文献类型：期刊文献

中文题名：郑氏“金钩钓鱼”针法治疗肩关节周围炎临床随机对照研究

英文题名：Randomized Control Study of Zheng's Gold Hook Fishing Acupuncture for Treatment of Scapulohumeral Periarthritis

作者：盛雪燕[1];朱田田[1];邢家铭[1];张彦峰[1];韩雅迪[1];严兴科[1]

第一作者：盛雪燕

机构：[1]甘肃中医药大学针灸推拿学院,甘肃兰州730000

第一机构：甘肃中医药大学针灸推拿学院

年份：2016

卷号：23

期号：3

起止页码：12

中文期刊名：中国中医药信息杂志

外文期刊名：Chinese Journal of Information on Traditional Chinese Medicine

收录：CSTPCD;;CSCD:【CSCD_E2015_2016】；

基金：国家中医药管理局甘肃郑氏针法学术流派传承工作室建设项目(2305135901)

语种：中文

中文关键词：肩周炎;郑氏金钩钓鱼针法;临床研究

外文关键词：scapulohumeral periarthritis;;Zheng's gold hook fishing acupuncture;;clinical study

摘要：目的观察郑氏"金钩钓鱼"针法治疗肩周炎的临床疗效。方法将60例肩周炎患者随机分为2组,每组30例。金钩钓鱼组取患侧天宗、秉风、臂臑、肩髃、肩髎、肩贞、阿是穴、曲池、外关、合谷、后溪、条口透承山及双侧颈6-胸2夹脊穴,毫针刺入后在有筋结或条索状的穴位及阿是穴操作"金钩钓鱼"针法,余穴采用平补平泻法;平补平泻组取穴同金钩钓鱼组,针刺用平补平泻法。每日1次,5 d为1个疗程,治疗2个疗程。治疗前后进行疼痛视觉模拟量表(VAS)、肩关节活动范围(ROM)、日常生活活动能力(ADL)评分,评定临床疗效。结果金钩钓鱼组总有效率为90.0%(27/30),平补平泻组为83.3%(25/30),金钩钓鱼组疗效更优(P<0.05)。2组治疗前后VAS、ROM、ADL评分均有不同程度改善,金钩钓鱼组改善更为明显(P<0.05)。结论郑氏"金钩钓鱼"针法能有效改善肩周炎患者的临床症状和体征,提高患者的生活质量。
Objective To observe the efficacy of Zheng’s “gold hook fishing acupuncture” in the treatment of scapulohumeral periarthritis. Methods Sixty patients were randomly divided into gold hook fishing group and reinforcing-reducing group, with 30 cases in each group. Gold hook fishing group chose the main points from the Tianzong (SI11), Bingfeng (SI12), Jiajixue (double EX-B2), Binao (LI14), Jianyu (LI15), Jianliao (SJ14), Jianzhen (SI9), Ashi, Naoshu (SI10), Quchi (LI11), Waiguan (SJ5), Hegu (LI4), Houxi (SI3), Tiaokou (ST38) and Chengshan (BL57). Needles were pierced at tendon junction points and Ashi points, and golden hook fishing acupuncture was operated. Other points were given reinforcing-reducing method. The reinforcing-reducing group was treated with reinforcing-reducing method at points the same as gold hook fishing group. Patients were treated once a day for 2 courses, 5 days as a treatment course. The pain visual analogue scale (VAS), shoulder range of motion (ROM), and ability of daily life (ADL) were observed before and after treatment to evaluate the clinical efficacy. Results The total effective rate of gold hook fishing group was 90.0% (27/30), better than the reinforcing-reducing group 83.3% (25/30, P<0.05); VAS pain score, ROM score and ADL score before and after treatment in the two groups were improved to some extent (P<0.05), and scores in the golden hook fishing group were improved more significantly compared with reinforcing-reducing group (P<0.05). Conclusion Zheng’s gold hook fishing acupuncture can effectively improve the clinical symptoms and signs of patients with scapulohumeral periarthritis and their life quality.