毫针的不同针灸疗法治疗肩关节周围炎疗效比较

目的观察并比较基于毫针的不同针灸疗法治疗肩关节周围炎疼痛的疗效。方法将86例肩关节周围炎患者随机分组进行毫针、电针和温针灸治疗，穴位均选用肩前、肩髑或肩谬、脐俞以及外关、合谷，其中毫针组采用平补平泻，电针组采用频率2／100Hz，温针组采用常规温针灸法，分别测定治疗前和治疗后肩部疼痛指数和肩关节活动度评分。结果和结论三种不同针灸疗法治疗肩周炎均取得较好疗效（P〈0．01）。在整体疗效和疼痛指数变化上，电针组和温针组优于毫针组（p〈0．05）：温针组的肩关节活动度改善情况好于毫针组（P〈0．05）。

Comparison of the Therapeutic Effects of Filiform Needle-based Different Acupuncture Methods on Scapulohumeral Periarthritis

Objective To compare the therapeutic effects of filiform needle-based different acupuncture methods on the pain due to scapulohumeral periarthritis. Methods Eighty-six patients with scapulohumeral periarthritis were randomly allocated to groups treated with filiform needles, electroacupuncture and warm needling respectively. Points Jianqian, Jianyu or Jianliao, Naoshu, waiguan and Hegu were selected for all the groups. An even reinforcing-reducing method was used in the filiform needle group; a frequency of 2/100 Hz, in the electroacupuncture group; conventional warm needling therapy, in the warm needling group. Shoulder pain index was determined and shoulder joint activity was scored before and after treatment. Results and Conclusion All the three acupuncture methods produced a better therapeutic effect on scapulohumeral periarthritis （P〈0.01）. The overall therapeutic effect and the change in pain index were better in the electroacupuncture and warm needling groups than in the filiform needle group （P〈 0.05）. Shoulder joint activity improved more in the warm needling group than in the filiform needle group （P〈0.05）.