激痛点温针灸治疗卒中后肩手综合征Ⅰ期患者的临床观察  

Clinical observation on warm acupuncture and moxibustion for trigger points in patients with stage Ⅰ shoulder-hand syndrome after stroke

作　　者：李新茹 郑德松 王晓光 薛新宏 LI Xin-ru;ZHENG De-song;WANG Xiao-guang;XUE Xin-hong(Department of Rehabilitation,Affiliated Hospital of North China University of Science and Technology,Tangshan 063000,China)

机构地区：[1]华北理工大学附属医院康复科,唐山063000

出　　处：《中华中医药杂志》2021年第9期5671-5673,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局2019年中医药类科研计划课题项目(No.2019171)。

摘　　要：目的:评价激痛点温针灸治疗脑卒中后肩手综合征Ⅰ期患者的临床效果。方法:96例脑卒中后肩手综合征Ⅰ期患者随机分为4组,激痛点针刺组、激痛点温灸组、激痛点温针灸组及对照组,每组24例,各组给予相应的治疗干预。采用简化McGill疼痛量表(MPQ)、简易Fugl-Meyer运动功能量表(FMA)、肩手综合征评估量表(SHSS)作为观察指标,观察4周后评分变化,从而评价疼痛、上肢功能的改善情况以及疗效。结果:与本组治疗前比较,治疗后治疗3组简易MPQ评分及各组SHSS评分均显著降低(P<0.05),各组简易FMA评分均显著升高(P<0.05,P<0.01)。与对照组及治疗1组、治疗2组治疗后比较,治疗3组的MPQ评分及SHSS评分显著降低(P<0.05),简易FMA评分显著升高(P<0.05)。结论:激痛点温针灸可有效减轻卒中后肩手综合征Ⅰ期患者的疼痛,同时有利于患侧上肢运动功能的恢复,且优于单纯激痛点针刺或激痛点温灸,与常规康复联合应用可较大程度提高此类患者的治疗效果,值得临床推广。Objective: To evaluate the effects of warm acupuncture and moxibustion for trigger points on patients with stage Ⅰshoulder-hand syndrome after stroke. Methods: A total of 96 stage Ⅰ shoulder-hand syndrome after stroke patients were randomly divided into 4 groups for corresponding therapeutic intervention: trigger point acupuncture group, trigger point warm moxibustion group, trigger point warm acupuncture and moxibustion group and control group, 24 cases in each group. The simplified McGill pain questionnair(MPQ),simplified Fugl-Meyer assessment(FMA) and shoulder hand syndrome score(SHSS) were used as observation indicators. The change of scores was observed after 4 weeks to evaluate pain, improvement of upper limb function and curative effect. Results: Compared with the pre-treatment, simple MPQ scores in treatment 3 group and SHSS scores in each group decreased significantly(P<0.05), while simple FMA scores in each group were significantly higher(P<0.05, P<0.01). The simple MPQ and SHSS scores were significantly reduced and simple FMA increased in treatment 3 group compared with the control group, treatment 1 group and treatment 2 group(P<0.05).Conclusion: Warm acupuncture and moxibustion for trigger points can effectively reduce the pain of patients with stage Ⅰ shoulderhand syndrome after stroke, meanwhile it’s beneficial to the recovery of motor function of the affected upper limb. Importantly, warm acupuncture and moxibustion for trigger points showed superiority than simple rehabilitation treatment or acupuncture at pain points or warm moxibustion at pain points, which can greatly improve the treatment effect of such patients and is worthy of clinical promotion.

关 键 词：激痛点 温针灸 肩手综合征 

分 类 号：R246.6[医药卫生—针灸推拿学]