白虎摇头针法结合康复训练治疗中风后肩手综合征对疼痛、上肢运动功能的影响  

Effect of White Tiger Shaking Head Needling Combined with Rehabilitation Training on Pain and Upper Limb Motor Function in the Treatment of SHSAS

作　　者：邹治宏 武煜磊 卢坚[1] 文俊 ZOU Zhihong;WU Yulei;LU Jian;WEN Jun(Shenzhen Hospital of Traditional Chinese Medicine, Shenzhen 518033, China)

机构地区：[1]深圳市中医院,广东深圳518033

出　　处：《针灸临床杂志》2021年第12期19-25,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：广东省中医药局科研项目,编号:20181006。

摘　　要：目的:探究在康复训练基础上,应用白虎摇头针法治疗中风后肩手综合征(SHSAS)对患者疼痛、上肢运动功能的影响。方法:选取2018年1月—2020年1月本康复中心门诊及会诊收治的SHSAS患者116例,基于随机数字表简单随机分为观察组与对照组,各58例。在康复训练治疗(40 min/次,1次/d,5 d/周,休息2 d)基础上,对照组给予常规针刺治疗,观察组给予白虎摇头针法治疗,两组取穴一致,留针30 min,期间重复行针2次,治疗1次/d,持续治疗3周。比较两组临床疗效、疼痛、上肢运动功能以及血液流变学情况。结果:两组总有效率相当(P>0.05),观察组愈显率要高于对照组,差异具有统计学意义(P<0.05)。治疗3周后,观察组PRI评分(1.95±0.25 vs 2.61±0.58)、VAS评分(2.13±0.63 vs 3.38±1.05)和PPI评分(1.07±0.22 vs 1.65±0.41)均明显低于对照组,FMA评分(42.67±5.43 vs 34.81±6.02)明显高于对照组,差异具有统计学意义(P<0.05)。治疗前,两组血浆粘度、高切全血黏度、中切全血黏度和低切全血黏度比较差异无统计学意义(P>0.05),治疗1周、2周和3周,观察组血浆粘度减少量、高切全血黏度减少量、中切全血黏度减少量和低切全血黏度减少量均明显高于对照组,差异具有统计学意义(P<0.05)。结论:白虎摇头针法结合康复训练治疗SHSAS疗效显著,可显著缓解疼痛,促进血液流变学,改善上肢运动功能。Objective:To explore the effect of white tiger shaking head needling combined with rehabilitation training on pain and upper limb motor function in the treatment of shoulder-hand syndrome after stroke(SHSAS).Methods:116 patients with SHSAS were randomly divided into the observation group and the control group,with 58 patients in each group.On the basis of rehabilitation training treatment,the control group was given conventional acupuncture,and the observation group was given white tiger shaking head needling.The acupoints selected were the same in the two groups,and the needles were retained for 30 minutes.The treatment was once a day for 3 weeks.Clinical efficacy,pain,upper limb motor function and hemorheology were compared between the two groups after the treatment.Results:The total effective rate of the two groups was equivalent(P>0.05),and the markedly effective rate of the observation group was higher than that of the control group(P<0.05).After 3 weeks of the treatment,PRI score was 1.95±0.25,VAS score was 2.13±0.63 and PPI score was 1.07±0.22 in the observation group,which were significantly lower than 2.61±0.58,3.38±1.05 and 1.65±0.41 of the control group respectively(P<0.05);FMA score was 42.67±5.43 in the observation group,which was significantly higher than 34.81±6.02 in the control group(P<0.05).Before the treatment,there were no statistical differences in plasma viscosity,high-cut whole blood viscosity,medium-cut whole blood viscosity and low-cut whole blood viscosity between the two groups(P>0.05);after 1 week,2 weeks and 3 weeks of the treatment,the decreases of plasma viscosity,high-cut whole blood viscosity,medium-cut whole blood viscosity and low-cut whole blood viscosity were more significant in the observation group than those in the control group(P<0.05).Conclusion:White tiger shaking head needling combined with rehabilitation training has a significant effect on the treatment of SHSAS,which can significantly relieve pain,promote hemorheology and improve upper limb motor function.

关 键 词：中风 肩手综合征 白虎摇头针法 康复训练 上肢运动功能 血液流变学 

分 类 号：R246.6[医药卫生—针灸推拿学]