针刺“肩胛骨热透”技术治疗肩周炎的探索性研究

IF 0.6 4区医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE

World Journal of Acupuncture-Moxibustion Pub Date : 2024-10-01 DOI:10.1016/j.wjam.2024.09.004

Shuo-quan RUAN (阮铄荃), Shu-ren MING (明树人), Chao-nan LI (李超楠), Jin-chuan RAN (冉津川), Bing-li CHEN (陈炳力), Wen SHU (舒文), Ting-ting DUAN (段婷婷), Wen-guang HOU (侯文光)

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引用次数: 0

摘要

目的观察针刺“肩胛骨热透法”治疗肩周炎的临床疗效。这是一项单中心随机对照试验，受试者、结果评估者和统计学家采用盲法。试验于2021年6月至2022年1月在上海中医药大学岳阳中西医结合医院针灸科进行。研究对象：67例肩周炎患者。干预措施对照组采用常规针刺，试验组采用针刺“肩胛骨热透”技术。干预每2天1次，每周3次；一个疗程包括9次治疗。第1次治疗前和第9次治疗后，观察并记录各组患者的症状和体征。主要观察指标：治疗前和治疗结束后视觉类比量表（VAS）评分。次要观察指标：肩关节活动度（ROM）、肩关节日本骨科协会（JOA）评分、肩关节周围红外热成像温度。结果共收集病例102例，合格病例72例，撤回病例5例。67例纳入分析。组内比较，试验组和对照组治疗9次后VAS评分、ROM、JOA评分及肩关节温度均较治疗前改善(P <；0.05)。两组比较，治疗9次后，试验组VAS评分低于对照组(P <；0.05);在关节活动度和肩关节温度的改善方面，试验组优于对照组(P <；0.05)。两组患者均未见不良反应。结论针刺“肩周炎热透法”与常规针刺治疗肩周炎均有较好的疗效。但在缓解疼痛、改善肩关节活动度、改善日常生活活动、改善肩关节温度等方面，针刺“肩胛骨热透”技术优于常规针刺。登记numberChiCTR1900025505

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“Scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis: An exploratory research

Objective

To observe the clinical effect of “scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis.

Design

It was a single-central randomized controlled trial, the participants, outcome assessors and statisticians were blinded.

Setting

The trial was undertaken in Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, from June 2021 to January 2022.

Participants

Sixty-seven patients with scalpulohumeral periarthritis were participated.

Interventions

In the control group, the routine acupuncture was given, while in the trial group, the “scapular heat penetration” technique of acupuncture was adopted. The intervention was delivered once every two days, 3 treatments a week; and one course included 9 treatments. Before the 1st treatment and after the 9th treatment, the symptoms and physical signs were observed and recorded in each group.

Outcomes

Primary outcome: the score of visual analogy scale (VAS) before treatment and after treatment completion. Secondary outcomes: the range of movement (ROM) of shoulder joint, the score of Japanese Orthopaedic Association (JOA) of shoulder joint and the infrared thermal imaging temperature around the shoulder.

Results

A total of 102 cases were collected, 72 cases of them were eligible and 5 cases were withdrawn. Sixty-seven cases were included in analysis. In the within-group comparison, VAS score, ROM and JOA score as well as the shoulder temperature were all ameliorated after 9 treatments in either the trial group or the control group, compared with those before treatment (P < 0.05). In the comparison between two groups, after 9 treatments, VAS score in the trial group was lower than that of the control group (P < 0.05); and the improvements in ROM and shoulder temperature in the trial group were better than those of the control group (P < 0.05). No adverse reactions were found in the two groups.

Conclusion

Both the “scapular heat penetration” technique of acupuncture and the conventional acupuncture are effective on scapulohumeral periarthritis. But, regarding the improvements in pain, ROM of shoulder joint, the activity of daily life and shoulder temperature, the “scapular heat penetration” technique of acupuncture is superior to the conventional acupuncture.

Registration number

ChiCTR1900025505

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来源期刊

World Journal of Acupuncture-Moxibustion INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

1.30

自引率

28.60%

发文量

1089

审稿时长

50 days

期刊介绍： The focus of the journal includes, but is not confined to, clinical research, summaries of clinical experiences, experimental research and clinical reports on needling techniques, moxibustion techniques, acupuncture analgesia and acupuncture anesthesia.