摘要
目的:观察针刀联合热敏灸治疗粘连期肩周炎的临床疗效及安全性分析。方法:将80例肩周炎患者随机分为试验组和对照组,各40例,试验组采用针刀结合热敏灸治疗,对照组采用针刺结合普通艾条灸治疗,通过对比2组患者治疗前后及3个月后随访时的VAS评分、肩关节活动度评分、肩关节功能评分量表及临床疗效,评价2种方法治疗粘连期肩周炎的疗效差异。结果:研究最终纳入76例粘连期肩周炎患者,其中治疗组39例,对照组37例。治疗组VAS评分、Melle评分显著少于对照组(P<0.05),CMS量表评分明显多于对照组(P<0.01);治疗组总有效率明显高于对照组(P<0.05)。治疗过程中2组患者均未出现严重不良反应事件。结论:针刀疗法治疗肩周炎安全有效,且结合热敏灸疗法进行针刀操作效果更佳。
Objective:To observe the clinical efficacy and safety analysis of acupotomy combined with heat-sensitive moxibustion in the treatment of frozen shoulder in the adhesion stage.Methods:80 patients with frozen shoulder were randomly divided into an experimental group and a control group,40 patients in each group.The experimental group was treated with acupuncture combined with heat-sensitive moxibustion,while the control group was treated with acupuncture combined with ordinary moxa stick moxibustion.By comparing the two groups of patients The VAS score,shoulder joint mobility score,shoulder joint function rating scale and clinical efficacy before and after treatment and at 3-month follow-up were used to evaluate the difference in efficacy between the two methods for treating frozen shoulder in the adhesive phase.Results:The study finally included 76 patients with adhesive stage frozen shoulder,including 39 patients in the treatment group and 37 patients in the control group.The VAS score and Melle score of the treatment group were significantly lower than those of the control group(P<0.05),and the CMS scale score was significantly higher than that of the control group(P<0.01);the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).No serious adverse events occurred in the two groups of patients during the treatment.Conclusion:Acupotomy therapy is safe and effective in treating frozen shoulder,and acupotomy therapy combined with heat-sensitive moxibustion therapy is more effective.
作者
方婷
刘福水
齐俊南
王小乐
周毛生
任长安
邱梓楷
赵小兰
FANG Ting;LIU Fushui;QI Junnan;WANG Xiaole;ZHOU Maosheng;REN Changan;QIU Zikai;ZHAO Xiaolan(Affiliated Hospital of Jiangxi University of Chinese Medicine Jingxi Nanchang 330004,China)
出处
《中医药临床杂志》
2023年第10期2043-2047,共5页
Clinical Journal of Traditional Chinese Medicine
基金
江西省卫健委科技计划项目(20210215X)。
关键词
针刀
调筋治骨
热敏灸
粘连期肩周炎
临床疗效
Acupotomy
Tendon adjustment and bone treatment
Heat-sensitive moxibustion
Frozen shoulder in the adhesion stage
Clinical efficacy
