苍龟探穴电针法治疗肩周炎随机对照研究

摘要

Objective:To compare the efficacy difference between Canggui Tanxue electro-acupuncture and conventional electro-acupuncture in the treatment of frozen shoulder. Methods:71 cases were randomized into the group of Canggui Tanxue electro-acupuncture(group A, n =37) and the group of conventional electro-acupuncture (group B,n =34). Points of LI15, SJ14, Ex-UE, SI9 were selected, continuous waves were applied in both groups. Clinical efficacy was compared after the treatment. Results:In terms of the improvement of should pain and should function, the marked effect rate and healed rate were 83. 3％ and 55. 6％ in group A, which were both significantly higher than 56. 3％ and 37. 5％ in group B(P ＜0. 05). In terms of VAS score, it was significantly different between pre-treatment and post-treatment in group A(P ＜0. 01) and in group B(P ＜0. 05), there was also difference between group A and group B(P ＜0. 05). In terms of Melle score, it showed significant difference in group A after the treatment (P ＜ 0. 05), but it did not show difference in group B(P ＞0. 05), there was a significant difference between the two groups(P ＜0. 05). Conclusion:The therapy of Canggui Tanxue electro-acupuncture has obvious effect on frozen shoulder in terms of analgesia and on improving functional activities.%目的:比较苍龟探穴电针法与普通电针治疗肩周炎的疗效差异.方法:按随机数字表法将71例病例分为苍龟探穴电针组37例,采用苍龟探穴电针补泄法;普通电针组34例,采用普通电针连续波刺激.两组均取肩髃、肩髎、肩内陵、肩贞穴,疗程结束后评定疗效.结果:在改善肩关节疼痛和肩关节功能活动方面,苍龟探穴电针组愈显率分别为83. 3％和55. 6％,普通电针组愈显率分别为56. 3％和37. 5％,两组比较均有显著性差异(P＜0. 05).苍龟探穴电针组治疗前后VAS比较差异具有极显著性意义(P＜0. 01),普通电针组治疗前后VAS自身比较差异具有显著性意义(P＜0. 05);两组间VAS评分有显著性差异(P＜0. 05).苍龟探穴电针组治疗前后Melle评分比较有显著性意义(P＜0. 05),普通电针组治疗前后比较无显著性意义(P＞0. 05);组间比较显示两组间Melle评分有显著性差异(P＜0. 05).结论:苍龟探穴电针法治疗肩周炎,在镇痛和改善关节功能活动方面疗效显著.