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[温针疗法联合拔罐治疗颈源性肩周炎的临床试验]

[Clinical Trial of Treatment of Cervicogenic Scapulohumeral Periarthritis by Red-hot Needle Therapy Combined with Cupping].

作者信息

Yuan Tao, Wang Fen

出版信息

Zhen Ci Yan Jiu. 2015 Oct;40(5):415-8.

Abstract

OBJECTIVE

To observe the therapeutic effect of red-hot needle therapy combined with cupping for cervicogenic periarthritis of shoulder.

METHODS

Forty-two cases of cervicogenic periarthritis of shoulder were randomized into red-hot needle group and routine acupuncture group (n = 21). For patients of the routine acupuncture group, the filiform needles were applied to Tianzhu (BL 10), Jianjing (GB 21), Jianzhongshu (SI 15), Jianzhen (SI 9), Jianliao (TE 14), Jianyu (LI 15), Jianqian, Tianzong (SI 11) and Ashi-points on the affected side, followed by conducting cupping at the anterior and posterior regions of the affected shoulder, SI 11, GB 21 and SI 15. For patients of the red-hot needle group, the Ashi-points on the affected shoulder were punctured with cauterized filiform needles, following by performing cupping. The treatment was performed once daily and once every other day respectively for two weeks. The shoulder motor function was assessed according to the adjusted Constant-Murley test.

RESULTS

After the treatment, the integrated scores of shoulder pain, shoulder-joint activities in daily living and shoulder-joint motion range were significantly increased in both groups compared with pre-treatment in the same one group (P < 0.05) and obviously higher in the red-hot needle group than in the routine acupuncture group (P < 0.05). Of the two 21 cases of shoulder periarthritis patients in the routine acupuncture and red-hot needle groups, 4 and 8 were cured, 14 and 12 experienced improvement, 3 and 1 was invalid, with the effective rates being 85.71% and 95.24%, respectively. The therapeutic effect of the red-hot needle therapy was significantly superior to that of the routine acupuncture (P < 0.05).

CONCLUSION

The red-hot needle therapy combined with cupping is effective in relieving cervicogenic shoulder periarthritis and is remarkably superior to routine acupuncture combined with cupping in improving shoulder periarthritis patients' symptoms.

摘要

目的

观察温针结合拔罐治疗颈源性肩周炎的疗效。

方法

将42例颈源性肩周炎患者随机分为温针组和常规针刺组(每组n = 21)。常规针刺组患者,取患侧天柱(BL 10)、肩井(GB 21)、肩中俞(SI 15)、肩贞(SI 9)、肩髎(TE 14)、肩髃(LI 15)、肩前、天宗(SI 11)及阿是穴针刺,然后在患侧肩部前后、SI 11、GB 21及SI 15处拔罐。温针组患者,用烧针点刺患侧肩部阿是穴,然后拔罐。两组均分别每日治疗1次和隔日治疗1次,共治疗两周。根据改良Constant-Murley试验评估肩部运动功能。

结果

治疗后,两组肩部疼痛、日常生活中肩关节活动及肩关节活动范围的综合评分均较同组治疗前显著提高(P < 0.05),且温针组明显高于常规针刺组(P < 0.05)。常规针刺组和温针组各21例肩周炎患者中,治愈分别为4例和8例,好转分别为14例和12例,无效分别为3例和1例,有效率分别为85.71%和95.24%。温针疗法的疗效明显优于常规针刺(P < 0.05)。

结论

温针结合拔罐治疗颈源性肩周炎有效,在改善肩周炎患者症状方面明显优于常规针刺结合拔罐。

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