针康法结合中药泡洗治疗脑卒中后偏瘫肩痛的临床研究  

Clinical Study on Scalp Acupuncture and Rehabilitation Technique Combined with Chinese Medicine Soaking Treating Hemiplegia Shoulder Pain after Stroke

作　　者：常辉[1] 姜永霞[1] 刘晓丽[1] 宋斐[1] 

机构地区：[1]南京中医药大学连云港附属医院

出　　处：《按摩与康复医学》2016年第4期25-27,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：探讨针康法（头穴丛刺配合康复技术）＋中药泡洗对脑卒中后偏瘫肩痛患者疼痛、运动功能障碍的治疗作用。方法：120例脑卒中后偏瘫肩痛患者随机分为治疗组、针康组及泡洗组各40例，分别采用头穴丛刺配合康复技术＋中药泡洗、头穴丛刺配合康复技术、中药泡洗，比较三组患者NRS评分、Fugl0Meyer上肢运动功能评分及不良反应。结果：治疗后三组患者NRS评分均明显低于治疗前（P〈0．01），治疗组显著低于针康组及中药泡洗组（P〈0．01）：治疗后三组患者Fugl．Meyer运动功能评分均明显高于治疗前（P〈0．01），且治疗组明显高于针康组及中药泡洗组（P〈0．05）。结论：针康法联合中药泡洗能有效缓解脑卒中后偏瘫肩痛，改善患者上肢运动功能障碍。Objective： To investigate the effects of scalp acupuncture combined with rehabilitation technique as well as Chinese medicine soaking on pain and motor dysfunction of hemiplegia shoulder pain after stroke. Methods： 120 cases of hemiplegia shoulder pain after stroke were randomly di- vided into treatment group, acupuncture group and soaking group with each of 40 cases, respectively adopted scalp acupuncture combined with reha- bilitation technique and Chinese herbal soaking, scalp acupuncture combined with rehabilitation technique, Chinese medicine soaking, NRS scores, upper limb motor function Fugl-Meyer scores and adverse reactions of three group were compared. Results： NRS scores of three groups after treat= ment were significantly lower than those before treatment （P〈0.01）, treatment group significantly lower than acupuncture group and soaking group （P〈0.01）; Fugl-Meyer scores of three groups after treatment were significantly higher than those before treatment （P〈0.01）, and treatment group sig- nificantly higher than acupuncture group and soaking group （P〈0.05）. Conclusion： Scalp acupuncture and rehabilitation technique combined with Chinese medicine soaking can effectively alleviate hemiplegia shoulder pain after stroke, and improve the motor dysfunction of upper limb.

关 键 词：偏瘫肩痛 脑卒中 针康法 中药泡洗 疼痛 上肢运动功能 安全性 

分 类 号：R246[医药卫生—针灸推拿学]