结筋点短刺电针配合走罐治疗肩胛提肌劳损疗效观察

目的观察结筋点短刺电针配合走罐治疗肩胛提肌劳损的临床疗效。方法纳入135例肩胛提肌劳损患者并随机分成短刺组、针刺组、走罐组三组,短刺组用短刺法针刺天髎次(肩胛骨内上角)、颈1-4横突,并予电针刺激20 min,然后以冬青膏为介质玻璃罐走罐2 min;针刺组针刺颈1-7夹脊﹑颈百劳﹑阿是穴等穴,然后给予与前组相同的电针刺激及走罐治疗;走罐组给予前两组同样的走罐治疗。VAS量表评价治疗前后疼痛变化,并进行治愈率、治愈时间的比较。结果 10例受试者中途退出,三组共完成病例120例。短刺组(n=43)治愈39例,好转3例,无效1例;针刺组(n=41)治愈19例,好转20例,无效2例;走罐组(n=36)治愈12例,好转21例,无效3例。治疗前后VAS评分下降值,短刺组与针刺组比较,P=0.008;短刺组与走罐组比较,P=0.000;针刺组与走罐组比较,P=0.173。三组治愈率、6次内治愈率比较差异均有统计学意义(P<0.05)。结论结筋点短刺电针配合走罐治疗较普通穴位电针配合走罐治疗、单纯走罐治疗能更有效缓解肩胛提肌劳损患者疼痛,提高治愈率,缩短治愈时间;结筋点短刺疗效优于普通穴位针刺。

Observations on the Efficacy of Short Thrust Needling at Sinew Foci in Treating Levator Scapulae Strain

Objective To investigate the clinical efficacy of short thrust needling at sinew loci in treating levator scapulae strain. Method One hundred and thirty-five patients with levator scapulae strain were enrolled and randomly allocated to three groups： short thrust needling, acupuncture and slide cupping. The short thrust needling group received short thrust needling and 20 min electroacupuncture at Tianliaoci （medial superior angle of scapula） and cervical 1-4 transverse processes followed by 2 rain slide cupping with a glass jar and wintergreen ointment. The acupuncture group received acupuncture at cervical 1-7 Huatuo jiaji points, point Jingbailao and ashi points followed by the same electroacupuncture and slide cupping treatments as in the former group. The slide cupping group received the same slide cupping treatment as in the former two groups. The pain was scored using the VAS before and aider treatment. The cure rates and the times to recover were compared. Result Of the three groups, 120 patients underwent complete treatment and 10 dropped out. Of the short thrust needling group （n=43）, cure occurred in 39 cases, improvement in three cases and inefficacy in one case. Of the acupuncture group （n=41）, cure occurred in 19 cases, improvement in 20 cases and inefficacy in two case. Of the slide cupping group （n=36）, cure occurred in 12 cases, improvement in 21 cases and inefficacy in three case. There was a significant difference in the pre-/post-treatment difference value of the VAS score between the short thrust needling group and the acupuncture group （P=0.008） or the slide cupping group （P=0.000） and no significant difference between the acupuncture and slide cupping groups （P=0.173）. There were statistically significant differences in the cure rate and the cure rate within six treatments among the three groups （P〈0.05）. Conclusion Short thrust needling at sinew loci plus slide cupping can more effectively relieve the pain, increase the cure rate and shorten the recovery time in levator scapulae strain patients compared with electroacupuncture at ordinary points plus slide cupping or slide cupping alone. The therapeutic effect of short thrust needling at sinew loci is superior to that of acupuncture at ordinary points.