肩三针联合温针灸治疗老年肩周炎患者的临床效果观察

来源:用户上传      作者:王�d 孙钰 王春婷 王姬良 肖红波 赵杰

　　摘要 目的：探究肩三针联合温针灸对老年肩周炎患者肩关节功能及生命质量的影响。方法：选取2018年11月至2020年7月安徽省淮北市中医医院收治的老年肩周炎患者60例作为研究对象，按照随机数字表法分为对照组和观察组，每组30例。对照组采用肩三针针刺疗法治疗，观察组采用肩三针针刺联合温针灸疗法治疗。观察并记录2组患者治疗前后的疗效、病情变化以及恢复时间等。结果：治疗后，观察组的总有效率为96.67%，对照组的总有效率83.33%，2组比较，差异有统计学意义（P<0.05）。治疗后，2组患者视觉模拟评分法（VAS）评分、日常生活能力评分、疼痛程度评分和怕冷程度评分均显著升高（均P<0.05），且观察组均高于对照组（均P<0.05）。治疗后，观察组患者恢复正常活动时间、无自觉疼痛时间以及平均愈合时间均短于对照组（均P<0.05）。结论：肩三针联合温针灸治疗老年肩周炎具有显著疗效，可改善患者的肩关节功能和生命质量。
　　关键词 肩三针;温针灸;老年肩周炎患者;肩关节功能;视觉模拟评分法;恢复时间;临床疗效;生命质量
　　Abstract Objective：To explore the effect of shoulder three needles combined with warm acupuncture on shoulder joint function and quality of life of elderly patients with scapulohumeral periarthritis.Methods：A selection of 60 elderly patients with frozen shoulder who were treated in the Department of Traditional Chinese Medicine in Huaibei Hospital of Traditional Chinese Medicine were selected as the research objects and were divided into a control group（30 cases） and an observation group（30 cases） by using a random number table.The control group was treated with shoulder three-needle acupuncture while the observation group was treated with shoulder three-needle acupuncture combined with warm acupuncture.The curative effect，condition change and recovery time of the two groups of patients before and after treatment observed and compared.Results：After treatment，the total effective rate of the observation group was 96.67% higher than that of the control group of 83.33%（P<0.05）.After treatment，the VAS score，ability of daily living score，pain degree and cold tolerance score were significantly reduced（Ps<0.05），and were lower than the control group（Ps<0.05）.The recovery time of normal activity，unconscious pain and average healing time in the observation group were lower than those in the control group（Ps<0.05）.Conclusion：The three-needle shoulder acupuncture combined with warm acupuncture has obvious curative effect on elderly patients with scapulohumeral periarthritis，which can improve the shoulder joint function and quality of life of the patients.
　　Keywords Shoulder three needles; Warm needle moxibustion; Elderly patients with frozen shoulder; Shoulder joint function; VAS score; Recovery time; Clinical efficacy; Quality of life quality of life
　　中D分类号：R454.5文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.24.019
　　肩周炎是一种慢性损伤性炎症，是临床中较为常见和多发的疾病。此病在中老年人群中发生率较高，主要是由于软组织退行病变，长期过度活动，姿势不良，上肢外伤后肩部固定过久，肩部急性挫伤、牵拉伤后因治疗不当等原因引起[1]。肩周炎临床表现为肩关节功能障碍，肩周肌肉失用性萎缩等，病程较长，病情较难治愈，严重影响患者的生理和心理健康。肩三针和温针灸疗法均是中医治疗关节性疾病疗效较好的方法，但到目前为止二者联合治疗老年肩周炎的相关文献报道较少[2]。根据临床研究标准，我们采用肩三针联合温针灸的方法治疗老年肩周炎，现将结果报道如下。
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