内热针疗法结合持续被动运动治疗肩周炎临床研究

目的:观察内热针疗法结合持续被动运动治疗肩周炎的临床疗效。方法:选择符合肩周炎纳入标准的70例患者,按随机数字表法分为观察组和对照组,每组各35例。对照组予塞来昔布胶囊结合持续被动运动治疗,观察组予内热针疗法结合持续被动运动治疗。两组均连续治疗2周。观察患者治疗前后视觉模拟评分(VAS)、牛津大学肩关节评分(OSS)评分及肩关节活动范围,并评价临床疗效。结果:观察组总有效率94.3%,对照组总有效率77.1%,观察组疗效优于对照组,差异有统计学意义(P0.05);观察组和对照组患者治疗后VAS评分、OSS评分较同组治疗前降低,外展、前屈、后伸活动度较同组治疗前增加(P0.05),治疗后比较,观察组对VAS评分、OSS评分及肩关节活动度的改善均优于对照组,差异有统计学意义(P0.05)。结论:内热针疗法结合持续被动运动治疗肩周炎临床疗效明显,能减轻患者疼痛,改善肩关节功能,恢复肩关节活动范围。

Clinical Study of Internal Heat Acupuncture Combined with Continuous Passive Motion in the Treatment of Shoulder Periarthritis

Objective:To observe the clinical efficacy of internal heat acupuncture combined with continuous passive motion in the treatment of shoulder periarthritis. Methods:Seventy cases meeting the inclusion criteria of shoulder periarthritis were randomly divided into observation group and control group using a random number table,with thirty five cases in each group. The control group was given celecoxib capsules combined with continuous passive motion,and the observation group was given internal heat acupuncture combined with continuous passive motion. The two groups were treated continuously for two weeks. Their visual analogue score(VAS),Oxford University shoulder score(OSS) and shoulder range of activities were observed and analyzed comparatively,and the clinical efficacy was evaluated. Results:The total effective rate in the observation group were 94.3%,and in control group was 77.1%,with statistical significant difference(P<0.05). In the treatment group and control group,after the treatment,the VAS and OSS were significantly lower than those before treatment in the same group,and extension,flexion and extension were more active than those before treatment(P<0.05). The improvement of the above indexes in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05). Conclusions:Internal heat acupuncture combined with continuous passive motion has good effect for shoulder periarthritis,for it can relieve pain,improve shoulder function and restore motion range of shoulder.