穴位按摩配合姜泥贴敷疗法在脑卒中肩痛患者中的应用  

Application of acupoint massage combined with ginger mud sticking therapy in patients with stroke and shoulder pain

作　　者：刘桂兰[1] 陈楚玲[1] 丁美晖 LIU Gui-lan;CHEN Chu-ling;DING Mei-hui

机构地区：[1]广东省中山市中医院神经内科、康复科

出　　处：《护理实践与研究》2019年第23期68-70,共3页Nursing Practice and Research

基　　金：中山市卫生局市级中医药项目(2018J055)

摘　　要：目的探讨穴位按摩配合姜泥贴敷疗法应用于脑卒中肩痛患者的临床效果。方法选取2018年1—6月在我院进行脑卒中后肩痛治疗的40例患者,将其随机等分为观察组和对照组,对照组采用中西医药物治疗加综合康复训练,观察组患者在对照组基础上加用穴位按摩配合姜泥贴敷疗法干预,比较其干预效果,患者干预前后肩关节疼痛程度、日常生活评分,肩关节干预后肩关节功能。结果观察组患者干预效果显著高于对照组(P<0.05),且两组患者干预前,其VAS评分及MBI评分差异无统计学意义(P>0.05),经干预后,观察组患者VAS评分及MBI评分均优于对照组(P<0.05),同时,观察组患者干预后,其Constant评分明显高于对照组。结论对脑卒中后肩痛患者采取穴位按摩配合姜泥贴敷疗法进行干预,能够有效改善患者肩痛相应症状,促进其肩关节功能及日常生活能力的恢复,且该干预模式能够得到多数患者的认可,值得推广。Objective To explore the clinical effect of acupoint massage combined with ginger mud sticking therapy in patients with stroke and shoulder pain.Methods To select 40 cases of patients with shoulder pain treated after undergoing stroke in our hospital from January to June 2018.They were randomly divided into an observation group and a control group.The control group was treated with Chinese and western medicine and comprehensive rehabilitation training.On the basis of the control group,acupoint massage combined with ginger mud sticking therapy was used to compare the effects of the intervention such as the degree of shoulder pain before and after intervention,daily life score,and shoulder joint function after shoulder intervention in patients.Results The intervention effect in the observation group was obviously higher than that in the control group(P<0.05).Before intervention,there was no significant difference in VAS and MBI scores between the two groups(P>0.05).After intervention,the scores of VAS and MBI in the observation group were better than those in the control group(P<0.05).The Constant score after intervention in the observation group was obviously higher than that in the control group.Conclusion Intervention of acupoint massage combined with ginger mud sticking therapy in patients with shoulder pain after undergoning stroke could effectively improve the corresponding symptoms of shoulder pain and promote the recovery of shoulder joint function and daily living ability,and this intervention mode could reach most patients'recognition.Therefore,it is worth promoting.

关 键 词：穴位按摩 姜泥贴敷疗法 脑卒中 肩痛 

分 类 号：R473.5[医药卫生—护理学]