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1. 湖南工业大学体育学院
2. 湖南中医药高等专科学校基础医学系
3. 湖南中医药高等专科学校康复保健系
4. 天津中医药大学实验针灸研究中心
纸质出版日期:2019
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李迎红, 李敏, 李强, 等. 扶阳罐温通法联合电针治疗肩周炎的临床研究[J]. 针刺研究, 2019,44(8):610-614.
LI Ying-hong, LI Min, LI Qiang, et al. Treatment of scapulohumeral periarthritis by Fuyang-pot warming combined with electroacupuncture stimulation[J]. Acupuncture research, 2019, 44(8): 610-614.
李迎红, 李敏, 李强, 等. 扶阳罐温通法联合电针治疗肩周炎的临床研究[J]. 针刺研究, 2019,44(8):610-614. DOI: 10.13702/j.1000-0607.180332.
LI Ying-hong, LI Min, LI Qiang, et al. Treatment of scapulohumeral periarthritis by Fuyang-pot warming combined with electroacupuncture stimulation[J]. Acupuncture research, 2019, 44(8): 610-614. DOI: 10.13702/j.1000-0607.180332.
目的:客观评价扶阳罐温通法联合电针治疗肩周炎的临床疗效。方法:90例肩周炎患者按随机数字表法分为扶阳罐温通联合电针组、电针组、扶阳罐温通组
每组30例。扶阳罐温通联合电针组予电针疗法及扶阳罐温通疗法;电针组电针患侧肩髃、肩髎、肩贞、臂臑、天宗、阿是穴、条口、承山;扶阳罐温通组予患侧扶阳罐温通法治疗;均每周治疗3次
2周为1疗程
连续治疗2个疗程。统计治疗前后视觉模拟量尺(VAS)、肩功能Constant-Murley评定量表、美国肩与肘协会评分系统(ASES)评分
并进行临床疗效评价。结果:治疗后
扶阳罐温通联合电针组、电针组、扶阳罐温通组肩周炎患者疼痛均较治疗前减轻
VAS评分显著下降(P<0. 01)
Constant-Murley评分和ASES肩关节功能评分显著升高(P<0. 01);治疗后扶阳罐温通联合电针组VAS评分显著低于其他两组(P<0. 01)
Constant-Murley评分及ASES肩关节功能评分显著高于其他两组(P<0. 01)。扶阳罐温通联合电针组治疗愈显率为76. 67%(23/30)
显著高于电针组的34. 48%(10/29)和扶阳罐温通组的53. 33%(16/30
P<0. 01)。结论:扶阳罐温通联合电针治疗肩周炎疗效显著
止痛效果优于单纯电针和单纯扶阳罐温通法。
Objective To observe the clinical therapeutic effect of Fuyang-pot warming combined with electroacupuncture(EA)in the treatment of scapulohumeral periarthritis(SPA).Methods A total of 90 cases of SPA patients were randomized into EA
Fuyang-pot warming and EA plus Fuyang-pot warming(combination)groups(n=30 per group). Fuyang-pot warming including pressing
mild moxibustion
scraping-pushing
cupping
tapping
etc. was applied to Fengchi(GB20)
Dazhui(GV14)
Jianjing(GB21)
Jianyu(LI15)
Zhongfu(LU1)
Ashi-point
etc.
and EA(2 Hz/100 Hz
1—1. 5 mA)was appled to GB20
GV14
GB21
LI15
Binao(LI14)
Tiaokou(ST38)
Chengshan(BL57)
Ashi-point
etc. The treatment was performed for 30 min every time
once every other day for 2 weeks. The visual analogue scale(VAS
0—10 points)was used to assess the pain severity. The Constant-Murley shoulder assessment scale(100 points in total
including 15 points in pain severity and 20 points in daily living activities
40 points in joint motion range
and 25 points in myodynamia)was used to assess the functional state of the shoulder. The rating scale of the American Shoulder and Elbow Surgeons(ASES
4 grades)was used to evaluate the ability of daily living activities.Results Following the treatment
intra-group comparison showed that the VAS score was significantly reduced in the three groups in comparison with their own pre-treatment(P<0. 01). The total scores of Constant-Murley scale
and scores of activities of daily living and active motion range
myodynamia
and ASES shoulder-joint function were all considerably increased in the three groups in comparison with their own pre-treatment(all P<0. 01). The therapeutic effect of EA plus Fuyang-pot warming was significantly superior to that of simple EA and simple Fuyang-pot warming in reducing VAS score and increasing total score of Constant-Murley scale and scores of activities of daily living
active motion range
myodynamia as well as ASES shoulder joint function(P<0. 01). Of the 30
29 and 30 cases in the combination
EA and Fuyang-pot warming groups
9
2 and 4 were basically cured
14
8 and 12 experienced marked improvement
4
12 and 9 were improved
and 3
7 and 5 failed in the treatment
with the cured plus effective rates being 76. 67%
34. 48% and 53. 33%
respectively. The cure plus effective rate was apparently higher in the combined treatment group than in the simple EA and simple Fuyang-pot warming groups(P<0. 01)
but had no significant difference between the simple EA and simple Fuyang-pot warming groups(P>0. 05).Conclusion Fuyang-pot warming combined with EA is effective in relieving pain
and enhancing the daily life quality in scapulohumeral periarthritis patients.
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