| Objective: To compare the clinical efficacy of stretch electroacupuncture combined with wheat grain moxibustion and conventional electroacupuncture combined with wheat grain moxibustion in the treatment of scapulohumeral periarthritis of qi stagnation and blood stasis,in order to provide a new idea for improving the clinical efficacy of acupuncture in the treatment of scapulohumeral periarthritis.Methods: To compare the clinical efficacy of stretching electroacupuncture combined with wheat grain moxibustion and conventional electroacupuncture combined with wheat grain moxibustion in the treatment of scapulohumeral periarthritis of qi stagnation and blood stasis type,in order to provide new ideas for improving the clinical efficacy of acupuncture and moxibustion in the treatment of scapulohumeral periarthritis.Methods: 60 patients with scapulohumeral periarthritis of qi stagnation and blood stasis were randomly divided into observation group and control group.The observation group was treated with stretch electroacupuncture combined with wheat grain moxibustion,while the control group was treated with routine electroacupuncture combined with wheat grain moxibustion.The two groups selected the affected side of Jianzhen,Jianliao,Jianliao and Tianzong points.Electroacupuncture treatment:(1)observation group: take the selected acupoint as the center,and prick one needle at a 45 ° angle at the left and right sides of the acupoint,with the depth of the two needles basically the same.The needle tip points to the acupoint,and after getting the gas,gather the two needle handles together to connect one pole of the electroacupuncture instrument.The operation of each point is the same.According to the principle of "Shouzhen-Tianzong" as a group,and "Shouzhen-Shouliao" as a group,respectively connect the electroacupuncture;(2)Control group: after getting Qi by routine acupuncture,electroacupuncture points were paired with the observation group and connected with electroacupuncture respectively.The continuous wave with frequency of 2Hz was selected for both groups of electroacupuncture,the intensity of which was determined by the patient’s tolerance,and the electrification time was 30 min.After the end of electroacupuncture,the two groups were treated with wheat grain moxibustion on the selected acupoints,and each acupoint was moxibustion for 3 times.Both groups of patients were treated every Monday,Wednesday and Friday.One week was one course of treatment,and two courses of treatment were continuous.By observing the changes of visual analog scale(VAS),shoulder joint function score(Constant-Murley,CMS),activities of daily living(ADL)and TCM syndrome score before and after treatment,and evaluating the curative effect,the statistical method was used to statistically analyze the collected data.Results:1.Baseline data comparison: Before treatment,there was no significant difference between the two groups in general data such as age,sex,course of disease,VAS score,CMS score,ADL score and TCM syndrome score(P>0.05),indicating that the two groups were comparable.2.Comparison of clinical efficacy between the two groups: the clinical efficacy of the observation group was significantly better than that of the control group(P<0.05).3.Comparison of VAS scores between the two groups after treatment:(1)Intra-group comparison: the VAS scores of the two groups after treatment were lower than those before treatment(P < 0.05),indicating that both groups of treatment can improve pain.(2)Comparison between groups: the VAS score of the observation group after treatment was lower than that of the control group(P < 0.05),indicating that the observation group was better than the control group in improving pain.4.Comparison of CMS scores between the two groups after treatment:(1)Intra-group comparison: the CMS scores of the two groups after treatment were higher than those before treatment(P<0.05).(2)Comparison between groups: The CMS score of the observation group was higher than that of the control group after treatment(P<0.05),indicating that the observation group was better than the control group in improving the function of shoulder joint.5.Comparison of ADL scores between the two groups after treatment:(1)Intragroup comparison: ADL scores of the two groups after treatment were significantly higher than those before treatment(P < 0.05).(2)Comparison between groups: The ADL score of the observation group after treatment was higher than that of the control group(P<0.05),indicating that the observation group was better than the control group in improving quality of life.6.Comparison of TCM syndrome scores between the two groups after treatment:(1)Intra-group comparison: the TCM syndrome scores of the two groups after treatment were lower than those before treatment(P<0.05).(2)Comparison between groups: after treatment,the score of TCM symptoms in the observation group was lower than that in the control group(P<0.05),indicating that the observation group was better than the control group in improving TCM symptoms.Conclusion(s): Traction electroacupuncture combined with wheat grain moxibustion has a good clinical effect in the treatment of scapulohumeral periarthritis of qi stagnation and blood stasis type.It is superior to conventional electroacupuncture combined with wheat grain moxibustion in improving shoulder pain,joint activity,quality of life and TCM symptoms,and is worthy of wide clinical application. |