电针结合中药熏蒸治疗肩周炎40例

摘要

目的:探讨电针结合中药熏蒸治疗肩周炎的疗效. 方法:将80例肩周炎患者随机分成治疗组(电针联合中药熏蒸治疗)、对照组(电针治疗)各40 例,两组均配合自主功能锻炼. 2 个疗程后运用VAS评分、肩关节ROM和改良Barthel指数评估肩关节疼痛强度、功能活动和ADL,比较两组临床疗效.结果:治疗后两组上述评价指标均比治疗前显著改善(P<0.01),两组比较有显著性差异(P<0.05);治疗组的治愈率75%、总有效率97 .5%;对照组的治愈率50%、总有效率87 .5%,两组比较有显著性差异(P<0.05). 两组均未发现明显的不良反应. 结论:电针联合中药熏蒸治疗肩周炎具有协同作用,可安全、有效缓解疼痛、改善肩部功能活动和提高ADL,配合自主功能锻炼有利于肩周炎的康复,预防复发,故值得临床推广应用.%Objective:To discuss the effect of electric acupuncture combined with Chinese medicine fumigation in the treatment of scapulohumeral periarthritis .Methods:80 cases of scapulohumeral periarthritis were random-ly divided into a treatment group ( electric acupuncture combined with Chinese medicine fumigation ) and a con-trol group ( electric acupuncture treatment ) ,with 40 cases in each group .Both groups were cooperated with in-dependent functional exercise .The VAS score , shoulder joint ROM and modified Barthel index were used to e-valuate the shoulder pain intensity , functional activity and activities of daily living ability after 2 courses , com-pared with the clinical effect in two groups .Results:After treatment, the indexes of two groups were significant-ly improved than those before treatment (P<0.01), and there were significant differences between two groups ( P<0 .05 );in the treatment group the curative rate was 75%,and the total efficiency was 97 .5%;in the con-trol group the curative rate was 50%, and the total effective rate was 87 .5%.Compared between two groups , there was a significant difference (P<0.05).No obvious adverse reactions were found in two groups .Conclu-sion:Electric acupuncture combined with Chinese medicine fumigation in the treatment of scapulohumeral peri -arthritis has a synergistic effect .It can be safe and effective to relieve pain , improve the function of the shoulder movement and the ability of daily life activities, and cooperated with the independent functional exercise , is con-ductive for the rehabilitation of scapulohumeral periarthritis and the prevention of recurrence .Therefore , it is worth popularizing and applying clinically .