针刺配合经皮穴位电刺激治疗瘀滞型肩关节周围炎疗效观察

摘要

目的 观察针刺配合经皮穴位电刺激对瘀滞型肩关节周围炎(简称肩周炎)治疗后的活动度及镇痛效果的影响.方法 将100例瘀滞型肩周炎患者随机分为治疗组和对照组,每组50例.治疗组采用针刺配合经皮穴位电刺激治疗,对照组采用单纯针刺治疗.隔日1次,10次为1个疗程,共治疗1个疗程.治疗前后分别采用视觉模拟评分法(visual analogue scale,VAS)对两组患者镇痛效果进行评价,采用肩关节活动功能评分对肩关节活动度进行评估,比较两组临床疗效.结果 两组治疗后VAS评分和肩关节功能评分与同组治疗前比较,差异均具有统计学意义(P<0.05);治疗组治疗后VAS评分和肩关节功能评分与对照组比较,差异均具有统计学意义(P<0.05).治疗组愈显率为74.0%,对照组为50.0%,两组比较差异具有统计学意义(P<0.05).结论 针刺配合经皮穴位电刺激治疗肩周炎疗效显著,患者的肩关节活动度及疼痛均得到显著改善.%Objective To observe the effect of acupuncture plus transcutaneous electrical acupoint stimulation (TEAS) on the range of motion and pain in stagnation-induced periarthritis of shoulder.Method A hundred patients with stagnation-induced periarthritis of shoulder were randomized into a treatment group and a control group, 50 cases each. The treatment group was intervened by acupuncture plus TEAS, while the control group was intervened by acupuncture alone. The interventions were given once every other day, 10 sessions as a treatment course, for 1 course in total. Before and after the intervention, the Visual Analogue Scale (VAS) was adopted for evaluating pain before and after the treatment, and the motor function scale of shoulder was used to measure the range of motion of shoulder joint. The clinical efficacies were also compared between the two groups.Result After the intervention, the VAS scores and shoulder motor function scores were significantly changed in both groups (P<0.05); the VAS score in the treatment group was significantly different from that in the control group after the treatment (P<0.05). The markedly effective rate was 74.0% in the treatment group versus 50.0% in the control group, and the between-group difference was statistically significant (P<0.05).Conclusion Acupuncture plus TEAS can produce a significant efficacy in treating periarthritis of shoulder, as it can obviously improve the range of motion and pain.