摘要
目的观察白芥子天灸疗法对脑卒中后偏瘫肩痛患者肩关节疼痛程度、肩关节活动度和上肢运动功能的影响。方法将脑卒中后偏瘫肩痛患者82例随机分为治疗组和对照组,每组各41例,对照组予常规治疗、护理与康复训练,治疗组在此基础上实施白芥子天灸疗法,每天1次,每次1 h,每周敷贴5次,2 w为1个疗程,共干预2个疗程。分别于干预前、干预2 w和干预4 w后评定患者的肩关节疼痛程度、肩关节活动度和上肢运动功能。结果最终完成74例,其中治疗组37例,对照组37例。干预2 w和干预4 w后治疗组的视觉模拟评分(Visual Analogue Score,VAS)均低于对照组,差异均具有统计学意义(P<0.05)。干预2 w后,治疗组肩前屈的活动度改善优于对照组,差异具有统计学意义(P<0.05),干预4 w后,治疗组肩前屈、肩后伸、肩外展、肩内旋和肩外旋的活动度均优于对照组,差异均具有统计学意义(P<0.05)。干预4 w后治疗组Fugl-Meyer运动功能评分量表的上肢部分(Upper Limb of Fugl-Meyer Motor Assessment,U-FMA)评分高于对照组,差异具有统计学意义(P<0.05)。结论白芥子天灸疗法能够有效减轻脑卒中偏瘫肩痛患者的肩痛程度、肩关节活动度和上肢运动功能。
Objective To observe the effect of baijiezi blistering moxibustion therapy of traditional Chinese medicine(TCM)on shoulder pain,shoulder range of motion and upper limb motor function.Methods In this study,82 patients with post-stroke hemiplegic shoulder pain were randomly divided into experimental group and control group,with 41 cases in each group.The control group received conventional treatment,nursing and rehabilitation training,while the experimental group implemented baijiezi blistering moxibustion therapy of TCM on the basis of the control group,once a day,1 hour each time,5 times per week,2 weeks as a course of treatment,a total of 2 courses of intervention.Before the intervention,2 weeks after intervention and 4 weeks after intervention,the degree of shoulder pain,shoulder range of motion,and upper limb motor function were evaluated.Results Finally,74cases completed the trial,with 37cases in the experimental group and 37 cases in the control group.The results showed that visual analogue score(VAS)of the experimental group were lower than that of the control group after 2 and 4 weeks of intervention,and the difference was statistically significant(P<0.05).After 2 weeks of intervention,the improvement in the activity of shoulder flexion in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).After 4 weeks of intervention,the activity of shoulder flexion,shoulder extension,shoulder abduction,shoulder internal rotation,and shoulder external rotation in the experimental group were better than those in the control group,and the differences were statistically significant(P<0.05).After 4 weeks of intervention,the upper limb of Fugl-Meyer Motor Assessment(U-FMA)score of the experimental group was higher than that of the control group(P<0.05).Conclusion The baijiezi blistering moxibustion therapy of TCM can effectively reduce the degree of shoulder pain,improve the shoulder joint mobility and the upper limb motor function in patients with hemiplegia shoulder pain after stroke.
作者
李壮苗
池艳红
李霞
李秀霞
李施恩
LI Zhuangmiao;CHI Yanhong;LI Xia;LI Xiuxia;LI Shien(School of Nursing,Fujian University of TCM,Fuzhou 350122,China;Longyan Hospital of Traditional Chinese Medicine,Longyan 364000,China;Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Fuzhou Second General Hospital,Fuzhou 350007,China)
出处
《陕西中医药大学学报》
2025年第5期130-136,共7页
Journal of Shaanxi University of Chinese Medicine
关键词
脑卒中
偏瘫肩痛
白芥子
天灸疗法
穴位敷贴
stroke
hemiplegic shoulder pain
Baijiezi
blistering moxibustion therapy of traditional Chinese medicine
acupoint application
