论文部分内容阅读
目的:比较飞经走气针刺与常规针刺治疗肩周炎的疗效差异,为临床提供更好的治疗方法.方法:将64例患者随机分为飞经走气组和常规针刺组,每组32例,两组均穴取患侧肩髃、肩髎、肩贞、臂臑、曲池、外关,分别运用飞经走气针刺手法和常规针刺方法进行治疗,连续治疗2个疗程,以肩关节疼痛、肩关节活动功能及日常生活活动能力(ADL)为观察指标评价两组疗效.结果:飞经走气组总有效率为96.9%( 31/32),常规针刺组总有效率为81.3% (26/32),飞经走气组疗效优于常规针刺组(P<0.05).两组治疗后肩关节疼痛积分、肩关节活动功能积分、ADL积分均较治疗前明显增高(均P<0.05),以上指标飞经走气组较常规针刺组改善更明显(均P<0.05).结论:飞经走气针刺法治疗肩周炎优于常规针刺,能更好地减轻肩周炎患者的疼痛,改善肩关节活动功能及提高日常生活活动能力.“,”Objective To compare differences in therapeutic effects between acupuncture accelerating qi-flow along meridians (AQF) and conventional acupuncture (CA) in treating periarthritis of shoulder to find better acupuncture methods.Methods Sixty-four patients were randomly divided into two groups:group AQF,and group CA with 32 cases in each group.Jiānyú ( 肩髃 LI 15),Jiānliáo (肩髎 TE 14),Jiānzhēn (肩贞 S(I) 9),Binào (臂臑 LI 14),Qūchí (曲池 LI 11)and Wàiguān (外关 TE 5) on the affected side were used in both groups,and the two acupuncture methods were respectively used in the two groups for consecutive 2 courses.Pain and moving functions of shoulder and ability in daily life (ADL) were used as indices for evaluating therapeutic effects.Results The total effective rate was 96.9% (31/32) and 81.3% (26/32) in group AQF and group CA,respectively,showing superiority of AQF to CA (P<0.05).Scores reflecting pain and moving functions of shoulder and ADL were all improved after treatment in both groups (all P<0.05),and the improvement in group AQF was more obvious than those in group CA (all P<0.05).Conclusion In treating periarthritis of shoulder,the acupuncture accelerating qi-flow along meridians was better than conventional acupuncture in alleviating pain of the shoulder,improving its moving function and elevating abilities in daily life.