针刺配合推拿治疗冈上肌肌腱炎疗效观察.pdfVIP

· 20· Shanghai J Acu—mox，Feb 2008，Voj 27．No2 文章编号：1005-0957(2008)02-0020-02 · 临床研究· 针刺配合推拿治疗冈上肌肌腱炎疗效观察 高 扬 (扬州市中医院，江苏225009) 【摘要】 目的 观察针刺、推拿治疗冈上肌肌腱炎的临床疗效。方法 将100例冈上肌肌腱炎患者随机分为两组，治疗组50 例采用针刺推拿，对照组50例采用单纯针刺治疗；每日1次，l0次为1个疗程，2个疗程后进行疗效评定。结果 治疗组总有 效率96．0％，对照组总有效率74．0％，两组总有效率经 检验(P0．01)，差异有统计学意义。结论 针刺配合推拿治疗冈 上肌肌腱炎疗效优于单纯针刺治疗。 【关键词】 冈上肌肌腱炎；针刺疗法；推拿 ． 【中徒分类号】 R246．2 【文献标识码】 A Observations on the Efficacy of Acupuncture plus Massotherapy in Treating Supraspinatus Tendinifis GAO ． Yang- zhou Hospital of Traditional Chinese Medicine，Jiangsu 225009，China 【Abstract】 Objective To investigate the clinical efficacy of acupuncture plus massotherapy in treating supraspinatus tendinitis． Methods One hundred patients with supraspinatus tendinitis were randomly allocated to two groups．The treatment group of 50 cases was treated with acupuncture plus massotherapy and the control group of 50 cases，with simple acupuncture．Treatment Was given once daily，10 times as a course．The therapeutic effects were evaluated after two courses of treatment．Results The total efficacy rate Was 96．0％ in the treatment group and 74．0％ in the control group．Anx test showed that there was a statistically significant difference in the total efficacy rate between the two groups(P0．01)．Conclusion Acupuncture plus massotherapy is superior to simple acupunc- ture in treating supraspinatus tendinitis． 【Key words】 Supraspinatus tendinitis；Acupuncture；Massotherapy 冈上肌肌腱炎是针灸科临床常见病、多发病。该病多由 1．2．1 多由肩部外伤，劳损或感受风寒湿邪所致。 肩部外伤、劳损或感受风寒湿邪所致，好发于中老年人，多数 1．2．2 好发于中老年人，多数呈缓慢发病。 呈缓慢发病，病程长，单纯针刺疗效慢，且易复发。有些患者 1．2．3 肩部外侧渐进性疼痛，活动受限。 不及时治疗，形成患肩关节周围肌肉、肌腱、关节囊等软组织 1．2．4 肱骨大结节处或肩峰下有明显压痛，肩关节外展 发生慢性无菌性炎症，导致关节内外广泛粘连，以及由于肩 60。～120。出现“疼痛弧”。部分病例有冈上肌肌腱钙化存 关节制动引起关节周