【摘要】 目的 观察密集型银质针松解术结合臂丛神经阻滞麻醉治疗老年肩周炎的疗效。 方法 2007年4月-2008年6月，将120例老年肩周炎患者（ gt;60岁）随机分为治疗组、对照组各60例；治疗组采用密集型银质针松解术结合臂丛神经阻滞麻醉治疗，对照组则用单纯密集型银质针松解术治疗。 结果 治疗组痊愈43例、显效15例、好转2例；对照组痊愈41例、显效16例、好转3例。总有效率均为100%。两组疗效差异无统计学意义（P gt;0.05），治疗组心率血压变化值及疼痛评分均低于对照组，差异有统计学意义（P lt;0.05）。 结论 密集型银质针松解术结合臂丛神经阻滞为治疗老年肩周炎的安全、有效方法。
【Abstract】 Objective To investigate the effect of dense silver needle acupuncture therapy combined with brachial plexus nerve block for old patients with shoulder periarthritis. Methods A total of 120 patients with shoulder periarthritis diagnosed in our hospital between April 2007 and June 2008 were randomly divided into treatment group and control group with 60 in each group. Patients in the treatment group were treated with dense silver needle acupuncture therapy combined with brachial plexus nerve block, while patients in the control group were only treated with dense silver needle acupuncture therapy. Results In the treatment group, 43 patients were cured, the treatment produced effect in 15 patients, and improvement could be found in two patients. For the control group, those three numbers were respectively 41, 16 and 3. The effectice rate was 100% in both groups. The difference of effect between the two groups was not statistically significant (P gt;0.05), while the variation of blood pressure and heart rate and the visual analogue scales in the treatment group were significant lower than these in the control gvroup (P lt;0.05) Conclusion The dense silver needle acupuncture therapy combined with brachial plexus nerve block is safe and effective in treating old patients with shoulder periarthritis.
Citation：
LI Xinming,LI Dingming,JIANG Pengfei. The Clinical Investigation of the Dense Silver Needle Acupuncture Therapy Combined with Brachial Plexus Nerve Block for Old Patients with Shoulder Periarthritis. West China Medical Journal, 2011, 26(2): 239-241. doi:
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邓毅勇, 刘光伟, 陶涛, 等. 银质针肌肉导热治疗肩周炎临床观察[J]. 中国疼痛医学杂志, 2006, 12(1): 58-59.
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潘建安. 火烧银质针结合推拿和功能锻炼治疗肩周炎130例[J]. 江苏中医药, 2009, 41(12): 58-59.
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王福根. 银质针疗法在临床疼痛诊治中的应用[J]. 中国疼痛医学杂志, 2003, 9(3): 173-181.
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- 1. 谭冠先. 疼痛诊疗学[M]. 北京: 人民卫生出版社, 2001: 94.
- 2. Spacca G, Cacchio A, Forgács A, et al. Analgesic efficacy of a lecithin-vehiculated diclofenac epolamine gel in shoulder periarthritis and lateral epicondylitis: a placebo-controlled, multicenter, randomized, double-blind clinical trial[J]. Drugs Exp Clin Res, 2005, 31(4): 147-154.
- 3. Heller B, Tarricone R. Oxaprozin versus diclofenac in NSAID-refractory periarthritis pain of the shoulder[J]. Curr Med Res Opin, 2004, 20(8): 1279-1290.
- 4. 彭君华, 刘永锋, 于海波. 肩三针结合辨证配穴治疗肩周炎30例疗效观察[J]. 广东医学, 2009, 30(11): 1745.
- 5. 罗淑文. 针刀配合手法及中药离子导入治疗肩周炎临床观察[J]. 实用中医药杂志, 2009, 25(11): 728-729.
- 6. 梁景荣, 饶汉荣, 陈喜炎, 等. 玻璃酸钠注射联合关节松动术治疗急性期肩周炎临床疗效观察[J]. 中国实用医药, 2010, 5(22): 11-12.
- 7. 赵建华, 黄秀金, 孙倩雯. 肩关节松动术结合针刺火罐治疗肩周炎[J]. 中国康复, 2009, 24(5): 341.
- 8. Niewald M, Fleckenstein J, Naumann S. Ruebe C Long-term results of radiotherapy for periarthritis of the shoulder: a retrospective evaluation[J]. Radiat Oncol, 2007, 14(2): 34.
- 9. 邓毅勇, 刘光伟, 陶涛, 等. 银质针肌肉导热治疗肩周炎临床观察[J]. 中国疼痛医学杂志, 2006, 12(1): 58-59.
- 10. 唐强, 高莉, 赵中才. 密集型银质针治疗冻结肩临床体会[J]. 现代中医药, 2006, 26(2): 52.
- 11. 潘建安. 火烧银质针结合推拿和功能锻炼治疗肩周炎130例[J]. 江苏中医药, 2009, 41(12): 58-59.
- 12. 王福根. 银质针疗法在临床疼痛诊治中的应用[J]. 中国疼痛医学杂志, 2003, 9(3): 173-181.
