苍龟探穴针法改善肩关节周围炎患者肩功能的疗效研究(1)
摘 要 目的：探讨苍龟探穴针法在改善肩关节周围炎(简称肩周炎)患者肩功能中的应用价值。方法：选取2015年10月至2016年12月收治的肩周炎患者100例，随机分为苍探组和常规组各50例。常规组给予常规针灸疗法治疗，苍探组给予苍龟探穴针法治疗，两组均为1次/d，隔天进行，5次为1个疗程，共3个疗程。采用Constant-Murley肩功能评分法(C-M)评估肩功能、视觉模拟评分法(VAS)评估疼痛程度，比较两组疗效、治疗前、治疗后10 d和30 d的肩功能及疼痛程度。结果：苍探组和常规组的治疗有效率分别为96.00%(48/50)和80.00%(40/50)，组间差异有统计学意义(P<0.05)。苍探组治疗后10 d和30 d的C-M得分明显高于常规组，而VAS得分明显低于后者(P<0.05)。结论：苍龟探穴针法可有效缓解肩周炎患者的疼痛症状，促进患者肩关节功能恢复，有利于提高疗效，值得临床作进一步推广。
关键词 肩关节周围炎；苍龟探穴针法；肩功能；疼痛
中图分类号：R684.3 文献标志码：A 文章編号：1006-1533(2019)10-0022-03
The effect of Canggui exploring acupuncture in improving shoulder function in patients with periarthritis of shoulder
GU Yu， LUO Jiheng
(Lianyang Community Health Service Center of Pudong New District， Shanghai 200135)
ABSTRACT Objective： To explore the application of Canggui exploring acupuncture on improving shoulder function in patients with periarthritis of shoulder. Methods： From October 2015 to December 2016， 100 patients diagnosed as periarthritis of shoulder were randomly divided into a regular group and a Cangtan group with 50 cases each. The regular group was treated with routine acupuncture therapy， the Cangtan group treated with Canggui exploring acupuncture， both given once a day， 5 times as a course and continuous for 3 courses. The shoulder function and shoulder joint pain score were assessed by Constant-Murley Shoulder function scoring method(C-M) and visual analogue scale(VAS) respectively. The clinical efficacy， shoulder function and shoulder joint pain score were compared between two groups before and after treatment for 10 days and 30 days. Results： The clinical efficacy of Cangtan group was significant higher than that of the regular group(96.00% vs 80.00%， P<0.05). The C-M scores of Cangtan group after treatment for 10days and 30 days were significant higher than those of the regular group， whereas the VAS scores of Cangtan group were significant lower than those of the regular group(P<0.05). Conclusions： Canggui exploring acupuncture can effectively alleviate the pain symptoms and improve the shoulder function of patients with periarthritis of shoulder， which is worthy of clinical application.
KEYWORDS periarthritis of shoulder； Canggui exploring acupuncture； shoulder function； pain
肩关节周围炎(简称肩周炎)是临床上常见的关节炎症疾病，以肩关节疼痛、活动不便为主要症状，好发于50岁左右中年人群，女性发病率略高于男性，主要与过度体力劳动有关，严重影响患者的身体健康。目前，对肩周炎的治疗以保守治疗为主，如物理疗法、功能锻炼等。针灸疗法是治疗肩周炎常用方法之一，可有效缓解患者临床症状，但部分患者常规针灸治疗后，仍存在疼痛、肩周活动障碍等症状，疗效欠佳。对此，本研究通过给予患者苍龟探穴针法治疗，探讨其在改善患者肩功能中的应用价值，现报道如下。, 百拇医药(顾煜 罗吉恒)
关键词 肩关节周围炎；苍龟探穴针法；肩功能；疼痛
中图分类号：R684.3 文献标志码：A 文章編号：1006-1533(2019)10-0022-03
The effect of Canggui exploring acupuncture in improving shoulder function in patients with periarthritis of shoulder
GU Yu， LUO Jiheng
(Lianyang Community Health Service Center of Pudong New District， Shanghai 200135)
ABSTRACT Objective： To explore the application of Canggui exploring acupuncture on improving shoulder function in patients with periarthritis of shoulder. Methods： From October 2015 to December 2016， 100 patients diagnosed as periarthritis of shoulder were randomly divided into a regular group and a Cangtan group with 50 cases each. The regular group was treated with routine acupuncture therapy， the Cangtan group treated with Canggui exploring acupuncture， both given once a day， 5 times as a course and continuous for 3 courses. The shoulder function and shoulder joint pain score were assessed by Constant-Murley Shoulder function scoring method(C-M) and visual analogue scale(VAS) respectively. The clinical efficacy， shoulder function and shoulder joint pain score were compared between two groups before and after treatment for 10 days and 30 days. Results： The clinical efficacy of Cangtan group was significant higher than that of the regular group(96.00% vs 80.00%， P<0.05). The C-M scores of Cangtan group after treatment for 10days and 30 days were significant higher than those of the regular group， whereas the VAS scores of Cangtan group were significant lower than those of the regular group(P<0.05). Conclusions： Canggui exploring acupuncture can effectively alleviate the pain symptoms and improve the shoulder function of patients with periarthritis of shoulder， which is worthy of clinical application.
KEYWORDS periarthritis of shoulder； Canggui exploring acupuncture； shoulder function； pain
肩关节周围炎(简称肩周炎)是临床上常见的关节炎症疾病，以肩关节疼痛、活动不便为主要症状，好发于50岁左右中年人群，女性发病率略高于男性，主要与过度体力劳动有关，严重影响患者的身体健康。目前，对肩周炎的治疗以保守治疗为主，如物理疗法、功能锻炼等。针灸疗法是治疗肩周炎常用方法之一，可有效缓解患者临床症状，但部分患者常规针灸治疗后，仍存在疼痛、肩周活动障碍等症状，疗效欠佳。对此，本研究通过给予患者苍龟探穴针法治疗，探讨其在改善患者肩功能中的应用价值，现报道如下。, 百拇医药(顾煜 罗吉恒)