目的 观察针刺颈椎病穴加穴位注射治疗急性期肩周炎的临床疗效.方法 将94例急性期肩周炎患者随机分为治疗组（47例）和对照组（47例）.两组同时以针刺肩三针治疗,治疗组加用针刺颈椎病穴和穴位注射治疗,每周5次,10次为1个疗程,2个疗程后统计疗效.采用疼痛询问量表(VAS)、肩部疼痛和肩关节活动度分级法评定疗效.结果 治疗组治愈23例,愈显率为85.1％,对照组治愈9例,愈显率53.2％,两组愈显率比较差异有统计学意义(P＜0.01)；肩关节上举外展、外旋、后伸内旋以及疼痛分级法比较,对照组治疗前后差异无统计学意义(P＞0.05),治疗组治疗前后比较差异有统计学意义(P＜0.01),两组治疗后比较差异有统计学意义(P＜0.01).结论 针刺颈椎病穴加穴位注射治疗急性期肩周炎,在减轻疼痛、提高愈显率和上举外展、外旋、后伸内旋等功能活动的改善程度方面具有明显优势.%Objective To view the effects on shoulder pain with the treatments of acupuncture plus acu-injection. Methods 94 cases of shoulder pain were randomly divided into treatment group (47 cases) jianshanzhen and control group (47 cases). In treatment group the acu -points of jinzhuibing and jianshanzhen, were selected and treated by acupuncture plus acu-injection with danggui injection liquid. In control group ,the same acu-points beside jinzhuibing all were selected to be treated with acupuncture without injection of danggui-liquid. After 2 courses of treatment (10 days a course), treatment effecience were alerted by VAS, shoulder pain relief, joint movement improvement. Results 23 cases were cured in treatment group, with a cure and marked efficacy rate of 85.1%; 9 cases were cured in control group, with a cure and marked efficacy rate of 53.2%. There was statistically significant difference between the two groups(P<0.0l). In both groups scapu-lohumeral periarthritis was effectively treated and there were statistically significant pre/post-treatment differences in glenohumeral forward flexion, abduction, external rotation, extention and internal rotation, and pain alert by VAS (P<0.01). There were statistically significant difference in painrelief and improvement in shoulder joint function between the treatment and control groups (P< 0.05). Conclusion The methods in observation group is much superior than that in control group, such as pain relief, increase of a rate of cure and marked efficacy, improvement of glenohumeral forward flexion, abduction, external rotation, extention and internal rotation.
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