主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (7): 611-616.doi: 10.3969/j.issn.1006-2157.2019.07.014

• 临床研究 • 上一篇    

热性针灸治疗冈上肌钙化性肌腱炎的临床研究

王德凤1, 蔡琳2   

  1. 1 法国黄家中医药学院 图卢兹 31000;
    2 伦敦中医学院
  • 收稿日期:2019-02-10 出版日期:2019-07-30 发布日期:2019-09-03
  • 作者简介:王德凤,女,硕士

Calcifying tendinitis of the supraspinatus treated with thermo-acupuncture: a randomized controlled trial

Wang Defeng1, Cai Lin2   

  1. 1 France Académie Wang of Chinese Medicine, Toulouse 31000, France;
    2 London College of Chinese Medicine, London KT64JL, UK
  • Received:2019-02-10 Online:2019-07-30 Published:2019-09-03
  • Contact: Wang Defeng, Master, Degree, Principal,France Académie Wang of Chinese Medicine. Address: 33 Rue bayard, Toulouse 31000, France. E-mail: aiye31@yahoo.com

摘要: 目的 观察热性针灸治疗冈上肌钙化性肌腱炎的临床疗效并探讨其作用机制。方法 将60例冈上肌钙化性肌腱炎的患者随机分为热性针灸组(观察组)和电针组(对照组),每组30例。观察组于双侧太冲、阳陵泉、血海和丰隆穴施以平补平泻;于患侧肩髎、巨骨施以温针,4~5 d治疗 1次,经2~4次治疗,症状减轻后于患侧肩髎和钙化灶附近的阿是穴加施火针,1 次/周,共治疗8次。对照组的取穴同观察组,但于巨骨和肩髎穴施以电针,其他穴位均施以与观察组相同的平补平泻手法,4~5 d治疗1次,共治疗8次。比较两组患者治疗前后肩关节疼痛视觉模拟量表(VAS)评分、肩关节综合功能Constant系统评分,比较治疗前和治疗后3周影像检查钙化灶的变化情况。结果 经过8次治疗,两组治疗后与治疗前相比,VAS评分均有下降(P<0.05), Constant评分均有提高(P<0.05),观察组优于对照组 (P<0.05)。钙化灶的改变,观察组治疗后25例钙化灶消失,占83.3%;4例钙化灶减小,占13.3%。对照组治疗后,钙化灶消失0例;钙化灶减小6例,占20%,提示热性针灸消除钙化灶的功效远远超过电针。观察组的愈显率为96.6%,高于对照组的20%,差异有统计学意义(P<0.05)。结论 温针和火针相结合的热性针灸治疗冈上肌钙化性肌腱炎,疗程短、无创伤、费用低、疗效好。

关键词: 冈上肌钙化性肌腱炎, 热性针灸, 温针, 火针

Abstract: Objective To observe the clinical therapeutic effects of the thermo-acupuncture in the treatment of calcifying tendinitis of the supraspinatus and to explore its mechanism. Methods A total of 60 patients with calcifying tendinitis of the supraspinatus were randomly divided into thermo-acupuncture group (TA) (observation group) and electroacupuncture group (EA) (control group), with 30 cases in each group. In the TA group, “Ping Bu” (moderate reinforcing) and “Ping Xie” (moderate reducing) manipulations were applied to acupoints of Taichong (LV 3), Yanglingquan (GB 34), Xuehai (SP 10) and Fenglong (ST 40) in both sides while warm needles were applied to the acupoints of Jianliao (SJ 14) and Jugu (LI 16) in the affected side. The treatment was given once every 4-5 days. After 2-4 times when the symptoms were alleviated, the fire needles were applied to Jianliao points (SJ 14) in the affected side and Ashi points near the calcification once a week, which lasted for eight weeks. The acupoints of the EA group were the same as those of the TA group. Differently, the electroacupuncture was applied to Jianliao (SJ 14) and Jugu (LI 16) points while the other acupoints received moderate manipulations. The treatment was given once every 4-5 days with a total of 8 times. The Visual Analogue Scale (VAS) of shoulder joint pain and the Constant System Core of the shoulder joint function before and after treatment were compared between the two groups; and the changes of calcification were compared before and 3 weeks after the 8 treatments. Results After 8 treatments, the VAS scores were lower (P<0.05) and the Constant scores were higher (P<0.05) in both groups. However, the TA group was better than the EA group (P<0.05). As for the changes of calcification, 25 cases disappeared after treatments in the TA group, which were 83.3% of 30 cases, and 4 cases decreased, which accounted for 13.3%. In the EA group, no calcification disappeared and only 6 cases of calcification decreased after treatments, which were 20% of the total of 30 cases. It was suggested that the efficacy of thermo-acupuncture to eliminate calcification far exceeds that of electroacupuncture. The difference was statistically significant (P<0.05), for the curative rate of the TA group was 96.6% (29/30) and higher than that of the EA group (20/30). Conclusion TA, the combination of warm needle and fire needle, is an independent acupuncture therapy for calcifying tendinitis of the supraspinatus with the advantages of short-treatment term, no trauma, low cost, and high curative effect.

Key words: calcifying tendinitis of the supraspinatus, thermo-acupuncture, warm needle, fire needle

中图分类号: 

  • R274.961