关键词:

肩周炎, 肩三针, 针灸, 小针刀, 治疗效果, 疼痛程度, 中医证候积分

Abstract:

Objective　To investigate the clinical efficacy of shoulder three-needling acupuncture and moxibustion combined with small needle knife for patients with shoulder periarthritis. Methods　A total of 112 patients with shoulder periarthritis treated at Armed Police Hospital of Guangdong Province between January 2020 and December 2022 were selected. They were divided into a control group and an observation group by the random number table method, with 56 cases in each group. There were 32 males and 24 females in the control group; they were (71.45±4.06) years old. There were 30 males and 26 females in the observation group; they were (71.22±4.13) years old. The control group received small needle knife treatment once a week, for 3 times; in addition, the observation group took shoulder three-needling acupuncture and moxibustion once a day for 5 d, and stopped 2 d, then continued the treatment for 5 d. The treatment effects, traditional Chinese medicine syndrome scores, shoulder joint function, pain degrees, and daily living abilities were compared between the two groups. t and χ² tests were applied. Results　The effective rate of the observation group was higher than that of the control group [96.43% (54/56) vs. [82.14% (46/56)], with a statistical difference (χ²=5.973, P<0.05). After the treatment, the scores of shoulder pain, activity limitation, and heavy sensation in the observation group were significantly lower than those in the control group [1.88±0.25) vs. (2.57±0.32), (1.52±0.21) vs. (2.11±0.29), and (1.07±0.22) vs. (1.88±0.26)], with statistical differences (all P<0.05). After the treatment, the scores of pain, daily living ability, range of motion (flexion, extension, abduction, and internal rotation), and muscle strength and the total score in the observation group were significantly higher than those in the control group[(12.42±2.28) vs. (9.05±1.82), (17.44±2.62) vs. (14.63±2.24), (34.25±4.18) vs. (30.06±3.99), (23.63±2.73) vs. (20.11±2.52), and (88.15±8.76) vs. (73.53±6.69)], with statistical differences (all P<0.05). After the treatment, the scores of daily living ability and pain degree in the observation group were better than those in the control group [(85.52±8.92) vs. (76.69±7.14) and (1.62±0.43) vs. (2.27±0.51)], with statistical differences (t=5.783 and 7.291; both P<0.05). Conclusion　Shoulder three-needling acupuncture and moxibustion combined with small needle knife for patients with shoulder periarthritis can promote symptom relief, reduce pain, improve their range of motion and daily living ability, and enhance their activity level, so it deserves further promotion.

Key words:

Shoulder periarthritis, Shoulder three-needling, Acupuncture and moxibustion, Small needle knife, Treatment effect, Pain degree, Traditional Chinese Medicine syndrome score