扶阳埋线法治疗脑卒中后肩手综合征临床观察  

Clinical Observation of Yang-supplementing Thread-embedding for Shoulder-hand Syndrome After Cerebral Stroke

作　　者：林妙君[1] 关浩峰[1] 何桥景[1] 唐润东 LIN Miao-jun GUAN Hao-feng HE Qiao-jing TANG Run-dong(Baiyun Branch of Guangdong Second Traditional Chinese Medicine Hospital, Guan gzhou 510405,China)

机构地区：[1]广东省第二中医院白云院区,广州510405

出　　处：《上海针灸杂志》2016年第10期1162-1165,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药局立项项目(20142015)

摘　　要：目的观察扶阳埋线法(穴位埋入参附注射液浸泡羊肠线)治疗脑卒中后肩手综合征的临床疗效。方法将120例患者分成治疗组和对照组,每组60例,治疗组用扶阳埋线法治疗,对照组用常规针刺治疗,30 d后观察两组患者临床症状、关节活动度及疼痛评分变化情况、患侧上肢Fugl-Meyer运动功能评分及总体疗效。结果治疗组总有效率为95.0%,对照组为85.0%,两组比较差异有统计学意义(P<0.05)。结论在常规治疗及康复训练的基础上,扶阳埋线法和常规针刺法均可缓解肩手综合征所致疼痛,增加活动度,能明显改善上肢运动功能。但扶阳埋线法效果优于常规针刺组。Objective To observe the clinical efficacy of yang-supplementing thread-embedding（acupoint embedded with catgut soaked in Shenfu injection） in treating shoulder-hand syndrome after cerebral stroke.Method Totally 120 patients were randomized into a treatment group and a control group,60 cases in each group.The treatment group was intervened by acupoint thread-embedding,while the control group was by conventional acupuncture.The changes of symptoms,joint range of motion（ROM）,pain,and Fugl-Meyer Assessment（FMA）,and general therapeutic efficacy were observed after 30 d treatment.Result The total effective rate was 95.0% in the treatment group versus 85.0% in the control group,and the difference was statistically significant（P〈0.05）.Conclusion Yang-supplementing thread-embedding and conventional acupuncture both can mitigate pain induced by shoulder-hand syndrome,increase the range of motion,and significantly improve the upper-limb motor function,while the effect of yang-supplementing thread-embedding is superior to that of conventional acupuncture.

关 键 词：中风并发症 肩手综合征 埋线 针刺 反射性交感神经营养不良 

分 类 号：R246.6[医药卫生—针灸推拿学]