温针配合中药溻渍为主治疗中风后肩痛的疗效观察  

Therapeutic Observation of Warm Needling plus Chinese Medication for External Application in Treating Post-stroke Shoulder Pain

作　　者：葛俊领 李洪梅 赵层闪 王梅青 时春燕 席迎春 GE Jun-ling;LI Hong-mei;ZHAO Ceng-shan;WANG Mei-qing;SHI Chun-yan;XI Ying-chun(Hengshui Hospital of Traditional Chinese Medicine,Hengshui 053000,China;Hengshui Tuberculosis Hospital,Hengshui 053000,China;Hebei Wuqiang County Hospital,Hengshui 053300,China)

机构地区：[1]衡水市中医医院,衡水053000 [2]衡水市结核病防治所,衡水053000 [3]河北省武强县医院,衡水053300

出　　处：《上海针灸杂志》2018年第3期257-261,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察温针配合中药溻渍为主治疗中风后肩痛的临床效果。方法将200例中风后肩痛患者随机分为治疗组和对照组,每组100例。两组均采用肩关节康复训练治疗,治疗组在此基础上加用温针配合中药溻渍治疗,对照组在此基础上单纯加用温针治疗。观察两组治疗前后疼痛视觉模拟评分法(VAS)评分、上肢简化Fugl-Mayer法(FMA)评分及改良Barthel指数(MBI)评分的变化情况,并比较两组临床疗效。结果治疗组总有效率为100.0%,对照组为87.0%,两组比较差异具有统计学意义(P<0.01)。两组治疗后VAS评分、FMA评分及MBI评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后VAS评分、FMA评分及MBI评分与对照组比较,差异具有统计学意义(P<0.05,P<0.01)。结论温针、中药溻渍配合康复训练能明显减轻中风后肩痛,提高患者的上肢运动功能和日常生活能力。Objective To observe the clinical efficacy of warm needling plus Chinese medication for external application in treating post-stroke shoulder pain.Method Two hundred patients with post-stroke shoulder pain were randomized into a treatment group and a control group,100cases each.The two groups both received rehabilitation training for shoulder joint.In addition,the treatment group was given warm needling plus Chinese medication for external application,while the control group was given warm needling.Visual Analogue Scale(VAS)for pain,upper-limb Fugl-Mayer Assessment(FMA)and Modified Barthel Index(MBI)were adopted to evaluate the two groups before and after the treatment.The clinical efficacies of the two groups were also compared.Result The total effective rate was100.0%in the treatment group versus87.0%in the control group,and the between-group difference was statistically significant(P<0.01).The VAS,FMA and MBI scores were significantly changed after the treatment in both groups(P<0.01).After the treatment,the VAS,FMA and MBI scores of the treatment group were significantly different from those of the control group(P<0.05,P<0.01).Conclusion Warm needling plus Chinese medication for external application and rehabilitation training can obviously reduce post-stroke shoulder pain,and enhance the upper-limb motor function and activities of daily living.

关 键 词：针灸疗法 温针疗法 肩痛 敷贴疗法 中药溻渍 康复训练 中风并发症 

分 类 号：R246.6[医药卫生—针灸推拿学]