经筋排刺配合康复训练治疗中风后肩手综合征Ⅰ期疗效观察  

Therapeutic Observation of Parallel Needling at Meridian Tendon plus Rehabilitation Training for Post-stroke Shoulder-hand Syndrome Stage Ⅰ

作　　者：刘海飞[1] 宋丰军[1] 方君辉[1] 

机构地区：[1]浙江中医药大学附属温州中医院,温州325000

出　　处：《上海针灸杂志》2014年第9期792-794,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察经筋排刺配合康复训练治疗中风后肩手综合征I期的临床疗效。方法将56例符合纳入标准的中风后肩手综合征I期患者随机分为治疗组29例和对照组27例。治疗组采用肩部经筋排刺配合康复训练治疗,对照组采用常规针刺配合康复训练治疗,治疗1个月后观察两组手功能视觉模拟评分(VAS)及Fugl-Meyer评分(FMA),并比较两组临床疗效。结果两组治疗后VAS评分及FMA上肢运动功能评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后VAS评分及FMA上肢运动功能评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为96.6%,对照组为77.8%,两组比较差异有统计学意义(P<0.05)。结论经筋排刺配合康复训练是一种治疗中风后肩手综合征Ⅰ期的有效方法。Objective To observe the clinical efficacy of parallel needling at meridian tendon plus rehabilitation training in treating post-stroke shoulder-hand syndrome stage I. Methods Fifty-six eligible patients with post-stroke shoulder-hand syndrome stage I were randomized into a treatment group of 29 cases and a control group of 27 cases. The treatment group was intervened by parallel needling at shoulder plus rehabilitation training, while the control group was by ordinary needling method plus rehabilitation training. After 1-month treatment, the hand function was evaluated by using Visual Analogue Scale （VAS） and Fugl-Meyer Assessment （FMA）, and the clinical efficacies were compared. Results The VAS score and FMA score were significantly changed after intervention in both groups （P〈0.05）. After intervention, there were significant differences in comparing VAS and FMA scores between the two groups （P〈0.05）. The total effective rate was 96.6% in the treatment group versus 77.8% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Parallel needling at meridian tendon plus rehabilitation training is an effective approach in treating post-stroke shoulder-hand syndrome stage I.

关 键 词：针刺疗法 中风并发症 肩手综合征 经筋 丛刺 康复训练 电针 

分 类 号：R246.6[医药卫生—针灸推拿学]