摘要
Objective：To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.Methods：Eighty-six cases with post-stroke shoulder-hand syndrome were randomly divided into an observation group and a control group,43 cases in each group.Patients in the observation group were treated by point-through-point needling combined with tuina therapy on the basis of the conventional treatment;while patients in the control group were treated by tuina therapy on the basis of conventional therapy.Six treatments constitute a course,and the efficacy was evaluated after 4 courses.Results：The total effective rate was 88.4% in the observation group,and it was 69.8% in the control group.And the comparison indicated that the observation group had a more efficient result than the control group did （χ 2 =4.497,P〈0.05）.The scores of visual analogue scale （VAS） and Fugl-Meyer assessment （FMA） were significantly improved after treatments in both groups （P〈0.05 or P〈0.01）.After treatment,the scores of VAS and FMA of the observation group were significantly different from that in the control group （P〈0.05）.Conclusion：Because of the efficacy,point-through-point needling combined with tuina therapy for shoulder-hand syndrome after stroke is certainly worthy of further study,and can be used in clinical practice.
目的:观察透刺结合推拿治疗中风后肩-手综合征的临床疗效。方法:将 86 例确诊的中风后肩-手综合征患者随机分为观察组和对照组,每组 43 例。观察组在脑卒中入院常规治疗基础上予以透刺、推拿治疗;对照组在脑卒中入院常规治疗基础上予以与观察组相同的推拿治疗。6 次为一个疗程,治疗 4个疗程后评价疗效。结果:观察组总有效率 88.4%,对照组总有效率 69.8%,两组总有效率比较,χ2=4.497,P<0.05,表明观察组总有效率优于对照组。两组患者治疗后视觉疼痛模拟评分(Visual Analogue Scale, VAS)评分、Fugl-Meyer评价法(Fugl-MeyerAssessment, FMA)评分均较治疗前有明显改善,治疗前后比较差异均有统计学意义(P<0.05 或P<0.01)。治疗后观察组VAS评分、FMA评分与对照组比较差异均有统计学意义(P<0.05)。结论:透刺配合推拿治疗中风后肩-手综合征疗效肯定,值得进一步研究,并在临床推广使用。
