摘要
目的:对比耳针沿皮透穴刺法与耳针直刺法对肩周炎的快速镇痛效应。方法:66例肩周炎患者按性别和病情两个重要的预后因素一一配对,将每对受试对象随机分为试验组和对照组。试验组用耳针沿皮透穴刺法,对照组用耳穴直刺法。采用单盲法,以简化McGill疼痛评分表对入选的全部病例进行治疗前和治疗后5、30 min疼痛程度的积分记录,然后分别采用质反应序贯试验和配对t检验的统计方法进行分析。结果:序贯试验结果:透刺组与直刺组在针刺后5 min时镇痛效应差异无统计学意义(P>0.05);透刺组在针刺后30 min时的镇痛效应优于直刺组(P<0.05)。配对t检验结果:透刺组与直刺组在针刺后5 min和30 min对肩周炎镇痛效应的差异均有统计学意义(P<0.05)。结论:耳针透刺法对肩周炎的快速镇痛效应优于耳针直刺法。
Objective To confirm the better analgesic effect of subcutaneous penetration needling of otopoints for treatment of scapulohumeral periarthritis （SHPA） patients. Methods Sixty-six SHPA patients were randomized into penetration-needling group （n=33） and straight needling group （n = 33） by using pairing principle according to the sex and state of disease. Penetration needling was adopted for patients of penetration-needling group, while straight needling was used for those of straight needling group. Simplified McGill Scale was used to evaluate the patients＇ pain reactions. The pain integral scores were analyzed by using sequential test and pairing t test. Results Sequential test showed that the analgesic effect of penetration needling was significantly superior to that of straight needling 30 min after the treatment （P〈0.05）. Pairing t test results displayed that penetration needling had a marked analgesic effect 5 min and 30 min after the treatment compared with straight needling （P〈0.05）. Conclusion The rapid analgesic effect of penetration needling is superior to that of straight needling in the treatment of scapulohumeral periarthritis.
出处
《针刺研究》
CAS
CSCD
2008年第5期339-342,共4页
Acupuncture Research
基金
河北省卫生厅中医专项基金项目(No.05032)
关键词
肩周炎
耳针
镇痛
透刺
直刺
Scapulohumeral periarthritis
Auricular acupuncture
Analgesia
Penetration needling
Straight needling
