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[1]呂俊玲,張江層,劉帥.芒針針刺結(jié)合刺絡(luò)拔罐治療急性期粘連性肩關(guān)節(jié)囊炎[J].中醫(yī)正骨,2019,31(03):1-4.
　LYU Junling,ZHANG Jiangceng,LIU Shuai.Elongated needle acupuncture therapy combined with pricking and cupping therapy for treatment of acute-phase adhesive shoulder capsulitis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(03):1-4.
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芒針針刺結(jié)合刺絡(luò)拔罐治療急性期粘連性肩關(guān)節(jié)囊炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年03期
頁碼:
1-4
欄目:
臨床研究
出版日期:
2019-03-20

文章信息/Info

Title:
Elongated needle acupuncture therapy combined with pricking and cupping therapy for treatment of acute-phase adhesive shoulder capsulitis
作者:
呂俊玲; 張江層; 劉帥
(三門峽市中醫(yī)院,河南 三門峽 472000)
Author(s):
LYU Junling; ZHANG Jiangceng; LIU Shuai
Sanmenxia Hospital of Traditional Chinese Medicine,Sanmenxia 472000,Henan,China
關(guān)鍵詞:
肩凝癥;  針刺療法;  拔罐
Keywords:
frozen shoulder;  acupuncture therapy;  cupping therapy
摘要:
目的:探討芒針針刺結(jié)合刺絡(luò)拔罐治療急性期粘連性肩關(guān)節(jié)囊炎的臨床療效。方法:將納入研究的100例急性期粘連性肩關(guān)節(jié)囊炎患者隨機(jī)分為芒針組和常規(guī)組,每組50例。芒針組采用芒針針刺結(jié)合刺絡(luò)拔罐治療,用芒針依次深刺肩前穴透極泉穴、深刺肩髃穴透臂臑穴、深刺臑俞穴、平刺臑會穴、深刺肩髃穴透極泉穴,產(chǎn)生針感即拔針; 芒針治療結(jié)束后,在肩前、肩髃、臑俞、臑會穴上點(diǎn)刺放血,并將火罐吸附在點(diǎn)刺的穴位上,留罐約6 min。常規(guī)組采用常規(guī)針刺結(jié)合拔罐治療,用毫針直刺肩前、肩髃、肩貞、臑俞、臑會等穴,留針30 min,留針的同時紅外線燈照射患肩,拔針后將火罐吸附在穴位上,留罐約6 min。2組患者均每日治療1次,1周為1個療程,共治療1個療程。分別在治療前和治療結(jié)束后,采用疼痛視覺模擬量表(visual analogue scale,VAS)評分評價患肩疼痛情況,采用Melle肩關(guān)節(jié)功能評分標(biāo)準(zhǔn)評價患肩功能。結(jié)果:治療前,2組患者患肩疼痛VAS評分、患肩功能Melle評分的組間比較,差異均無統(tǒng)計學(xué)意義[(7.61±1.05)分,(6.90±1.51)分,t=2.730,P=0.051;(9.92±1.84)分,(9.46±2.08)分,t=1.170,P=0.052]。治療結(jié)束后,2組患者患肩疼痛VAS評分、患肩功能Melle評分均較治療前降低[芒針組:(1.02±0.98)分,(7.61±1.05)分,t=32.440,P=0.001;(2.08±1.02)分,(9.92±1.84)分,t=-26.080,P=0.001; 常規(guī)組:(2.99±1.56)分,(6.90±1.51)分,t=12.730,P=0.001;(4.16±1.61)分,(9.46±2.08)分,t=-14.250,P=0.001],芒針組兩項(xiàng)評分均低于常規(guī)組[(1.02±0.98)分,(2.99±1.56)分,t=-7.561,P=0.001;(2.08±1.02)分,(4.16±1.61)分,t=-7.718,P=0.001],芒針組評分降低較常規(guī)組更明顯[(6.56±1.01)分,(3.93±1.11)分,t=12.392,P=0.001;(7.80±1.11)分,(5.32±1.51)分,t=9.358,P=0.001]。結(jié)論:對于急性粘連性肩關(guān)節(jié)囊炎患者,采用芒針針刺結(jié)合刺絡(luò)拔罐治療和常規(guī)針刺結(jié)合拔罐治療均可緩解患肩疼痛、改善患肩功能,且前者療效優(yōu)于后者。
Abstract:
Objective:To explore the clinical curative effects of elongated needle acupuncture therapy combined with pricking and cupping therapy for treatment of acute-phase adhesive shoulder capsulitis.Methods:One hundred patients with acute-phase adhesive shoulder capsulitis were enrolled in the study and were randomly divided into elongated needle therapy group and conventional therapy group,50 cases in each group.The patients in elongated needle therapy group were treated with elongated needle acupuncture combined with pricking and cupping.Firstly,the elongated needle was deeply inserted into point Jiquan(HT1)through point Jianqian.Secondly,the elongated needle was deeply inserted into point Binao(LI14)through point Jianyu(LI15).Thirdly,the elongated needle was deeply inserted into point Naoshu(SI10)and horizontally inserted into point Naohui(TE13).Lastly,the elongated needle was deeply inserted into point Jiquan(HT1)through point Jianyu(LI15).The needles were removed when the doctor got the needling sensation.After the end of elongated needle treatment,pricking needling were performed on patients at point Jianqian,Jianyu(LI15),Naoshu(SI10)and Naohui(TE13)for bloodletting,and the cupping jars were adsorbed on the acupuncture points and were retained for 6 minutes.The patients in conventional therapy group were treated with conventional acupuncture combined with cupping.The filliform needles were perpendicularly inserted into point Jianqian,Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10)and Naohui(TE13)and the needles were retained for 30 minutes.Meanwhile,the affacted shoulder was irradiated with infrared lamps.The cupping jars were adsorbed on the acupuncture points for 6 minutes after the needles were removed.All patients in the 2 groups were treated once a day for one course of treatment,7 days for each course.The affected shoulder pain and function were evaluated by using pain visual analogue scale(VAS)score and Melle shoulder function scoring standard respectively before the treatment and after the end of the treatment.Results:There was no statistical difference in pain VAS scores and Melle function scores of affected shoulder between the 2 groups before the treatment(7.61+/-1.05 vs 6.90+/-1.51 points,t=2.730,P=0.051; 9.92+/-1.84 vs 9.46+/-2.08 points,t=1.170,P=0.052).The pain VAS scores and Melle function scores of affected shoulder decreased in the 2 groups after the end of the treatment compared to pretreatment(elongated needle therapy group:1.02+/-0.98 vs 7.61+/-1.05 points,t=32.440,P=0.001; 2.08+/-1.02 vs 9.92+/-1.84 points,t=-26.080,P=0.001; conventional therapy group:2.99+/-1.56 vs 6.90+/-1.51 points,t=12.730,P=0.001; 4.16+/-1.61 vs 9.46+/-2.08 points,t=-14.250,P=0.001),and the pain VAS scores and Melle function scores were lower in elongated needle therapy group compared to conventional therapy group(1.02+/-0.98 vs 2.99+/-1.56 points,t=-7.561,P=0.001; 2.08+/-1.02 vs 4.16+/-1.61 points,t=-7.718,P=0.001),and the scores decreased more obviously in elongated needle therapy group compared to conventional therapy group(6.56+/-1.01 vs 3.93+/-1.11 points,t=12.392,P=0.001; 7.80+/-1.11 vs 5.32+/-1.51 points,t=9.358,P=0.001).Conclusion:For patients with acute-phase adhesive shoulder capsulitis,both combination therapy of elongated needle acupuncture and pricking and cupping and combination therapy of conventional acupuncture and cupping can relieve shoulder pain and improve shoulder function,moreover,the former surpasses the latter in clinical curative effects.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國家中醫(yī)藥管理局中醫(yī)藥科學(xué)技術(shù)研究專項(xiàng)課題(2009ZL51)(收稿日期:2018-09-18 本文編輯:楊雅)
更新日期/Last Update: 2019-03-30