Comparison of the effects of holographic Gua Sha and warm acupuncture in treating scapulohumeral periarthritis of wind-cold-dampness type (全息刮痧与温针灸治疗风寒湿型肩周炎效果对比)

Abstract

Objective This study intended to explore the impact of holographic Gua sha on the symptoms of patients with scapulohumeral periarthritis of wind-cold-dampness type. Methods From January 2024 to December 2024, 62 patients who diagnosed with scapulohumeral periarthritis of wind-cold-dampness type in the First Affiliated Hospital of Guizhou University of Chinese Medicine were divided into the experimental group and the control group according to the random number table method. The experimental group(n=31) received holographic Gua Sha in the corresponding meridians and holographic areas, while the control group received warm acupuncture at selected acupoints. The Visual Analogue Scale (VAS) scores, Constant-Murley Shoulder Scale (CMS) scores, overall effective rate of the two groups of patients before and after treatment were compared. Results After treatment, the VAS scores of both groups of patients were lower than those before treatment. Moreover, the VAS scores of the experimental group after one course and two courses of treatment were (1. 32±0. 28) points and (0. 44±0. 13) points respectively, which were lower than those of the control group (2. 18±0. 66) points and (1. 12±0. 42) points(P＜0. 05). After treatment, the CMS scores of both groups of patients were higher than those before treatment. Moreover, the CMS scores of the experimental group after one course and two courses of treatment were (68. 63±11. 36) and (78. 47±12. 26) points respectively, which were higher than those of the control group(62. 37±10. 84) and (70. 53±10. 24) points(P＜0. 05). There was a statistically significant difference in the therapeutic effects between the two groups (P＜0. 05). No adverse events such as burn, skin allergies, fainting from needles, moxibustion, scraping, or subcutaneous hematoma occurred in either group of patients. Conclusion The clinical effect of holographic GuaSha in the treatment of scapulohumeral periarthritis is remarkable, with high safety and good long-term effects. It is worthy of clinical promotion and application. (目的 探讨全息刮痧对风寒湿型肩周炎患者症状的影响。方法 选取2024年1月—12月在贵州中医药大学第一附属医院门诊诊断为肩周炎(风寒湿型)的62例患者为研究对象, 按随机数字表法随机分为试验组和对照组, 各31例。对照组在选定的穴位区域进行温针灸, 试验组在相应经络和全息区进行全息刮痧。比较两组患者治疗前后视觉模拟评分法(VAS)评分、Constant-Murley肩关节评分量表(CMS) 评分, 评价干预效果。结果 治疗后, 两组患者VAS评分均低于治疗前, 试验组治疗1个疗程、2个疗程后的VAS评分分别为(1. 32±0. 28)分、(0. 44±0. 33)分, 低于对照组的(2. 18±0. 66)分、(1. 12±0. 42)分, 差异有统计学意义(P＜0. 05)。治疗后两组患者CMS评分均高于治疗前, 试验组治疗1个疗程、2个疗程后CMS 评分分别为(68. 63±11. 46)、(78. 47±12. 26)分, 高于对照组的(62. 37±10. 84)、(70. 53±10. 24)分, 差异有统计学意义(P＜0. 05)。试验组治疗效果优于对照组, 差异有统计学意义(P＜0. 05)。两组患者均无灼伤、皮肤过敏、晕针、晕灸、晕刮、皮下血肿等不良事件发生。结论 全息刮痧治疗肩周炎的临床效果显著, 安全性高, 且远期效果好, 值得临床借鉴推广。