改良钩针疗法治疗卒中后肩手综合征急性期疗效观察  

Therapeutic Observation of the Modified Hook Needle Therapy for Post-stroke Shoulder-hand Syndrome in Acute Stage

作　　者：陆彦青[1] 刘悦 白艳甫 LU Yan-qing;LIU Yue;BAI Yan-fu(The Fifth Clinical Medicine School of Guangzhou University of Chinese Medicine/ Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,China;Guangzhou Hospital of Integrated Chinese and Western Medicine,Guangzhou 510800,China)

机构地区：[1]广州中医药大学第五临床医学院/广东省第二中医院,广州510095 [2]广州市中西医结合医院,广州510800

出　　处：《上海针灸杂志》2019年第4期404-408,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省第二批名中医师承项目[粤府办(2014)14号]

摘　　要：目的观察改良钩针疗法治疗卒中后肩手综合征急性期的临床疗效。方法将80例卒中后肩手综合征急性期患者随机分为观察组和对照组,每组40例。两组予基础治疗后取穴均以痛为腧,每次取穴6～8个,观察组进行改良钩针疗法,对照组进行常规毫针疗法。采用VAS量表、FMA量表、ADL量表和中医证候积分分别对两组患者治疗前后的上肢疼痛、上肢运动功能、日常生活能力和主要症状进行评分并比较治疗方案的总有效率。结果两组治疗后各项评分较治疗前均有显著改善(P<0.05),且观察组改善均优于对照组(P<0.05)。观察组总有效率为95.0%,显著高于对照组的75.0%(P<0.05)。结论改良钩针疗法对卒中后肩手综合征急性期患者有显著疗效,且疗效优于常规毫针疗法。Objective To observe the clinical efficacy of the modified hook needle therapy in treating post-stroke shoulder-hand syndrome in acute stage. Method Eighty patients with post-stroke shoulder-hand syndrome in acute stage were randomized into an observation group and a control group, with 40 cases in each group. The two groups both received basic interventions followed by selecting the tender points for treatment. Six to eight points were selected each time and treated with the modified hook needles in the observation group and conventional filiform needles in the control group. Visual analogue scale (VAS), Fugl-Meyer Assessment (FMA), activities of daily living (ADL) and traditional Chinese medicine (TCM) symptom and sign score were used to respectively estimate the upper-limb pain, upper-limb motor function, ADL and major symptoms, and the total effective rates of the two treatment protocols were compared. Result The indexes were significantly improved after the treatment in both groups (P<0.05), and the improvements in the observation group were superior to those in the control group (P<0.05). The total effective rate was 95.0% in the observation group, significantly higher than 75.0% in the control group (P<0.05). Conclusion The modified hook needle therapy can produce significant efficacy in treating post-stroke shoulder-hand syndrome in acute stage, and is superior to the conventional filiform needle therapy.

关 键 词：针刺疗法 改良钩针疗法 康复 中风后遗症 肩手综合征 反射性交感神经营养不良 视觉模拟评分 FMA量表 Bathel指数 

分 类 号：R246.6[医药卫生—针灸推拿学]