火针经筋结点治疗中风后肩手综合征临床观察  

Clinical Observations on Fire Needle Acupuncture at Muscular Attachments for the Treatment of Post-stroke Shoulder-hand Syndrome

作　　者：黄昌锦[1] 黄应杰[2] 吴艳华[1] 

机构地区：[1]广州市红十字会医院,广州510220 [2]广州市中医医院,广州510130

出　　处：《上海针灸杂志》2013年第8期627-629,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察火针针刺经筋结点治疗肩手综合征的临床疗效。方法将70例符合纳入标准的就诊患者按就诊顺序随机分为治疗组和对照组,治疗组采用火针针刺经筋结点治疗,对照组采用普通针刺治疗。治疗前后观察患者患肢疼痛模拟评分(VAS评分)、肩关节活动度(ROM测量)、简化Fugl-Meyer评分、水肿评分。结果治疗组与对照组治疗前后VAS评分、ROM、简化Fugl-Meyer评分及水肿评分经统计学分析,差异有统计学意义(P<0.01);治疗后两组VAS评分、ROM及水肿评分经统计学分析,差异有统计学意义(P<0.01),且治疗组优于对照组;治疗后两组简化Fugl-Meyer评分经统计学分析,差异没有统计学意义(P>0.05)。结论火针针刺经筋结点能有效地缓解缺血性脑卒中后肩手综合征患者患侧肩关节的疼痛、肩关节外展及上举活动度和患侧上肢的水肿程度,并且在一定程度上改善患者患侧上肢的运动功能。Objective To investigate the clinical efficacy of fire needle acupuncture at muscular attachments in treating post-stroke shoulder-hand syndrome. Method Seventy patients meeting the inclusion criteria were allocated, in order of visits, to treatment and control groups. The treatment group received fire needle acupuncture at muscular attachments once every other day, 10 times as a course of treatment and the control group, conventional acupuncture once daily, 10 times as a course of treatment. Pains in the affected upper limb were scored using the Visual Analog Scale （VAS）, shoulder joint mobility was measured （ROM measurements）, and the simplified Fugl-Meyer Assessment score and the edema score were counted in the patients before and after treatment. Result There were statistically significant pre-/post-treatment differences in the VAS score, ROM, the simplified Fugl-Meyer Assessment score and the edema score in the treatment and control groups. There were statistically significant post-treatment differences in the VAS score, ROM and the edema score between the two groups （P〈0.01） and the effects were better in the treatment group than in the control group. There was no statistically significant post-treatment difference in the simplified Fugl-Meyer Assessment score between the two groups （P〉0.05）. Conclusion Fire needle acupuncture at muscular attachments can effectively relieve pains in the affected shoulder joint, improve glenohumeral abduction （elevation） and reduce edema in the affected upper limb in patients with post-stroke shoulder-hand syndrome.

关 键 词：火针疗法 肩手综合征 反射性交感神经营养障碍 中风后遗症 经筋 

分 类 号：R246.6[医药卫生—针灸推拿学]