平衡针治疗肩周炎的镇痛疗效观察
摘要
目的:观察平衡针治疗肩周炎的镇痛疗效,为肩周炎的治疗提供参考依据。
方法:将60例肩周炎患者随机分为2组,观察组30例,采用平衡针治疗;对照组30例,采用常规针刺治疗。记录患者治疗前、首次治疗后、1疗程后、2疗程后的VAS评分。
结果:(1)两组首次治疗后、1疗程后、2疗程后患者VAS评分分别与治疗前组内比较,有非常显著性差异(P﹤0.01)。1疗程后、2疗程后患者VAS评分分别与首次治疗后组内比较,有非常显著性差异(P﹤0.01)。2疗程后患者VAS评分与1疗程后组内比较,有非常显著性差异(P﹤0.01)。(2)首次治疗后、1疗程后两组患者VAS评分比较,有显著性差异(P﹤0.05)。2疗程后两组患者VAS评分比较,有非常显著性差异(P﹤0.01)。
结论:平衡针和常规针刺治疗肩周炎均有镇痛疗效,平衡针即刻、近期镇痛疗效明显优于常规针刺,疗效随着治疗次数的增加在提高。平衡针治疗肩周炎取穴少,安全可靠,可作为治疗肩周炎的基本方法。
Object:Observe the curative Balancing technique acupuncture for scapulohumeral periarthritis of shoulder pain,for treatment to provide the reference.
Method:60 patients were randomly divided into two groups.The observation group,30 cases,reated with balancing technique acupuncture;and the control group,30 cases, treated with routine acupuncture.Record the VAS score before and after the first time and the 1 treatment,2 treatment after.
Result:(1)Two groups after initial treatment,1,2 treatment course after VAS rating respectively with patients before treatment compared in the group,have very significant differences(P﹤0.01).1 and 2 treatment course after VAS rating respectively with patients after initial treatment compared in the group,have very significant differences(P﹤0.01).2 treatment with 1 patients after course VAS score in groups comparison,have very significant differences(P﹤0.01).(2)After treatment,the first two groups of patients after 1 treatment VAS score comparison,there are significant differences(P﹤0.05).2 treatment VAS score after two groups were compared,have very significant differences(P﹤0.01).
Conclusion : Balancing technique acupuncture and conventional acupuncture treatment of periarthritis of shoulder all have analgesic curative effect,Balancing technique acupuncture immediate analgesic effect,clearly superior short-term curative effect with acupuncture treatment,efficacy and raising the increase of number.Find balancing technique acupuncture for scapulohumeral periarthritis,safe and reliable,and less as the basic method for scapulohumeral periarthritis.
方法:将60例肩周炎患者随机分为2组,观察组30例,采用平衡针治疗;对照组30例,采用常规针刺治疗。记录患者治疗前、首次治疗后、1疗程后、2疗程后的VAS评分。
结果:(1)两组首次治疗后、1疗程后、2疗程后患者VAS评分分别与治疗前组内比较,有非常显著性差异(P﹤0.01)。1疗程后、2疗程后患者VAS评分分别与首次治疗后组内比较,有非常显著性差异(P﹤0.01)。2疗程后患者VAS评分与1疗程后组内比较,有非常显著性差异(P﹤0.01)。(2)首次治疗后、1疗程后两组患者VAS评分比较,有显著性差异(P﹤0.05)。2疗程后两组患者VAS评分比较,有非常显著性差异(P﹤0.01)。
结论:平衡针和常规针刺治疗肩周炎均有镇痛疗效,平衡针即刻、近期镇痛疗效明显优于常规针刺,疗效随着治疗次数的增加在提高。平衡针治疗肩周炎取穴少,安全可靠,可作为治疗肩周炎的基本方法。
Object:Observe the curative Balancing technique acupuncture for scapulohumeral periarthritis of shoulder pain,for treatment to provide the reference.
Method:60 patients were randomly divided into two groups.The observation group,30 cases,reated with balancing technique acupuncture;and the control group,30 cases, treated with routine acupuncture.Record the VAS score before and after the first time and the 1 treatment,2 treatment after.
Result:(1)Two groups after initial treatment,1,2 treatment course after VAS rating respectively with patients before treatment compared in the group,have very significant differences(P﹤0.01).1 and 2 treatment course after VAS rating respectively with patients after initial treatment compared in the group,have very significant differences(P﹤0.01).2 treatment with 1 patients after course VAS score in groups comparison,have very significant differences(P﹤0.01).(2)After treatment,the first two groups of patients after 1 treatment VAS score comparison,there are significant differences(P﹤0.05).2 treatment VAS score after two groups were compared,have very significant differences(P﹤0.01).
Conclusion : Balancing technique acupuncture and conventional acupuncture treatment of periarthritis of shoulder all have analgesic curative effect,Balancing technique acupuncture immediate analgesic effect,clearly superior short-term curative effect with acupuncture treatment,efficacy and raising the increase of number.Find balancing technique acupuncture for scapulohumeral periarthritis,safe and reliable,and less as the basic method for scapulohumeral periarthritis.
引文
[1]王文远.中国平衡针灸[M].北京:北京科学技术出版社,1998,2:3.
[2]王文远,毛效军等.平衡针灸治疗肩周炎8895例临床研究[J].中国中医药现代远程教育,2008,6(4):297.
[3]王兴林.电刺激治疗神经系统疾病进展[J].引进国外医药技术与设备,1995,5(1):28.
[4]石学敏.针灸治疗学[M].上海:上海科学技术出版社,1998:286.
[5]梁繁荣.针灸学[M].北京:中国中医药出版社,2005:289.
[1]梁繁荣.针灸学[M],北京:中国中医药出版社,2005,1:288~289.
[2]王文远.平衡针刺肩痛穴治疗肩周炎6540例报告[J].中国民间疗法,1995;12(5):9.
[3]李洋.肩三针透刺法治疗肩周炎[J].山东中医杂志,2008;27(5):325~326.
[4]王麟鹏.“齐刺”“扬刺”法在肩周炎治疗中的应用[J].中国针灸,1995;15(增刊):164.
[5]陈雁东,钟家俊.巨刺法配合推拿治疗粘连严重型肩周炎30例疗效观察[J].云南中医中药杂志,2002;23(5):37~38.
[6]王康社,姚益龙,李长院.巨刺法为主治疗肩周炎36例[J].陕西中医,2002;23(9):834.
[7]黄巍,王菊英.阻力针法与针刺治疗肩周炎[J].中国骨伤,1998;11(6):27.
[8]蔡红.雀啄刺治疗肩凝症40例[J].南京中医药大学学报,1997;13(5):291.
[9]丛国红.苍龟探穴法治疗肩周炎临床观察[J].辽宁中医杂志,2003;30(4):308.
[10]朱晓平,黄宏强,段权,等.苍龟探穴针法治疗肩关节周围炎40例[J].中国临床康复,2006;10(27):151.
[11]俞剑虹.动态针刺法治疗肩周炎30例[J].中国针灸,2005;25(7):503.
[12]李石良,陈桂莲.动态针刺法治疗原发性肩周炎50例[J].上海针灸杂志,2002;21(1):33.
[13]陈尚杰,李红.三段针刺法与常规针刺法治疗肩周炎的对照研究[J].中国针灸,2006;26(6):421~423.
[14]彭建明,卢洪,胡虚白.烧山火针法治疗肩周炎疗效观察[J].中国针灸,2006;26(8):581~582.
[15]高映晖.直接灸治疗肩周炎20例[J].湖北中医杂志,2000;22(1):50.
[16]李琳,江瑜.隔药敷灸法治疗肩周炎98例[J].河南中医药学刊,1998;13(5):19.
[17]杨顺益,林秀芬,梁增芳等.温针治疗肩周炎疗效观察[J].中国针灸,2000;20(2):83.
[18]章进.天灸太渊穴治疗肩周炎54例[J].中国针灸,2004;(9):661.
[19]陈培良.简易温灸架治疗肩关节周围炎500例临床观察[J].中国针灸,1992;12(2):25.
[20]严学兰,曾高峰.太乙神针灸治疗肩周炎68例临床观察[J].广西医科大学学报, 1999;16(5):699.
[21]仇锦珠.柴胡桂枝汤加味治疗肩周炎31例疗效观察[J].中国校医,2006;3:338.
[22]台银科,王春花.当归四逆汤加味治疗肩周炎60例临床观察[J].宁夏医学杂志,2008;30(1):79.
[23]王春林,杨云才,夏惠明.手法治疗肩周炎48例疗效观察[J].云南中医中药杂志,2004;25(2):2~3.
[24]唐光丽.推拿手法治疗肩周炎100例临床分析[J].按摩与导引,2003;19(6):28~29.
[25]田刘怀军.按摩配合功能锻炼治疗肩周炎150例[J].河南中医,2006;26(3):60~61.
[26]胡军,严隽陶.手法治疗肩周炎临床报告的循证医学评价[J].中西医结合学报,2004;2(3):185~188.
[27]何成奇,陈晶.慢性疼痛的运动疗法[J].中国临床康复,2002;6(16):2364~2366.
[28]李婷.扬刺配闪罐法治疗肩周炎31例[J].江苏中医药,2003;24(1):38.
[29]崔峻,徐杰.局部刺络拔罐治疗初期肩周炎116例[J].上海中医药杂志,2003;37(6):40.
[30]范郁山,罗燕,林原.火针疗法治疗肩关节周围炎疗效观察[J].广西中医学院学报,2005;8(3):41~42.
[31]崔峻.综合刺络疗法治疗急性期肩周炎临床观察[J].中国针灸,2004;24(8):547~549.
[32]杜福辰.腕针留置治疗肩周炎78例[J].吉林中医药,2007;27(11):41.
[33] Waldburger M,Meier JL.Clin Rheumatol,1992;11(3):364~368.
[34]周贤丽.肩关节周围炎治疗的新进展[J].现代康复,2001;5(5):49~50.
[35] Callinan N,MePherson S,et al.J Hand Ther,2003;16(3):219~224.
[36] Jones DS,Chattcpadhyay C.Suprascapular nerve block for the treat ment of frozen shoulder in primary care:a randomized trial [J].Br J Gen Pract,1999;49(438):39~41.
[37] Goldherg BA,Scarlat MM,et al.Manegement of the stiffshculder shoulder [J]. J Orthop Sci.1999;4(6):462~471.
[38] Ogilvie Harris DJ,et al.Clin Orthop,1995;319:238~248.
[2]王文远,毛效军等.平衡针灸治疗肩周炎8895例临床研究[J].中国中医药现代远程教育,2008,6(4):297.
[3]王兴林.电刺激治疗神经系统疾病进展[J].引进国外医药技术与设备,1995,5(1):28.
[4]石学敏.针灸治疗学[M].上海:上海科学技术出版社,1998:286.
[5]梁繁荣.针灸学[M].北京:中国中医药出版社,2005:289.
[1]梁繁荣.针灸学[M],北京:中国中医药出版社,2005,1:288~289.
[2]王文远.平衡针刺肩痛穴治疗肩周炎6540例报告[J].中国民间疗法,1995;12(5):9.
[3]李洋.肩三针透刺法治疗肩周炎[J].山东中医杂志,2008;27(5):325~326.
[4]王麟鹏.“齐刺”“扬刺”法在肩周炎治疗中的应用[J].中国针灸,1995;15(增刊):164.
[5]陈雁东,钟家俊.巨刺法配合推拿治疗粘连严重型肩周炎30例疗效观察[J].云南中医中药杂志,2002;23(5):37~38.
[6]王康社,姚益龙,李长院.巨刺法为主治疗肩周炎36例[J].陕西中医,2002;23(9):834.
[7]黄巍,王菊英.阻力针法与针刺治疗肩周炎[J].中国骨伤,1998;11(6):27.
[8]蔡红.雀啄刺治疗肩凝症40例[J].南京中医药大学学报,1997;13(5):291.
[9]丛国红.苍龟探穴法治疗肩周炎临床观察[J].辽宁中医杂志,2003;30(4):308.
[10]朱晓平,黄宏强,段权,等.苍龟探穴针法治疗肩关节周围炎40例[J].中国临床康复,2006;10(27):151.
[11]俞剑虹.动态针刺法治疗肩周炎30例[J].中国针灸,2005;25(7):503.
[12]李石良,陈桂莲.动态针刺法治疗原发性肩周炎50例[J].上海针灸杂志,2002;21(1):33.
[13]陈尚杰,李红.三段针刺法与常规针刺法治疗肩周炎的对照研究[J].中国针灸,2006;26(6):421~423.
[14]彭建明,卢洪,胡虚白.烧山火针法治疗肩周炎疗效观察[J].中国针灸,2006;26(8):581~582.
[15]高映晖.直接灸治疗肩周炎20例[J].湖北中医杂志,2000;22(1):50.
[16]李琳,江瑜.隔药敷灸法治疗肩周炎98例[J].河南中医药学刊,1998;13(5):19.
[17]杨顺益,林秀芬,梁增芳等.温针治疗肩周炎疗效观察[J].中国针灸,2000;20(2):83.
[18]章进.天灸太渊穴治疗肩周炎54例[J].中国针灸,2004;(9):661.
[19]陈培良.简易温灸架治疗肩关节周围炎500例临床观察[J].中国针灸,1992;12(2):25.
[20]严学兰,曾高峰.太乙神针灸治疗肩周炎68例临床观察[J].广西医科大学学报, 1999;16(5):699.
[21]仇锦珠.柴胡桂枝汤加味治疗肩周炎31例疗效观察[J].中国校医,2006;3:338.
[22]台银科,王春花.当归四逆汤加味治疗肩周炎60例临床观察[J].宁夏医学杂志,2008;30(1):79.
[23]王春林,杨云才,夏惠明.手法治疗肩周炎48例疗效观察[J].云南中医中药杂志,2004;25(2):2~3.
[24]唐光丽.推拿手法治疗肩周炎100例临床分析[J].按摩与导引,2003;19(6):28~29.
[25]田刘怀军.按摩配合功能锻炼治疗肩周炎150例[J].河南中医,2006;26(3):60~61.
[26]胡军,严隽陶.手法治疗肩周炎临床报告的循证医学评价[J].中西医结合学报,2004;2(3):185~188.
[27]何成奇,陈晶.慢性疼痛的运动疗法[J].中国临床康复,2002;6(16):2364~2366.
[28]李婷.扬刺配闪罐法治疗肩周炎31例[J].江苏中医药,2003;24(1):38.
[29]崔峻,徐杰.局部刺络拔罐治疗初期肩周炎116例[J].上海中医药杂志,2003;37(6):40.
[30]范郁山,罗燕,林原.火针疗法治疗肩关节周围炎疗效观察[J].广西中医学院学报,2005;8(3):41~42.
[31]崔峻.综合刺络疗法治疗急性期肩周炎临床观察[J].中国针灸,2004;24(8):547~549.
[32]杜福辰.腕针留置治疗肩周炎78例[J].吉林中医药,2007;27(11):41.
[33] Waldburger M,Meier JL.Clin Rheumatol,1992;11(3):364~368.
[34]周贤丽.肩关节周围炎治疗的新进展[J].现代康复,2001;5(5):49~50.
[35] Callinan N,MePherson S,et al.J Hand Ther,2003;16(3):219~224.
[36] Jones DS,Chattcpadhyay C.Suprascapular nerve block for the treat ment of frozen shoulder in primary care:a randomized trial [J].Br J Gen Pract,1999;49(438):39~41.
[37] Goldherg BA,Scarlat MM,et al.Manegement of the stiffshculder shoulder [J]. J Orthop Sci.1999;4(6):462~471.
[38] Ogilvie Harris DJ,et al.Clin Orthop,1995;319:238~248.