阳经经筋排刺法联合康复训练治疗中风后肩手综合征Ⅰ期临床研究  

Clinical Study on Yangjing Jingjin Paici Method Combined with Rehabilitation Training for Shoulder-Hand Syndrome at Stage Ⅰ After Stroke

作　　者：刘海飞[1] 宋丰军[1] 李灵浙 夏小云 LIU Haifei;SONG Fengjun;LI Lingzhe;XIA Xiaoyun

机构地区：[1]温州市中医院针灸科,浙江温州325000

出　　处：《新中医》2020年第21期103-106,共4页New Chinese Medicine

基　　金：温州市科技局基础性科研项目(Y20190722)。

摘　　要：目的:观察阳经经筋排刺法联合康复训练治疗中风后肩手综合征Ⅰ期的临床疗效。方法:将120例中风后肩手综合征Ⅰ期患者按随机数字表法分为观察组与对照组各60例。对照组给予常规针刺联合康复训练治疗,观察组给予阳经经筋排刺法联合康复训练治疗,2组均治疗1个月。评价2组治疗效果,观察2组治疗前后肩关节活动度、手掌厚度、Fugl-Meyer评定量表(FMA)评分、视觉模拟评分法(VAS)评分及血清白细胞介素-6 (IL-6)、超敏C-反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平的变化情况,记录不良反应发生率。结果:观察组总有效率为95.00%,对照组总有效率为81.67%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组肩关节前屈、后伸、内收、外展、旋前、旋后范围均增大(P<0.05),观察组上述各项肩关节活动度指标均大于对照组(P<0.05)。治疗后,2组手掌厚度、FMA评分及VAS评分均较治疗前改善(P<0.05),观察组上述指标均较对照组改善更明显(P<0.05)。治疗后,2组血清IL-6、hs-CRP及TNF-α水平均较治疗前降低(P<0.05),观察组上述指标水平均较对照组降低更明显(P<0.05)。观察组不良反应发生率为3.33%,对照组不良反应发生率为5.00%,2组比较,差异无统计学意义(P>0.05)。结论:阳经经筋排刺法联合康复训练治疗中风后肩手综合征Ⅰ期效果显著,可以改善患者的临床症状及上肢运动功能,降低炎性因子水平,安全性高。Objective:To observe the clinical effect of Yangjing Jingjin Paici method combined with rehabilitation training for shoulder-hand syndrome at stageⅠafter stroke. Methods:A total of 120 cases of patients with shoulder-hand syndrome at stageⅠafter stroke were divided into the observation group and the control group according to the random number table method,60 cases in each group. The control group was given routine acupuncture combined with rehabilitation training,and the observation group was given Yangjing Jingjin Paici method combined with rehabilitation training. Both groups were treated for one month. The curative effect in the two groups was evaluated. Before and after treatment,the changes in range of motion of shoulder joint,the thickness of the palm,the scores of Fugl-Meyer Assessment(FMA) and Visual Analogue Scale(VAS),and the levels of interleukin-6(IL-6),high sensitive C-reactive protein(hs-CRP),and tumor necrosis factor-α(TNF-α) in serum were observed in the two groups. The incidence of adverse reactions was recorded. Results:The total effective rate was 95.00% in the observation group,and 81.67% in the control group,the difference being significant(P<0.05). After treatment, the range of anteflexion, posterior extension, adduction, abduction, pronation, and supination of shoulder joint were enlarged in the two groups(P<0.05);each index of range of motion of shoulder joint above in the observation group was higher than that in the control group(P<0.05). After treatment,the thickness of the palm,the scores of FMA and VAS in the two groups were improved when compared with those before treatment(P<0.05);the improvement in the observation group were more significant than that in the control group(P<0.05). After treatment,the levels of IL-6,hs-CRP and TNF-α in serum in the two groups were decreased when compared with those before treatment(P<0.05);the decrease in the observation group was more significant than that in the control group(P<0.05). The incidence of adverse reactions was3.33% in the obse

关 键 词：中风 肩手综合征 Ⅰ期 经筋排刺法 阳经 康复训练 炎性因子 

分 类 号：R246.6[医药卫生—针灸推拿学] R743.3[医药卫生—中医临床基础]