合谷穴斜刺治疗脑卒中肩手综合征Ⅰ期上肢水肿的临床观察  

Clinical Observation on Hegu(LI4) Oblique Insertion in the Treatment of Shoulder-hand Syndrome at Stage Ⅰ Upper Limb Edema after Cerebral Stroke

作　　者：刘碧原 

机构地区：[1]郑州大学附属郑州中心医院康复医学部,郑州450000

出　　处：《光明中医》2017年第22期3291-3293,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的合谷穴斜刺治疗脑卒中后肩手综合征Ⅰ期上肢水肿的临床疗效。方法将120例患者分成治疗组和对照组,每组60例,治疗组用合谷穴斜刺法治疗,对照组用常规针刺治疗,20d后观察两组患者上肢水肿、关节活动度变化情况及总体疗效。结果治疗组总有效率为95%,对照组为80%,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,合谷穴斜刺和常规针刺法均可缓解肩手综合征Ⅰ期所致水肿,增加活动度,能明显改善上肢运动功能。但合谷穴斜刺法效果优于常规针刺组。Objective To observe the clinical effect of Hegu（ LI4） oblique insertion in the treatment of shoulder-hand syndrome at stage I upper limb edema after cerebral stroke. Method 120 patients were randomized into treatment group and control group,with 60 cases in each group. The treatment group was intervened by Hegu（ LI4） oblique insertion. The control group was given conventional acupuncture.The changes of upper limb edema,joint range of motion（ ROM） and general therapeutic effect were observed after 20 d. Result The total effective rate in the treatment group and the control group was 95% and 80% respectively,and the difference was statistically significant（ P〈0. 05）. Conclusion Hegu（ LI4） oblique insertion and conventional acupuncture both can mitigate shoulder-hand syndrome at stage I upper limb edema,increase the range of motion,and significantly improve the upper-limb motor function,while the effect of Hegu（ LI4）oblique insertion is superior to that of conventional acupuncture.

关 键 词：合谷穴 中风并发症 肩手综合征Ⅰ期 上肢水肿 

分 类 号：R246.6[医药卫生—针灸推拿学]