针灸临床杂志
針灸臨床雜誌
침구림상잡지
Journal of Clinical Acupuncture and Moxibustion
2015年
10期
46-48
,共3页
郑慧敏%冉明山%李亚东%宋嘉欣%赵臣来
鄭慧敏%冉明山%李亞東%宋嘉訢%趙臣來
정혜민%염명산%리아동%송가흔%조신래
针刺运动疗法%巨刺%肩关节周围炎%疼痛%肩关节严重指数
針刺運動療法%巨刺%肩關節週圍炎%疼痛%肩關節嚴重指數
침자운동요법%거자%견관절주위염%동통%견관절엄중지수
Acupuncture plus movement%Contralateral puncture%Scapulohumeral periarthritis%Pain%Shoulder severity index
目的:比较巨刺运动疗法与常规针刺治疗肩关节周围炎的临床差异. 方法:选取78例肩关节周围炎的患者,随机分组后分别采用常规针刺方法(常规组)和巨刺运动疗法(治疗组)治疗,同时配合肩部功能锻炼. 于首次治疗前后、2个疗程后、末次治疗后( 4个疗程为限)评估其目测类比评分( VAS )、肩关节严重指数( SSI ). 结果:首次治疗后即刻两组患者VAS、SSI评分比较P<0 .05 ,治疗组疗效优于常规组;经过2个疗程10次治疗,两组VAS、SSI评分比较P<0 .05 ,治疗组的疗效优于常规组;经过4个疗程20次治疗,两组患者VAS评分比较P<0 .05 ,治疗组优于常规组,而SSI评分比较P>0 .05 ,两者差别不明显. 结论:巨刺运动疗法在肩关节周围炎的治疗中缓解疼痛的作用明显优于常规针刺方法,在改善功能、提高肌力等方面尚需进一步验证.
目的:比較巨刺運動療法與常規針刺治療肩關節週圍炎的臨床差異. 方法:選取78例肩關節週圍炎的患者,隨機分組後分彆採用常規針刺方法(常規組)和巨刺運動療法(治療組)治療,同時配閤肩部功能鍛煉. 于首次治療前後、2箇療程後、末次治療後( 4箇療程為限)評估其目測類比評分( VAS )、肩關節嚴重指數( SSI ). 結果:首次治療後即刻兩組患者VAS、SSI評分比較P<0 .05 ,治療組療效優于常規組;經過2箇療程10次治療,兩組VAS、SSI評分比較P<0 .05 ,治療組的療效優于常規組;經過4箇療程20次治療,兩組患者VAS評分比較P<0 .05 ,治療組優于常規組,而SSI評分比較P>0 .05 ,兩者差彆不明顯. 結論:巨刺運動療法在肩關節週圍炎的治療中緩解疼痛的作用明顯優于常規針刺方法,在改善功能、提高肌力等方麵尚需進一步驗證.
목적:비교거자운동요법여상규침자치료견관절주위염적림상차이. 방법:선취78례견관절주위염적환자,수궤분조후분별채용상규침자방법(상규조)화거자운동요법(치료조)치료,동시배합견부공능단련. 우수차치료전후、2개료정후、말차치료후( 4개료정위한)평고기목측류비평분( VAS )、견관절엄중지수( SSI ). 결과:수차치료후즉각량조환자VAS、SSI평분비교P<0 .05 ,치료조료효우우상규조;경과2개료정10차치료,량조VAS、SSI평분비교P<0 .05 ,치료조적료효우우상규조;경과4개료정20차치료,량조환자VAS평분비교P<0 .05 ,치료조우우상규조,이SSI평분비교P>0 .05 ,량자차별불명현. 결론:거자운동요법재견관절주위염적치료중완해동통적작용명현우우상규침자방법,재개선공능、제고기력등방면상수진일보험증.
Objective:To compare the clinical differences between the two acupuncture methods for scapulo-humeral periarthritis .Methods:78 cases of patients with scapulohumeral periarthritis were treated by contralat-eral meridian needling plus movement or the conventional acupuncture treatment after randomization , in con-junction with the shoulder functional exercise .Before and after the first treatment , 2 courses of treatment , after the last treatment (4 courses only) assess their visual analog scale (VAS), shoulder severity index (SSI).Re-sults:Compared immediately after the first treatment , VAS,SSI scores had a significant difference between two groups (P<0.05), and the treatment group was better than the conventional group;after two courses, VAS, SSI scores still had a significant difference between two groups (P<0.05), and the treatment group was better than the conventional group; after four courses treatment , VAS still had a significant difference between two groups (P<0.05), while SSI scores had no significant difference (P>0.05).Conclusion:According to the scapulohumeral periarthritis , the treatment of contralateral meridian needling plus movement is superior to the conventional method in pain relieving , while further study is needed in improving function , increasing muscle strength and so on .
