摘要
目的:在常规针刺及康复训练基础上,观察温针灸外关穴对脑卒中后肩手综合征Ⅰ期的治疗作用。方法:将60例脑卒中后肩手综合征Ⅰ期患者随机分为温针灸组30例和对照组30例。温针灸组采用温针灸外关穴配合常规针刺及康复训练,对照组采用常规针刺及康复训练。针刺及康复训练每次各30min,温针灸每次20min,每日治疗1次,每周5次,共治疗10次。分别于治疗前后应用疼痛视觉模拟评分(VAS)、水肿分级评分、简式Fugl-Meyer量表进行评定。结果:两组治疗后VAS、水肿分级评分、简式Fugl-Meyer评分均较治疗前改善(P<0.01),温针灸组的改善作用优于对照组(P<0.01)。温针灸组的总有效率[96.7%(29/30)]明显高于对照组[80.0%(24/30)],P<0.05。结论:常规针刺及康复疗法配合温针灸外关穴治疗脑卒中后肩手综合征Ⅰ期有很好的临床疗效。
Objective To evaluate the therapeutic effect of warm acupuncture （moxa-heated acupuncture） needle stimulation of Waiguan （TE 5） acupoint in the treatment of shoulder-hand syndrome （phase Ⅰ ） in patients with stroke. Methods Sixty stroke patients with shoulder-hand syndrome （phase Ⅰ ） were equally randomized into control group and warm acupuncture group. Patients of the warm acupuncture group were treated by warm acupuncture stimulation of the affected TE 5 in combination with routine acupuncture stimulation of Jianyu （LI 15）, Jianjing （GB 21）, Quchi （LI 11）, Wangu （SI 4）, Yangchi （TE 4） and Hegu （LI 4）, and rehabilitation training （passive and active upper-limb motion exercise for 30 min, once daily）, and patients of the control group treated with routine acupuncture stimulation of the same acupoints mentioned above, and rehabilitation training. The treatment was conducted once daily, 5 times per week for two weeks. The patients＇ clinical conditions were evaluated by using Visual Analogue Scale （VAS, 0-10 points, shoulder pain degree）, edema severity score （0 point：normal, 2 points： mild, 4 points： moderate, and 6 points： severe） and simplified FugI-Meyer motor assessment scale （0, 1 and 2 points, upper-limb motor function） before and after the treatment. Results After the treatment, the scores of VAS and edema severity of the two groups were significantly decreased in comparison with pre-treatment in the same one group （P〈0.01）, and the FugI-Meyer motor scores were considerably increased （P〈0.01）, suggesting an improvement of the shoulder-hand syndrome after two weeks＇ treatment. Of the two 30 patients in the control group and warm acupuncture group, 0 and 2 （6.7%） were cured, 7 （23.3%） and 25 （83.3%） experienced marked improvement, 17 （56.7%） and 2 （6.7%） were effective, 6 （20.0%） and 1 （3.3%） invalid, with the effective rates being 80.0 % and 96.7 %, respectively. The effect of warm acupuncture group was superior to that of the control group（P〈0.05）. Conclusion Warm acupuncture combined with routine acupuncture and rehabilitation training is effective in improving shoulder pain, hand edema and limb motor function in stroke patients with shoulder-hand syndrome at phase Ⅰ .
出处
《针刺研究》
CAS
CSCD
北大核心
2014年第3期228-231,251,共5页
Acupuncture Research
关键词
脑卒中
肩手综合征
温针灸
外关
肩痛
手水肿
上肢运动功能
Stroke
Shoulder-hand syndrome
Warm acupuncture therapy
Waiguan （TE 5）
Shoulder pain
Hand edema
Limb motor function
