针刀与局部封闭疗法对照治疗肩周炎55例临床疗效观察

目的：通过观察针刀治疗肩周炎与局部封闭治疗方法相对比，观察针刀治疗肩周炎的疗效。方法：采用随机数字表法对就诊病人进行随机分组，分为针刀治疗方法和局部封闭治疗方法对肩周炎患者进行治疗，将针刀治疗组与局部封闭对照组在疗程结束及治疗结束后3个月统计疗效，并进行对照分析。结果：近期疗效统计发现，针刀治疗组的治愈率为46．5％，有效率为89．3％；局部封闭对照组的治愈率为18．6％，有效率为70．4％，两组相比差异均有非常显著性意义（P〈0．05）；远期疗效比较结果为，针刀治疗组的治愈率为53．6％，有效率为89．3％，封闭对照组的治愈率为11．2％，有效率为70．4％，两组相比差异均有非常显著性意义（P〈0．05）。结论：针刀组治疗肩周炎与局部封闭对照组相比，其治疗效果有显著差异，针刀治疗组的治疗效果远远好于封闭对照组。

Clinical treatment of frozen shoulder using acupotomy, compared with local block therapy

Objective: observing the effect of treating the frozen shoulder with acupotomy, compared with the local block therapy. Method: randomly dividing 55 frozen shoulder cases into two groups. Group A (28 cases)is treated with acupotomy, and group B (27 cases)with the local block therapy. Observing the therapeutic effects of both groups, at the end of the 3-month treatment period. Results: after the treatment, the cure rate of group A reaches 46.5%, with a validity of 89.3%, and group B 18.6%, with 70.4% for the validity. The differences between two groups, in both the cure rate and validity are significant (P<0.05). Statistics collected 3 month after the treatment show that the cure rate of group A climbs to 53.6%, with a validity of 89.3%, while group B descends to 11.2%, with 70.4% for the validity. The differences between two groups are also significant (P<0.05). Conclusion: acupotomy and the local block therapy make significant differences in treating the frozen shoulder. The efficacy of acupotomy is much more promising, compared with the local block therapy.