互动式头针疗法对偏瘫肩痛的影响  

Effect of interactive scalp acupuncture therapy on shoulder pain of hemiplegia

作　　者：邢春燕[1] 李万浪 马飞翔[1] 胥加伟 詹冬梅[1] XING Chun-yan;LI Wan-lang;MA Fei-xiang;XU Jia-wei;ZHAN Dong-mei(Yangcheng Third Peoples＇s Hosptial, Jiangsu Yancheng 22400)

机构地区：[1]盐城市第三人民医院,江苏盐城224005

出　　处：《按摩与康复医学》2018年第12期19-20,22,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：江苏省盐城市224000江苏省中医药科技局科技项目(No.YB2015132)

摘　　要：目的:观察互动式头针对偏瘫肩痛的治疗效果。方法:选取我院康复科2014年12月~2015年12月诊治的脑卒中后偏瘫肩痛患者60例,随机分为观察组和对照组各30例。观察组采用互动式头针(头针与作业疗法互动),对照组采用传统头针结合作业疗法,1个月为1个疗程,共观察3个疗程。选用简明Mc Gill疼痛问卷(short-form of MPQ,SF-MPQ)评定患者肩部疼痛程度;采用改良Bathel指数(modified Bathel index,MBI)进行日常生活活动能力评定;采用运动功能测试量表(Wolf motor function test,WMFT)评定上肢运动功能改善情况。结果:两组SF-MPQ评分均明显低于治疗前(P<0.05),且观察组SF-MPQ评分明显低于对照组(P<0.05);治疗后1个月、2个月、3个月,两组WMFT评分明显高于治疗前(P<0.05);观察组治疗后3个月评分明显高于对照组(P<0.05);两组MBI指数评分均明显高于治疗前(P<0.05),且观察组MBI指数评分明显高于对照组(P<0.05)。结论:互动式头针疗法可以显著改善偏瘫肩痛患者的疼痛,且能显著提高患者的上肢运动功能,值得在临床上进一步研究及推广使用。Objective： To observe the effect of interactive head acupuncture on hemiplegic shoulder pain. Methods： Selected patients in our hospital from December 2014 to December 2015 with hemiplegia and shoulder pain after stroke, a total of 60 cases. According to the order of admission, the patients were randomly divided into observation group and control group, each with 30 cases. The observation group was treated with an interactive head acupuncture, the control group was treated with traditional head acupuncture combined with occupational therapy, 1 months for 1 courses, a total of 3 courses were observed. SF-MPQ score was used to assess the degree of shoulder pain; Modified Bathel Index was used to assess the daily living ability; Wolf motor function test was used to assess the upper limb motor function. Results： Two groups＇ SF-MPQ score were lower than before,and the observation group was significantly lower（P〈0.05）; the two groups＇ MBI index improved significantly after treatment, and the observation group improve more significantly（P〈0.05）. After treatment 1, 2 and 3 months the two groups WMFT score was significantly higher than before（P〈0.05）; the third month after treatment,the observation group＇s WMFT score were significantly higher than the control group（P〈0.05）; Conclusion：Interactive head acupuncture can significantly relieve pain in patients with hemiplegia shoulder pain, and can significantly improve the patient＇s upper limb movement function, is worth popularizing in the further research and clinical use.

关 键 词：偏瘫肩痛 互动式头针疗法 传统头针结合作业疗法 治疗效果 

分 类 号：R246[医药卫生—针灸推拿学]