蔡灵波 谢丽华

【摘 要】 目的：观察电针联合刺络拔罐治疗冈上肌肌腱炎的临床效果。方法：选取60例冈上肌肌腱炎患者为受试对象，根据不同治疗方式将患者分为观察组和对照组，两组各30例。对照组患者单纯应用电针治疗；观察组患者同时应用电针和刺络拔罐治疗。观察两组治疗后临床疗效、疼痛评分等内容。结果：经治疗后，观察组患者临床痊愈率为36.7%，总有效率为96.7%，均明显高于对照组（P<0.05）；两组在VAS评分和C-M评分相比较，差异均存在统计学意义（P<0.05）。结论：联合刺络拔罐和电针治疗冈上肌肌腱炎的临床疗效优于单独电针治疗，且患者疼痛和肩关节功能均有改善，值得在临床推广应用。

【关键词】 冈上肌肌腱炎；电针；刺络拔罐

【中图分类号】R685 【文献标志码】 A【文章编号】1007-8517（2016）13-0060-02

Abstract：Objective To observe the effect of electric acupuncture combined with blood-letting puncture and cupping in the treatment of supraspinatus tendinitis . Methods 60 cases with supraspinatus tendinitis from september 2015 to march 2016 in our hospital were selected as the subjects， according to the different treatment methods divided into the combined group and control group， 30 cases in each group. The control group were treated by electric acupuncture，and combined group received electric acupuncture and blood-letting puncture and cupping. Observe the clinical efficacy of the two groups after treatment， pain score， etc.. Results After treatment， the clinical cure rate was 36.7%， the total efficiency was 96.7% of patients in the combined group， was higher than the control group，（P<0.05）.Compared The differences in VAS and C-M score in Two groups were statistical significance （P<0.05）.Conclusion The Blood-letting puncture and Cupping Combined with Electric acupuncture is better than Electric acupuncture in treating supraspinatus tendinitis，the pain and shoulder joint function were improved significantly， it is worth further research in the future.

Keywords：Supraspinatus Tendinitis；Electric Acupuncture；Blood-letting Puncture and Cupping

冈上肌肌腱炎（Supraspinatus tendinitis）是导致肩关节痛的常见病因，常发生于中青年等体力劳动者、运动员及家庭主妇中，主要临床表现为局限性疼痛、活动受限等，极易导致继发性冈上肌腱钙化[1]。该症具有显著“疼痛弧征”，即肩外展呈60°～120°时存在显著痛感，但在该范围之外时无疼痛或痛感减弱[2]。临床中该症易误诊为肩周炎等，目前治疗主要采取非手术治疗法，但不同治疗取得的疗效存在较大差别。中医临床治疗的疗效已得到广泛认可，可采取推拿、刺络拔罐、针灸、穴位埋线、小针刀等疗法。笔者采取电针和刺络拔罐疗法用于冈上肌肌腱炎患者治疗中，显著改善了患者疼痛，取得了显著疗效，现报道如下。

1 资料与方法[KH*2D]

1.1 一般资料 将我院2015年9月至2016年3月期间收治的冈上肌肌腱炎60例患者选为本研究受试对象，其中男性患者44例，女性患者16例；年龄在28～47岁，病程1个月至6年。根据不同治疗方式将其分为观察组和对照组各30例，其中观察组男6例、女24例，年龄28～45岁，平均年龄（44.03±7.25）岁；……