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目的:比较循经远取动法与肩三针法治疗肩关节周围炎的临床疗效.方法:将50例肩关节周围炎患者随机分为观察组和对照组,各25例,观察组采用循经远取动法治疗,如手太阴经型取鱼际,手阳明经型取合谷等;对照组采用肩三针法治疗,穴取肩前、肩髃、肩髎,7天为一疗程,共治疗2个疗程.结果:观察组肩关节活动度治愈率为72.0%(18/25),优于对照组的40.0%(10/25)(P<0.05).治疗后观察组简化McGill疼痛问卷(SF-MPQ)评分、视觉模拟评分(VAS)和现有疼痛强度(PPI)评分的改善均优于对照组(均P<0.05)结论:循经远取动法治疗肩关节周围炎在镇痛作用、提高肩关节活动度方面均优于肩三针法.“,”Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yǘji(鱼际LU 10)and the case of Hand-Yangming type was treated with Hégǚ(合谷LI4),etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián (肩前Extral),Jiānyǘ(肩髃 LI 15)and Jiǎnliáo(肩髎 TE 14)were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0%(18/25),which was superior to that of 40.0%(10/25)in control group (P<0.05).After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group(all P<0.05).Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.