Therapeutic effect observation on combined tuina with warm needling moxibustion for adhesive shoulder periarthritis

摘要

目的

观察推拿手法结合温针灸治疗粘连性肩关节周围炎的临床疗效。

方法

将182例粘连性肩关节周围炎患者随机分为2组, 观察组93例, 予推拿手法松解结合温针灸治疗; 对照组89例, 予温针灸治疗。 两组均隔日治疗1次, 10次为1个疗程。 观察治疗前及治疗1个疗程后肩关节功能及活动度评分。

结果

观察组治愈率为65.6%, 总有效率为97.9%; 对照组治愈率为11.2%, 总有效率85.4%, 两组治愈率和总有效率比较, 差异均有统计学意义(P<0.01)。 治疗后, 两组患者的肩关节功能评分和肩关节活动度评分均有明显增加(P<0.01, P<0.05), 且观察组各项评分高于对照组(P<0.01)。

结论

推拿结合温针灸治疗粘连性肩关节周围炎疗效优于单纯的温针灸治疗。

Abstract

Objective

To observe the clinical effect of combined tuina manipulation and warm needling moxibustion for adhesive shoulder periarthritis (ASP).

Methods

A total of 182 cases with ASP were randomized into an observation group of 93 cases and a control group of 89 cases. The observation group employs combined tuina and warm needling moxibustion, whereas the control group employs warm needling therapy alone. For both groups, the treatment was conducted once every other day; 10 times made up one session. The function and range of motion of the shoulder joint were observed and graded prior to treatment and 1 session after treatment.

Results

The recovery rate and the total effective rate in the observation group were 65.6% and 97.9% respectively, versus 11.2% and 85.4% in the control group, indicating a statistical significance (P<0.01). After treatment, the scores of the shoulder joint function and joint range of motion in both groups were significantly increased (P<0.01, P<0.05), and the scores in the observation group were higher than that in the control group (P<0.01).

Conclusion

Combined tuina and warm needling therapy can obtain better effect than warm needling therapy alone.