摘要Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际LU10),Hégǔ(合谷LI4),Zhōngzhǔ(中渚TE3),Hòuxī (后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭GV 24) andYìntáng(印堂EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA (the Hamilton Anxiety Scale) are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7％ (24/28),which was higher than 69.0％ (20/29) of the control group (P ＜ 0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups (the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P ＜ 0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups (the treatment group:6.67 ± 1.43 vs 2.68 ± 0.81,the control group:7.57 ± 1.31 vs 4.56 ± 1.35,both P ＜ 0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group (both P ＜ 0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups (the treatment group:54.65 ± 1.65 vs 65.54 ± 2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P ＜ 0.05).There were significant statistical differences before treatment and at follow-up in the two groups (the treatment group:54.65 ± 1.65vs 66.18 ± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P ＜ 0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group (both P ＜ 0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups (the treatment group:16.83 ± 1.56vs 13.26 ± 2.36,the control group:17.04 ± 1.84vs 15.23 ± 3.17,both P ＜ 0.05).There were significant statistical differences before treatment and at follow-up in the two groups (the treatment group:16.83 ± 1.56vs 11.01 ± 3.20,the control group:17.04 ± 1.84vs 13.68 ± 2.49,both P ＜ 0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group (both P ＜ 0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.