| 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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