针刺联合推拿治疗肩周炎的临床观察(1)
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2010年3月1日
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【摘要】:目的:探讨针刺联合推拿治疗肩周炎的临床效果和安全性。方法:将80例肩周炎患者随机分为观察组和对照组各40例,观察组采用针刺联合推拿治疗,对照组采用常规封闭治疗,观察和比较两组患者症状及体征改变情况。结果:治疗组有效率和治愈率分别为87.50%和67.50%,对照组为67.50%和45.00%,两组之间比较差异存在统计学意义(P<0.05)。结论:针刺联合推拿治疗肩周炎临床效果良好,值得推广应用。
【关键词】:针刺;推拿;肩周炎;康复
【中图分类号】R245.31【文献标识码】A【文章编号】1007-8517(2010)06-009-2
The clinical observation on effect of pinprick combined with massage in treatment of periarthritis humeroscapularis
FUCHang-ji
Department of Acupuncture,The Traditional Chinese medicine hospital of XINDU City Sichuan 641400
【Abstract】:Objective: To explore the therapeutic effect and safety of pinprick combined with massage in treatment of periarthritis humeroscapularis. Methods: 80 patients with periarthritis humeroscapularis were divided randomly into the intervention group(40 cases)and the control group(40 cases),the patients are treated by pinprick combined with massage in the intervention group, the patients are treated by local injection in the control group, the clinical symptoms were recorded and then compared the effect of them. Results: The total effective rate and clinical cure rate of intervention group respectively was 87.50% and 67.50%,67.50% and 45.00% of control group, there were significant difference (P<0.05). Conclusion: The pinprick combined with massage has a favorable therapeutic effect、quick and easy on scapulohumeral periarthritis, it is worth promoting the application.
【Key words】:pinprick; massage; periarthritis humeroscapularis; rehabilitation
肩周炎又称肩关节周围炎、“肩凝症”、“冻结肩”、“五十肩”等,是一种肩关节囊及其周围软组织的慢性无菌性炎症,导致关节囊、周围韧带、肌腱和滑囊等软组织广泛粘连,引起关节僵凝,肩部酸重疼痛及肩关节活动受限,严重影响了患者的工作和日常生活,临床治疗比较棘手。2007年8月～2009年8月期间,我们采用针刺联合推拿治疗肩周炎,取得了满意的临床疗效,现报道如下。
1资料与方法
1.1一般资料80例患者均来自我院病例,男31例,女49例,年龄40～75岁,病程12d～724d,单侧患病75例,左肩21例,右肩54例,双肩患病5例。80例肩周炎患者随机分为观察组和对照组各40例,两组患者在性别比、年龄构成、病程和病变部位等方面比较,差异无统计学意义,具有可比性(P>0.05),见表1。
表1 两组患者一般情况比较
组别 性别比 年龄(岁) 病程(d)病变部位(例)
双肩 单肩
观察组 16:24 53.3±3.6 259.7±15.9373
对照组 15:25 53.6±3.1 251.0±15.6382
P值>0.05>0.05>0.05 >0.05 >0.05
1.2诊断标准参照《中医病证诊断疗效标准》[1]中肩周炎的诊断标准:①多发于中老年人,或继发于肱二头肌腱炎或上肢创伤。②肩周疼痛多呈钝痛、压痛、放射痛、阵发或持续剧痛,夜间疼痛加剧。③活动受限,如影响上臂上举、外展、内旋、外旋、后伸等功能。④可有岗上肌、岗下肌和三角肌肿胀,后期可有肌萎缩。⑤X线多无明显阳性征发现,部分患者可有肌腱钙化、骨质稀疏或肱骨头上移及增生。⑥排除肩部急性软组织伤、骨折、脱位、感染性炎症、结核、肿瘤、肺尖肿瘤侵及臂丛神经、颈部疾患(如颈椎病、风湿性关节炎、痛风等)所致的肩痛及功能障碍 ......
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