针灸配合功能锻炼治疗肩周炎的疗效观察.pdf

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1、世界中医药2014年9月第9卷第9期针灸配合功能锻炼治疗肩周炎的疗效观察宋培胜(长春中医药大学，长春，130012)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3O例接受肩关节功能锻炼(爬墙法+体后拉手法+头枕双手法)，1&／d，5次为1个疗程，1个疗程结束后休息2d，共治疗3个疗程。治疗组3O例，在对照组治疗方案基础上加用针刺治疗，1；L／d，30rain／&，5次为1个疗程，1个疗程结束后休息2d，共治疗3个疗程。治疗结束后比较2组视觉模拟疼痛评分(VisualAnalogu

2、eScale，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

3、ohumeralPeriarthritisSongPeisheng(ChangchunUniversityofTraditionalChineseMedicine，Changchun130012，China)Abstract0bjective：Toexploretheclinicalefficacyandsafetyofacupuncturecombinedwithfunctionalexerciseforthetreatmentofscapulohumeralperiarthritis．Methods：Sixtypatientswithscapu

4、lohumeralperiarthritiswhowereadmittedandtreatedinourhospitalwererandomlydividedintocontrolgroup(n=30)andtreatmentgroup(n=30)．Patientsinthecontrolgroupreceivedshoulderjointfunctionalexercise(climbingawall，stretchingupperlimbsatthebackofbody，restingheadonbothofhands)，onceaday，5t

5、imesforaperiodoftreatment．Patientshad2daysofaftereverycourseoftreatment，andtotallyhad3coursesoftreatment．Patientsinthetreatmentgroupreceivedacupuncturetreatmentexceptfromwhatpatientshadincontrolgroup，onceperday，30minpertime，5timesforacourseoftreatment．Patientshad2daysofafterac

6、oarseoftreatment，andtotallyhad3coursesoftreatment．Visualanaloguescore(VAS)，hemorheology，theclinicaltotaleffectiverateofthetwogroupsaftertreatmentwerecompared．Results：Aftertreatment，VASscoresandclinicalsymptomsimprovementratesofthetwogroupswerestatisticallydifferent(P<0．05)，the

7、treatmentgroupwasbetterthancontrolgroup；bloodflowvelocity(Vs)，meanbloodflowvelocity(Vd)，end-diastolicvelocity(Vm)ofbothgroupsaftertreatmentwerehigherthanthosebeforethetreatment(P<0．05)，andtheascendingrangeoftreatmentgroupwasmoresignificantthanthatofthecontrolgroup(P<0．05)．Conc

8、lusion：Acupuncturecombinedwithfunctionalexercisecouldrelieves