腕踝针治疗肩周炎的临床疗效视察.pdf

提 要 目的: 观察腕踝针治疗肩周炎的疗效，并探讨腕踝针治疗本病的作用机理,为临 床治疗肩周炎提供一种新方法。 方法: 将肩周炎患者 60 例随机分为治疗组和对照组，每组均为 30 例。治疗组 选用腕踝针，对照组选用常规针刺。在治疗一次后，一个疗程后及两个疗程后对其 疗效进行比较。 结果: 治疗组与对照组总有效率比较无显著性差异(p0.05)，但两个疗程后治疗 组的治愈率、显效率、总有效率均高于对照组。治疗一次后，一个疗程后及两个疗 程后疼痛比较治疗组优于对照组(p＜0.05) 。治疗一个疗程后治疗组功能和活动度的 改善情况优于对照组(p＜0.05)，而在两个疗程后两组的改善情况差别不大(p ＞0.05) 。 结论: 两组方法对肩周炎的治疗均有效，临床上均可作为治疗肩周炎的方法， 但治疗组的镇痛作用优于对照组。 关键词 肩周炎；腕踝针；减轻疼痛；改善功能和活动度 Clinical Observation on the treatment of periarthritis of shoulder by Wrist Ankle Acupuncture Speciality: Acupuncture and moxibustion Author: Yang Qing Tutor: professor Hou Shuwei Abstract Objective: To observe the the effect of the treatment of periarthritis of shoulder by Wrist Ankle Acupuncture (WAA) and explore the mechanism to provide a new method in clinic. Methods: 60 patients with periarthritis of shoulder were randomly divided into treatment group and control group. Each group has 30 cases. Treatment group selected WAA and the control group used conventional acupuncture. After the first treatment, the first and the second course of treatment the effect were compared. Results: The treatment group and the control group have no significant difference in the total effective rate (p 0.05), but after treatment, the cure rate, markedly effective rate and the total effective rate of the treatment group were higher than that of the control one. The effect of the treatment group is better than that of the control group on reducing pain after the first treatment, the first and the second course of treatment(p 0.05). After a course of treatment, the improvement in activity of the treatment group is better than that of the control group (p0.05), while after the second course of treatment, the two groups have no significant different (p 0.05). Conclusion: Two methods are effec