温针灸结合瑜珈体位法治疗冻结期肩周炎临床观察
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摘要
目的:观察温针灸结合瑜珈体位法治疗冻结期肩周炎的临床疗效。方法:90例符合纳入标准的冻结期肩周炎患者随机分为对照1组、对照2组、观察组,每组30例。对照1组采用温针灸治疗(穴取肩贞、肩髃、肩髎等),对照2组采用瑜伽体位法治疗,观察组采用温针灸结合瑜伽体位法治疗,各组治疗均每日1次,10次为一疗程,疗程间休息2 d,连续治疗2个疗程。治疗2个疗程后,用肩关节疼痛积分及肩关节功能分级进行临床疗效的评定,并观察临床疗效。结果:(1)3组治疗后疼痛积分均显著降低(均P<0.01),其中观察组优于对照1组、对照2组(P<0.05,P<0.01),对照1组、对照2组比较差异无统计学意义(P>0.05);(2)3组治疗后均能显著提高肩关节功能分级(均P<0.01),其中观察组、对照2组均优于对照1组(P<0.01,P<0.05),观察组、对照2组比较差异无统计学意义(P>0.05);(3)治疗2个疗程后,观察组有效率为86.7%(26/30),优于对照1组的70.0%(21/30)和对照2组的76.7%(23/30,均P<0.05)。结论:温针灸结合瑜伽体位法治疗冻结期肩周炎可使肩关节疼痛、功能障碍明显改善,其临床综合疗效明显优于单纯温针灸法和瑜伽体位法。
Objective To observe the clinical efficacy of warm acupuncture combined with yoga posture method in the treatment of periarthritis with frozen period. Methods Ninety patients with periarthritis who met the inclusion criteria were randomly divided into a control group 1, a control group 2 and an observation group, 30 cases in each group. Warm acupuncture was applied in the control group 1(Jianzhen(SI 9), Jianyu(LI 15), Jianliao(TE 14), etc were selected), yoga posture method was applied in the control group 2, warm acupuncture combined with yoga posture method were given in the observation group, the treatment was given once a day, 10 times as a course with 2 days between courses and continuous for 2 courses. After 2 courses of treatment, the shoulder joint pain score and shoulder function grading were used to evaluate the clinical efficacy, and the clinical efficacy was observed. Results(1)The pain scores of the three groups were significantly lower after treatment(all P<0.01), and scores in the observation group was better than that in the control group 1 and the control group 2(P<0.05, P<0.01). There was no significant difference between the control group 1 and the control group 2(P>0.05).(2)After treatment, the functional classification of shoulder joints were significantly improved in the three groups(all P<0.01), and the functional classification of shoulder joint in the observation group and the control group 2 were better than that in the control group 1(P<0.01, P<0.05). There was no significant difference between the observation group and the control group 2(P>0.05).(3)After 2 courses of treatment, the effective rate of the observation group was 86.7%(26/30), which was better than 70.0%(21/30) in the control group 1 and 76.7%(23/30) in the control group 2(both P<0.05). Conclusion Warm acupuncture combined with yoga posture method can effectively relieve shoulder pain and improve dysfunction. The clinical comprehensive effect is better than simple acupuncture and yoga posture method.
Objective To observe the clinical efficacy of warm acupuncture combined with yoga posture method in the treatment of periarthritis with frozen period. Methods Ninety patients with periarthritis who met the inclusion criteria were randomly divided into a control group 1, a control group 2 and an observation group, 30 cases in each group. Warm acupuncture was applied in the control group 1(Jianzhen(SI 9), Jianyu(LI 15), Jianliao(TE 14), etc were selected), yoga posture method was applied in the control group 2, warm acupuncture combined with yoga posture method were given in the observation group, the treatment was given once a day, 10 times as a course with 2 days between courses and continuous for 2 courses. After 2 courses of treatment, the shoulder joint pain score and shoulder function grading were used to evaluate the clinical efficacy, and the clinical efficacy was observed. Results(1)The pain scores of the three groups were significantly lower after treatment(all P<0.01), and scores in the observation group was better than that in the control group 1 and the control group 2(P<0.05, P<0.01). There was no significant difference between the control group 1 and the control group 2(P>0.05).(2)After treatment, the functional classification of shoulder joints were significantly improved in the three groups(all P<0.01), and the functional classification of shoulder joint in the observation group and the control group 2 were better than that in the control group 1(P<0.01, P<0.05). There was no significant difference between the observation group and the control group 2(P>0.05).(3)After 2 courses of treatment, the effective rate of the observation group was 86.7%(26/30), which was better than 70.0%(21/30) in the control group 1 and 76.7%(23/30) in the control group 2(both P<0.05). Conclusion Warm acupuncture combined with yoga posture method can effectively relieve shoulder pain and improve dysfunction. The clinical comprehensive effect is better than simple acupuncture and yoga posture method.
引文
[1]李仲廉.临床疼痛治疗学[M].天津:天津科学技术出版社,2000:247.
[2]周秉文.颈肩痛[M].北京:人民卫生出版社, 1998:290.
[3]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社, 1994:186-187.
[4]杨树萱.肩周炎康复体疗功能评定方案[J].中国康复医学杂志, 1993, 8(1):8.
[5]陈慕远,蒲沁沁,刘申易,等.不同刺激方法治疗肩周炎疗效比较[J].中国针灸, 2013, 33(2):109-112.
[6]袁涛,王芬.毫火针配合拔罐治疗颈源性肩周炎疗效观察[J].针刺研究, 2015, 40(5):415-418.
[7]郭越,郭健红.肩周炎的临床康复治疗进展[J].医学综述,2014, 20(15):2752-2754.
[8]张云杰,高洁,程立红.针灸治疗肩周炎临床研究概况[J].实用中西医结合临床, 2013, 13(1):92-94.
[9]权可,靳鹏超,权海霞,等.针刺治疗肩周炎近况[J].现代中医药, 2014, 34(3):83-86.
[10]付明超,孔尚军,邱玲.针刺与运动疗法治疗肩周炎临床研究进展[J].辽宁中医药大学学报, 2012, 14(2):207-209.
[11]林子玲,周小军,赖家盈.温针灸结合关节松动术治疗肩周炎的临床研究[J].中国康复理论与实践, 2011, 17(10):997-998.
[12]方汉军,林新晓,陈思,等.肩周炎的中医治疗研究进展[J].现代中医临床, 2017, 24(1):41-44.
[13]王晨瑶,方剑乔,石慧,等.“肩三针”温针配合电针治疗粘连期风寒湿型肩周炎19例[J].中医杂志, 2011, 52(20):1752-1754.
[14]韩振翔,祁丽丽,禇立希,等.针灸结合主动功能锻炼分期治疗肩周炎方案的优选[J].中国针灸, 2014. 34(11):1067-1072.
[15]唐宏亮,卢栋明,黎丽群,等.肩三针治疗肩周炎临床研究的系统评价[J].辽宁中医杂志, 2015, 42(5):933-936.
[16]梁兴森,温优良,林吕,等.针灸治疗肩周炎选穴的现状[J].针灸临床杂志, 2010, 26(4):73-75.
[2]周秉文.颈肩痛[M].北京:人民卫生出版社, 1998:290.
[3]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社, 1994:186-187.
[4]杨树萱.肩周炎康复体疗功能评定方案[J].中国康复医学杂志, 1993, 8(1):8.
[5]陈慕远,蒲沁沁,刘申易,等.不同刺激方法治疗肩周炎疗效比较[J].中国针灸, 2013, 33(2):109-112.
[6]袁涛,王芬.毫火针配合拔罐治疗颈源性肩周炎疗效观察[J].针刺研究, 2015, 40(5):415-418.
[7]郭越,郭健红.肩周炎的临床康复治疗进展[J].医学综述,2014, 20(15):2752-2754.
[8]张云杰,高洁,程立红.针灸治疗肩周炎临床研究概况[J].实用中西医结合临床, 2013, 13(1):92-94.
[9]权可,靳鹏超,权海霞,等.针刺治疗肩周炎近况[J].现代中医药, 2014, 34(3):83-86.
[10]付明超,孔尚军,邱玲.针刺与运动疗法治疗肩周炎临床研究进展[J].辽宁中医药大学学报, 2012, 14(2):207-209.
[11]林子玲,周小军,赖家盈.温针灸结合关节松动术治疗肩周炎的临床研究[J].中国康复理论与实践, 2011, 17(10):997-998.
[12]方汉军,林新晓,陈思,等.肩周炎的中医治疗研究进展[J].现代中医临床, 2017, 24(1):41-44.
[13]王晨瑶,方剑乔,石慧,等.“肩三针”温针配合电针治疗粘连期风寒湿型肩周炎19例[J].中医杂志, 2011, 52(20):1752-1754.
[14]韩振翔,祁丽丽,禇立希,等.针灸结合主动功能锻炼分期治疗肩周炎方案的优选[J].中国针灸, 2014. 34(11):1067-1072.
[15]唐宏亮,卢栋明,黎丽群,等.肩三针治疗肩周炎临床研究的系统评价[J].辽宁中医杂志, 2015, 42(5):933-936.
[16]梁兴森,温优良,林吕,等.针灸治疗肩周炎选穴的现状[J].针灸临床杂志, 2010, 26(4):73-75.