条口穴不同刺法对肩周炎疗效差异的观察

目的探讨条口穴不同刺法对肩周炎的疗效差异。方法将80例肩周炎患者随机分为治疗组、对照a组、对照b组、对照c组,均选用条口穴治疗。治疗组采用透刺法,对照a、b、c组分别采用刺入40mm、只刺入皮下、假针刺治疗。治疗前后通过Constant-Murley肩关节量表评价疗效。结果治疗组有效率100.0%,对照a组为68.4%,对照b组为52.6%,对照c组为38.0%,治疗组与对照a、b、c组比较疗效差异有显著或非常显著性意义(P<0.05,P<0.01)。对照a、b、c三组间比较疗效差异无显著性意义(P>0.05)。结论条口穴不同针刺深度对肩周炎有不同的疗效,透刺法疗效最好;假针刺疗效最小,作为对照方法更加适宜。

Observation on therapeutic effects of different needling methods at Tiaokou (ST 38) on periarthritis of shoulder

OBJECTIVE: To compare therapeutic effects of different needling methods at Tiaokou (ST 38) on periarthritis of shoulder. METHODS: Eighty cases of periarphritis of shoulder were randomly assigned to four groups. Tiaokou (ST 38) was selected in all the 4 groups. The treatment group were treated with penetration needling, and the control group A, B, C were treated by needling into 40 mm deep, needling into the subcutaneous tissue, sham acupuncture, respectively. Therapeutic effect was evaluated by Constant-Murley shoulder joint scale. RESULTS: The clinical effective rate was 100.0% in the treatment group and 68.4% in the control group A, 52.6% in the control group B, 38.0% in the control group C with significant differences as the treatment group compared with the control groups A, B, C (P < 0.05 or P < 0.01). And with no significant difference as the control group A compared with the control group B, C, and the group B with the group C (P > 0.05). CONCLUSION: Different needling depths of Tiaokou (ST 38) have different therapeutic effects, the penetration needling being the best and the sham needling being worse which can be used as control method.