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目的 观察推拿联合温针灸治疗原发性冻结肩的临床效果.方法 选取温州市中医院在2018年4月至2019年4月收治的原发性冻结肩患者30例为研究对象,根据入院时间的不同将其分为观察组和对照组,每组15例.对照组应用温针灸治疗,观察组患者在此基础上联合推拿治疗,对比观察两组患者在治疗后的总有效率与视觉模拟评分法(VAS)疼痛评分.结果 观察组总有效率为93.33％(14/15),高于对照组的73.33％(11/15)(χ2 =3.294,P <0.05);观察组治疗后 VAS 疼痛评分为(1.05 ± 0.22)分,低于对照组的(3.13 ± 0.43)分(t=2.493,P=0.000).结论 推拿联合温针灸治疗原发性冻结肩,相比于单一手段治疗效果更加显著,能缓解患者疼痛程度,是一种安全有效的治疗措施.“,”Objective To observe the clinical effect of massage combined with warm acupuncture and moxibustion on primary frozen shoulder.Methods From April 2018 to April 2019,30 patients with primary frozen shoulder admitted and treated in Wenzhou Hospital of Traditional Chinese Medicine were selected in theresearch.According to different admission time,they were divided into observation group and control group,with 15 patients in each group.The control group was treated with warm acupuncture and moxibustion,while the observation group was combined with massage.The total effective rate and VAS pain score after treatment were compared and observed.Results The total effective rate in the observation group was 93.33％,which was higher than 73.33％in the control group(χ2 =3.294,P<0.05).The VAS score of the observation group was(1.05 ± 0.22)points after treatment,which was lower than(3.13 ± 0.43)points of the control group,the difference between the two groups was statistically significant(t=2.493,P=0.000).Conclusion Massage combined with warm acupuncture and moxibustion in the treatment of primary frozen shoulder is more effective than the single treatment method,which can relieve the pain of patients and is a safe and effective treatment.