靳三针配合十二井穴治疗脑卒中后肩手综合征疗效观察  

Observations on the Efficacy of Jin's Three Needles plus Twelve Jing-Well Points in Treating Post-stroke Shoulder-hand Syndrome

作　　者：闫兵[1] 吴立雄[1] 许能贵[2] 刘永锋[1] 杨卓欣[1] 王玲[1] 于海波[1] 

机构地区：[1]深圳市中医院,深圳518000 [2]广州中医药大学,广州510000

出　　处：《上海针灸杂志》2015年第7期605-608,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：深圳市医疗卫生类科研项目(201303097)

摘　　要：目的观察靳三针配合十二井穴治疗脑卒中后肩手综合征的临床疗效。方法将60例符合纳入标准的脑卒中后肩手综合征患者随机分为治疗组和对照组,每组30例。治疗组采用靳三针配合十二井穴治疗,对照组采用常规针刺治疗。治疗2星期后,观察两组治疗前后临床神经功能缺损程度(CNDS)评分、Fugl-Meyer(FMA)评分、视觉模拟量表(VAS)评分及功能综合评定量表(FCA)评分,比较两组临床疗效。结果两组治疗后CNDS、FMA、VAS评分及FCA与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组总有效率和愈显率分别为96.7%和55.7%,对照组分别为83.3%和26.7%,两组比较差异均有统计学意义(P<0.05)。结论靳三针配合十二井穴是一种治疗中风后肩手综合征的有效方法。Objective To investigate the clinical efficacy of Jin’s Three Needles plus twelve Jing-Well points in treating post-stroke shoulder-hand syndrome. Methods Sixty patients meeting the inclusion criteria of post-stroke shoulder-hand syndrome were randomly allocated to treatment and control groups, 30 cases each. The treatment group received acupuncture with Jin’s Three Needles plus twelve Jing-Well points and the control group, conventional acupuncture. The Clinical Neurological Disfunction Scale （CNDS） score, the Fugl-Meyer Assessment （FMA） score, the Visual Analogue Scale （VAS） score and the Functiional Comprehensive Assessment （FCA） score were observed in the two groups before and after two weeks of treatment. The clinical therapeutic effects were compared between the two groups. Results There were statistically significant pre-/post-treatment differences in the CNDS, FMA, VAS and FCA scores in the two groups （P〈0.05）. The total efficacy rate and the cure and marked efficacy rate were 96.7%and 55.7%in the combination group, respectively, in the treatment group and 83.3%and 26.7%, respectively, in the control group;there were statistically significant differences between the two groups （P〈0.05）. Conclusion Acupuncture with Jin’s Three Needles plus twelve Jing-Well points is an effective way to treat post-stroke shoulder-hand syndrome.

关 键 词：针刺疗法 中风后遗症 肩手综合征 靳三针 井穴 刺血疗法 反射性交感神经营养障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]