引用本文:宋 培 胜.针灸配合功能锻炼治疗肩周炎的疗效观察[J].世界中医药,2014,9(09):. |
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针灸配合功能锻炼治疗肩周炎的疗效观察 |
Observation on Curative Effect of Acupuncture Combined Functional Exercise on Scapulohumeral Periarthritis |
投稿时间:2013-12-05 |
DOI:10.3969/j.issn.1673-7202.2014.09.033 |
中文关键词: 肩周炎 功能障碍 针刺 功能锻炼 |
English Keywords:Scapulohumeral periarthritis Dysfunction Acupuncture Functional exercise |
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中文摘要: |
目的:探讨针灸结合功能锻炼治疗肩周炎的临床疗效和安全性。方法:将本院收治的60例肩周炎患者随机分成2组,对照组30例接受肩关节功能锻炼(爬墙法+体后拉手法+头枕双手法),1次/d,5次为1个疗程,1个疗程结束后休息2 d,共治疗3个疗程。治疗组30例,在对照组治疗方案基础上加用针刺治疗,1次/d,30 min/次,5次为1个疗程,1个疗程结束后休息2 d,共治疗3个疗程。治疗结束后比较2组视觉模拟疼痛评分(Visual Analogue Scale,VAS)、血液流变学、临床总有效率。结果:治疗后2组VAS评分、临床症状改善率比较具有统计学意义(P<0.05),治疗组优于对照组;2组治疗后血流速度(Vs)、平均血流速度(Vd)、舒张末期血流速度(Vm)均较治疗前升高(P<0.05),其中治疗组升高幅度较对照组明显(P<0.05)。结论:针灸结合功能锻炼有效缓解肩周炎患者症状,为临床同类治疗开拓思路。 |
English Summary: |
To explore the clinical efficacy and safety of acupuncture combined with functional exercise for the treatment of scapulohumeral periarthritis. Methods: Sixty patients with scapulohumeral periarthritis who were admitted and treated in our hospital were randomly divided into control group (n=30) and treatment group(n=30). Patients in the control group received shoulder joint functional exercise (climbing a wall, stretching upper limbs at the back of body, resting head on both of hands), once a day, 5 times for a period of treatment. Patients had 2 days off after every course of treatment, and totally had 3 courses of treatment. Patients in the treatment group received acupuncture treatment except from what patients had in control group, once per day, 30 min per time, 5 times for a course of treatment. Patients had 2 days off after a course of treatment, and totally had 3 courses of treatment. Visual analogue score (VAS), hemorheology, the clinical total effective rate of the two groups after treatment were compared. Results: After treatment, VAS scores and clinical symptoms improvement rates of the two groups were statistically different (P<0.05), the treatment group was better than control group; blood flow velocity (Vs), mean blood flow velocity (Vd), end-diastolic velocity (Vm) of both groups after treatment were higher than those before the treatment (P<0.05), and the ascending range of treatment group was more significant than that of the control group(P<0.05). Conclusion: Acupuncture combined with functional exercise could relieve symptoms of patients with scapulohumeral periarthritis effectively and extend the training thoughts for similar clinical treatment. |
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