针灸联合体外冲击波治疗肩周炎临床研究
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Clinical Study on Acupuncture and Moxibustion Combined with Extracorporeal Shock Wave for Scapulohumeral Periarthritis
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    摘要:

    目的:观察针灸联合体外冲击波治疗肩周炎的临床疗效及疼痛及肩关节活动度改善情况。方法:选取180 例肩周炎患者按照随机数字表法分为研究组和对照组各90 例。对照组给予体外冲击波治疗,研究组在对照组治疗的基础上应用针灸治疗,1 周为1 个疗程,2 组均持续治疗2 个疗程。观察治疗前后临床疗效、美国加州大学肩关节评分系统(UCLA) 评分、简化McGill疼痛问卷(SF-MPQ) 评分及肩关节活动度。结果:研究组总有效率为92.22%,高于对照组的76.67%(P<0.05)。治疗后,2 组UCLA 评分均高于治疗前(P<0.05),且研究组评分高于对照组(P<0.05);2 组SF-MPQ 中疼痛分级指数(PRI)、现实疼痛状况(PPI)、视觉模拟评分法(VAS) 及总分均低于治疗前(P<0.05),且研究组评分低于对照组(P<0.05)。治疗后,2 组肩关节内旋、外旋、外展、前屈及内收活动度均治疗前有一定程度的改善(P<0.05),且研究组改善幅度大于对照组(P<0.05)。结论:针灸联合体外冲击波治疗肩周炎患者可有效改善肩关节功能和活动度,减轻疼痛,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect,pain and shoulder range of motion of acupuncture and moxibustion combined with extracorporeal shock wave for scapulohumeral periarthritis. Methods: A total of 180 cases of patients with scapulohumeral periarthritis were divided into the study group and the control group according to the random number table method,90 cases in each group.The control group was treated with extracorporeal shock wave,and the study group was additionally treated with acupuncture and moxibustion based on the treatment of the control group.Both groups were treated for two courses,one week being a course. Before and after treatment,the clinical effect,the University of California,Los Angeles(UCLA) Shoulder Score,the Short-Form McGill Pain Questionnaire(SF-MPQ) score and the shoulder range of motion were observed. Results:The total effective rate was 92.22% in the study group,higher than that of 76.67% in the control group(P<0.05). After treatment,the UCLA scores in the two groups were higher than those before treatment(P<0.05),and the score in the study group was higher than that in the control group(P<0.05). After treatment,the scores of SF- MPQ such as Pain Rating Index(PRI), Visual Analogue Scale(VAS) and Present Pain Intensity(PPI) and the total SF- MPQ scores in the two groups were lower than those before treatment(P<0.05),and the scores in the study group were lower than those in the control group(P<0.05).The range of motion of internal rotation,external rotation,abduction,flexion and adduction in shoulder joint in both groups were improved to a certain extent(P<0.05), and the improvement in the study group was greater than that in the control group(P<0.05). Conclusion: Acupuncture and moxibustion combined with extracorporeal shock wave for patients with scapulohumeral periarthritis can effectively improve shoulder joint function and range of motion,relieve pain and enhance clinical effect.

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周贞国,姜敏霞.针灸联合体外冲击波治疗肩周炎临床研究[J].新中医,2021,53(11):141-144

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  • 在线发布日期: 2021-06-10
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