浮刺配合棍棒操治疗中风后肩痛疗效观察  

Observations on the Efficacy of Superficial Needling plus Rod Exercise in Treating Post-stroke Shoulder Pain

作　　者：倪欢欢 吴耀持[2] 包歆滟 崔晓 黄德权 季力 汪军 史骏超 

机构地区：[1]上海市长宁区天山中医医院,上海200051 [2]上海交通大学附属第六人民医院,上海200233

出　　处：《上海针灸杂志》2013年第12期1001-1003,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市"优秀青年中医临床人才"培养计划专项课题(ZYSNXD011-RC-XLXX-20110005)

摘　　要：目的观察浮刺配合棍棒操治疗中风后肩痛的临床疗效。方法将64例中风后肩痛患者(VAS评分≥4分)随机分为治疗组和对照组,每组32例。治疗组患者在浮刺的基础上配合自编的棍棒操训练,对照组患者单纯接受棍棒操训练。两组分别于治疗前、治疗60 d后采用肩痛程度(VAS评分)、肩关节主动活动范围、上肢运动功能评定进行康复评定。结果治疗前两组各项指标比较差异无统计学意义(P>0.05),治疗60 d后治疗组肩痛程度、肩关节主动活动范围、上肢运动功能积分均明显优于对照组(P<0.01)。结论浮刺配合棍棒操训练在改善中风后肩部疼痛方面具有积极的作用。Objective To investigate clinical efficacy of superficial needling plus rod exercise in treating post-stroke shoulder pain. Method Sixty-four patients with post-stroke shoulder pain （VAS score≥4） were randomly allocated to treatment and control groups, 32 cases each. The treatment group received rod exercise training in addition to superficial needling and the control group, rod exercise training alone. The severity of shoulder pain （VAS score）, the range of active shoulder joint activities and upper limb motory function were assessed as rehabilitation indices in the two groups before and at 60 days after treatment. Result There were no statistically significant pre-treatment difference in various indices between the two groups （P〉0.05）. At 60 days after treatment, the shoulder pain severity score, the range of active shoulder joint activities and the upper limb motory function score improved significantly more in the treatment group than in the control group （P〈0.01）. Conclusion Superficial needling plus rod exercise training plays an active role in relieving post-stroke shoulder pain.

关 键 词：中风后遗症 肩手综合征 针刺 浮刺 棍棒操 

分 类 号：R246.6[医药卫生—针灸推拿学]