傍针刺“肩五穴”治疗中风后肩痛临床观察  

Clinical Observation of the Treatment of Shoulder Pain After Stroke by Accompanied Needling at "Shoulder Five Points"

作　　者：徐君君 XU Jun-jun(The First Affiliated Hospital of Henan University of CM,Zhengzhou,Henan,China,450001)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450001

出　　处：《河南中医》2022年第5期763-767,共5页Henan Traditional Chinese Medicine

基　　金：河南省2020年科技攻关计划项目(202102310293)。

摘　　要：目的:观察傍针刺“肩五穴”治疗中风后肩痛的临床疗效。方法:选取2021年1—5月河南中医药大学第一附属医院住院治疗的中风后肩痛患者88例,按照随机数字表法分为试验组和对照组,每组各44例。两组患者均给予中风后基础治疗,试验组另给予傍针刺“肩五穴”治疗,对照组另给予常规针刺治疗。观察两组治疗前后视觉模拟评分、Fugl-Meyer运动功能评定量表评分、改良Barthel指数、白细胞介素-1β含量及临床疗效。结果:试验组治疗后视觉模拟评分低于对照组,差异有统计学意义(P<0.05);试验组治疗后Fugl-Meyer运动功能评定量表评分、改良Barthel指数高于对照组,差异有统计学意义(P<0.05);试验组治疗后白细胞介素-1β低于对照组,差异有统计学意义(P<0.05);试验组有效率为90.1%,对照组有效率为68.2%,试验组有效率高于对照组,差异有统计学意义(P<0.05)。结论:傍针刺“肩五穴”治疗中风后肩痛,可促进肩部血液循环,减轻患者疼痛,提高肢体运动功能,降低IL-1β水平。Objective:To observe the clinical efficacy of accompanied needling at "shoulder five points" on shoulder pain after stroke.Methods:A total of 88 patients with post-stroke shoulder pain hospitalized in The First Affiliated Hospital of Henan University of CM from January 2021 to May 2021 were randomly divided into the experimental group and the control group.Both groups were given basic treatment after stroke,then the experimental group was additionally given accompanied needling at "shoulder five points" treatment,and the control group was given general acupuncture treatment.Visual analogue score,Fugl-Meyer motor function rating scale score,improved Barthel Index and interleukin-1β content before and after treatment and clinical efficacy were observed.Results:After treatment,the visual analog score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Fugl-Meyer motor function rating scale and improved Barthel Index in the experimental group were higher than those in the control group,and all the differences were statistically significant(P<0.05).After treatment,interleukin-1β in the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).The effective rate of the experimental group was 90.1%,which was higher than that of the control group:68.2%,and the difference was statistically significant(P<0.05).Conclusion:The treatment of shoulder pain after stroke by accompanied needling at "shoulder five points" can promote shoulder blood circulation,reduce the patients′ pain,improve limb motor function and reduce IL-1β level.

关 键 词：中风后肩痛 傍针刺法 “肩五穴” 视觉模拟评分 改良BARTHEL指数 Fugl-Meyer运动功能评定量表 白细胞介素-1β 

分 类 号：R274.9[医药卫生—中西医结合]