Objective: To explore the effective therapy for treating chronic scapulohumeral periarthritis of cold-damp stagnation.
Methods: A total of 90 cases of patients with chronic scapulohumeral periarthritis of cold-damp stagnation were randomly divided into an acupuncture and moxibustion group, a herbal cake separated moxibustion group and a routine rehabilitation group, 30 cases in each group. The routine rehabilitation group was treated with diclofenac sodium sustained-release tablets (0.1 g each time, taken after breakfast) and rehabilitation exercise, once a day. On the basis of the treatment in the routine rehabilitation group, the herbal cake separated moxibustion group was treated with herbal cake separated moxibustion at the affected side of Jianyu (LI 15), Jianliao (TE 14) and Jianzhen (SI 9), once a day. On the basis of the treatment in the herbal cake separated moxibustion group, the acupuncture and moxibustion group was additionally given umbrella shaped acupuncture with round sharp needle at the affected side of Jianyu (LI 15), Jianliao (TE 14), Jianzhen (SI 9), Naohui (TE 13), Jianqian (Extra), Jugu (LI 16), etc. once every other day. Each group was treated for 10 d. Before and after treatment the pain visual analogue scale (VAS) score and activities of daily living (ADL) score, and degree of changes in shoulder joint activity were compared in each group, and the clinical effect was evaluated.
Results: After treatment, the pain VAS scores of three groups were decreased (P<0.05), and the ADL scores were increased (P<0.05); the pain VAS score in the acupuncture and moxibustion group was lower than the herbal cake separated moxibustion group and the routine rehabilitation group after treatment (P<0.05), and the herbal cake separated moxibustion group was lower than the routine rehabilitation group (P<0.05); the ADL score in the acupuncture and moxibustion group after treatment was higher than the herbal cake separated moxibustion group and the routine rehabilitation group (P<0.05), and the herbal cake separated moxibustion group was higher than the routine rehabilitation group (P<0.05). The degree of changes in shoulder joint activity in the acupuncture and moxibustion group was larger than the herbal cake separated moxibustion group and the routine rehabilitation group, and the herbal cake separated moxibustion group was larger than the routine rehabilitation group (P<0.05). The total effective rate of the acupuncture and moxibustion group was 93.3% (28/30), which was higher than 83.3% (25/30) of the herbal cake separated moxibustion group and 73.3% (22/30) of the routine rehabilitation group (P<0.05).
Conclusion: On the basis of routine rehabilitation training, herbal cake separated moxibustion combined with umbrella shaped acupuncture with round sharp needle treating chronic scapulohumeral periarthritis of cold-damp stagnation can significantly reduce shoulder joint pain and improve shoulder joint function.
目的：探讨治疗寒凝湿滞型慢性肩周炎的有效疗法。方法：选择寒凝湿滞型慢性肩周炎患者90例，随机分为针灸组、隔药饼灸组、常规康复组，各30例。常规康复组予口服双氯芬酸钠缓释片（每次0.1 g，早餐后服用），配合康复功能训练，每日1次；在常规康复组治疗基础上，隔药饼灸组于患侧肩髃、肩髎、肩贞行隔药饼灸，每日1次；针灸组在隔药饼灸组治疗基础上，加用圆利针伞形针刺，穴取患侧肩髃、肩髎、肩贞、臑会、肩前、巨骨等，隔日1次。各组均治疗10 d，比较各组患者治疗前后疼痛视觉模拟量表（VAS）评分、肩关节日常生活能力（ADL）评分及肩关节活动变化程度，并比较各组临床疗效。结果：各组患者治疗后疼痛VAS评分均下降（P<0.05），肩关节ADL评分均升高（P<0.05）；针灸组治疗后疼痛VAS评分低于隔药饼灸组与常规康复组（P<0.05），隔药饼灸组低于常规康复组（P<0.05）；针灸组治疗后ADL评分高于隔药饼灸组与常规康复组（P<0.05），隔药饼灸组高于常规康复组（P<0.05）。针灸组肩关节活动变化程度大于隔药饼灸组与常规康复组（P<0.05），隔药饼灸组大于常规康复组（P<0.05）。针灸组总有效率为93.3%（28/30），高于隔药饼灸组的83.3%（25/30）与常规康复组的73.3%（22/30，P<0.05）。结论：在常规康复训练基础上，隔药饼灸联合圆利针伞形刺治疗寒凝湿滞型慢性肩周炎能明显减轻肩关节疼痛及改善肩关节功能。.
Keywords: chronic scapulohumeral periarthritis, cold-damp stagnationa; herbal cake separated moxibustiona; round sharp needle; shoulder joints paina.