全经针刺配合康复训练治疗中风后肩手综合征疗效观察  

Therapeutic Observation of Acupuncture at the Interiorly-exteriorly Related Meridians plus Rehabilitation Training for Post-stroke Shoulder-hand Syndrome

作　　者：尹景春[1] 周国平[2] 周桂华 范洪桥[1] 

机构地区：[1]湖南环境生物职业技术学院,衡阳421005 [2]南方医科大学,广州510515 [3]衡阳县中医院,衡阳421000

出　　处：《上海针灸杂志》2015年第1期7-10,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(81173355)

摘　　要：目的观察全经针刺法配合康复训练治疗中风后肩手综合征的临床疗效。方法将符合纳入标准的60例中风后肩手综合征患者随机分为治疗组和对照组,每组30例。治疗组采用全经针刺配合康复训练治疗,对照组采用单纯康复训练治疗。治疗2个疗程后,观察两组治疗前后简化上肢运动功能评分(FMA)、视觉模拟评分量表评分(VAS)和水肿评分,并比较两组临床疗效。结果两组治疗后FMA、VAS及水肿评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后FMA、VAS及水肿评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为83.3%,对照组为76.7%,两组比较差异具有统计学意义(P<0.05)。结论全经针刺配合康复训练是一种治疗中风后肩手综合征的有效方法。Objective To observe the therapeutic efficacy of acupuncture at the interiorly-exteriorly related meridians plus rehabilitation training in treating post-stroke shoulder-hand syndrome. Methods Sixty eligible patients with post-stroke shoulder-hand syndrome were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture at the interiorly-exteriorly related meridians plus rehabilitation training, while the control group was by rehabilitation training alone. After 2 treatment courses, the Fugl-Meyer Assessment （FMA）, visual analogue scale （VAS） and edema score were observed and compared. Results The FMA, VAS, and edema scores were significantly changed in both groups after intervention （P〈0.01）. There were significant differences in comparing the FMA, VAS, and edema scores between the two groups after intervention （P〈0.05）. The total effective rate was 83.3% in the treatment group versus 76.7% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Acupuncture at the interiorly-exteriorly related meridians plus rehabilitation is an effective method in treating post-stroke shoulder-hand syndrome.

关 键 词：针刺疗法 康复训练 肩手综合征 中风并发症 反射性交感神经营养障碍 选穴 对应 

分 类 号：R246.6[医药卫生—针灸推拿学]