groups was insignificant（P〉0.05）. In comparing the shoulder joint function score before and after treatment, the observation group and the control group both showed effect in improving shoulder joint function without significant difference between each other （P〉0.05）. In comparing shoulder joint activity degree before and after treatment, the two groups both showed effect in improving the shoulder activity degree： during treatment day 1 - 14, the difference between the two groups was insignificant （P〉0.05）; while after day 21, the observation group had more significant improvement in shoulder activity degree than the control group （P〈0.05）. The total effective rate was 94.1% in the observation group versus 86.7% in the control group, and the difference was statistically insignificant （P〉0.05）. Conclusion Both eMoxa and warm needling can achieve content therapeutic efficacy in treating shoulder periarthritis, but eMoxa owns advantages of being safe, environmentally friendly, less energy consumption and easy to operate.