CAJ | 학술논문

目的：观察火针和温针治疗肱二头肌长头肌腱鞘炎的疗效，比较两种方法疗效的差异性。方法将90例患者随机分为治疗组和对照组，每组45例，治疗组采用火针治疗，对照组采用温针灸治疗，比较两组疗效差异，评价两组肩关节疼痛与功能障碍指数(SPADI)在治疗前、治疗2星期和4星期后的差异。结果治疗组和对照组总有效率分别为97.8%和86.0%。两组疗效比较差异具有统计学意义(P＜0.05)，治疗组疗效优于对照组。两组患者SPADI各项指标评分与治疗时间密切相关，各时间点之间差异有统计学意义(P＜0.01)。SPADI的疼痛及总分组间比较差异亦有统计学意义(P＜0.05)。结论火针与温针灸治疗肱二头肌长头肌腱鞘炎都有效，火针的疗效优于温针灸。
목적：관찰화침화온침치료굉이두기장두기건초염적료효，비교량충방법료효적차이성。방법장90례환자수궤분위치료조화대조조，매조45례，치료조채용화침치료，대조조채용온침구치료，비교량조료효차이，평개량조견관절동통여공능장애지수(SPADI)재치료전、치료2성기화4성기후적차이。결과치료조화대조조총유효솔분별위97.8%화86.0%。량조료효비교차이구유통계학의의(P＜0.05)，치료조료효우우대조조。량조환자SPADI각항지표평분여치료시간밀절상관，각시간점지간차이유통계학의의(P＜0.01)。SPADI적동통급총분조간비교차이역유통계학의의(P＜0.05)。결론화침여온침구치료굉이두기장두기건초염도유효，화침적료효우우온침구。
ObjectiveTo investigate and compare the efficacies of fire needling and warm needling in treating tenosynovitis of long head of biceps brachii.MethodNinety patients were randomly allocated to treatment and control groups, 45 cases each. The treatment group received fire needling and the control group, warm needling. The therapeutic effects were compared between the two groups. The difference in the shoulder pain and disability index (SPADI) score between before and after two or four weeks of treatment was assessed in the two groups.ResultThe total efficacy rate was 97.8% in the treatment group and 86.0% in the control group. There was a statistically significant difference in therapeutic effect between the two groups (P<0.05). The therapeutic effect was better in the treatment group than in the control group. In the two groups, the SPADI subscores were closely related to treatment time. There was a statistically significant difference between various time points (P<0.01). There were also statistically significant between-group differences in the SPADI pain score and total score (P<0.05).ConclusionBoth fire needling and warm needling are effective in treating tenosynovitis of long head of biceps brachii. The therapeuticeffect of fire needling is superior to that of warm needling.