采用SPADI评估毫针点刺法治疗肩峰下滑囊炎的临床研究

目的探讨基于解剖认识,使用量表客观评估使用毫针点刺的方法治疗肩峰下滑囊炎患者的临床效果。方法 104例肩峰下滑囊炎患者随机分成3组:试验Ⅰ组37例,采用毫针点刺加参麦针痛点注射方法治疗;试验Ⅱ组35例,采用毫针点刺法治疗;对照组32例,采用局部封闭法治疗。采用SPADI评分方法评估治疗后肩关节活动功能改善情况。结果治疗后3组患者症状均有不同程度缓解,术后随访1周总有效率分别为95%,91%和91%,术后随访3个月总有效率分别为92%,77%和72%。3组术后1周疗效比较无显著性差异,术后3个月试验组疗效明显优于试验Ⅱ组和对照组。结论毫针点刺法治疗肩峰下滑囊炎疗效较好,值得推广应用。

Clinical study of the acupuncture treatment for subacromial bursitis assessed by SPADI

Objective It is to objectively evaluate the clinical curative effect of acupuncture therapy on subacromial bursi -tis by scales based on the understanding of anatomy .Methods 104 cases of subacromial bursitis patients were randomly divid-ed into three groups：test groupⅠ（n=37） treated with the use of a needle prick plus Shenmai trigger point injection therapy , test group Ⅱ（ n=35） treated with the use of the needle prick therapy , control group （ n=32 ） treated with partial closure . The improvement of movement function of shoulder joint after treatment was evaluated by SPADI .Results The symptoms of all the patients in the three groups were relieved more or less after treatment , in one week after operation , the total effective rates of test groupⅠ, test groupⅡand control group were 95%, 91% and 91% respectively , in three months after operation the rates were 92%, 77%and 72%respectively .There was no significant difference in curative effect after one week among the three groups , but the effect after three months in test groupⅠwas much better than that in the other two groups .Conc lusion Acupuncture needle prick method has a good curative effect on subacromial bursitis , which is worthy promoing in clinic .