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一、肩周炎一、肩周炎Acupunctureforshoulderpain(Review)SallyGreen1,RachelleBuchbinder2,SarahEHetrick3AustraliaAuthors’conclusionsDuetoasmallnumberofclinicalandmethodologicallydiversetrials,littlecanbeconcludedfromthisreview.Thereislittleevidencetosupportorrefutetheuseofacupunctureforshoulderpainalthoughtheremaybeshort-termbenefitwithrespecttopainandfunction.Thereisaneedforfurtherwelldesignedclinicaltrials.Whatcausesshoulderpain诊断问题andhowcanacupuncturehelp?Shoulderpaincanbecausedbyanumberofdifferentconditions.Itcanbecausedbyrotatorcuffdisease（肩袖）,periarthritis（肩周炎）oradhesivecapsulitis（关节囊粘连）(frozenshoulder).Shoulderpaincansometimesgoawayonitsownbutmaylastupto12to18months（自愈）.Drugandnon-drugtreatmentsareusedtorelievepainand/orswelling.（治疗目的是减少疼痛和水肿）Acupunctureisanon-drugtherapybeingusedmoreandmoretotreatshoulderpain.Itisthoughtthatacupunctureworkseitherbyreleasingchemicalcompoundsinthebodythatrelievepain,byoverridingpainsignalsinthenervesorbyallowingenergy(Qi)orbloodtoflowfreelythroughthebody.ItisnotknownwhetheracupunctureworksDoesacupunctureworkfortreatingshoulderpain?评价Toanswerthisquestion,scientistsfoundandanalyzed9researchstudies.Thestudiestestedover500peoplewhohadshoulderpain.Peoplehadeitheracupuncture,aplacebo(faketherapy),ultrasound,gentlemovementorexercisesusuallyfor20-30minutes,twotothreetimesaweekfor3to6weeks.(治疗时间)Eventhoughthestudiesweresmallandnotofthehighestquality,thisCochranereviewprovidesthebestevidencewehavetoday.Howwelldoesacupuncturework?Theimprovementswithacupunctureforpainandfunctionwereaboutthesameastheeffectsofreceivingafake（安慰法）therapyfor2to4weeks.Onestudyshowedthatacupunctureimprovedshoulderfunctionmorethanfaketherapyafter4weeks.Buta
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