电子针灸治疗对中风后肩手综合征的预防作用  

Preventive effect of electronic acupuncture therapy on shoulder-hand syndrome after stroke

作　　者：杨学军[1] 李文平[1] 崔凤甜 袁盈[1] YANG Xue-jun;LI Wen-ping;CUI Feng-tian;YUAN Ying(Wangjing Hospital of CACMS,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中华中医药杂志》2022年第7期4205-4208,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:观察电子针灸治疗对中风后肩手综合征的预防作用。方法:中风患者87例分组实施不同干预措施,对照组行患肢规范化护理,试验组在其基础上加用电子针灸治疗仪刺激肩前、肩贞、臂臑、曲池穴,比较两组干预治疗效果。通过简式肢体运动功能量表(FMA)、视觉模拟评分法(VAS)评分及患肢体积测定进行评价,比较两组肩手综合征发生率。结果:治疗后,试验组肩手综合征发生率为27.27%(12/44)低于对照组[48.84%(21/43)](P<0.05)。与对照组比较,治疗后试验组FMA评分显著升高(P<0.05),VAS评分及患侧手体积显著降低(P<0.05)。结论:中风后肩手综合征可以通过患肢护理联合电子针灸进行预防性干预治疗,以减少其发生率,促进患肢功能的改善。Objective:To observe the preventive effect of electronic acupuncture therapeutic instrument on poststroke shoulder-hand syndrome(SHS).Methods:A total of 87 cases of stroke patients were divided into two groups in random.The control group received standardized nursing for affected limb,and the experimental group added to stimulate the acupoints by electronic acupuncture therapeutic instrument.Compared the therapeutic effects of intervention between the two groups.FMA,VAS score and measurement of limb volume were used.And evaluate the incidence of shoulder-hand syndrome between the two groups.Results:After treatment,the incidence of SHS in experimental group[27.27%(12/44)]was lower than that in the control group[48.84%(21/43)](P<0.05).Compared with the control group,FMA score of the experimental group was increased(P<0.05),VAS score and limb volume were decreased(P<0.05).Conclusion:SHS after stroke can be prophylactic intervention therapy through standardized nursing combined with electronic acupuncture therapeutic instrument to reduce its incidence and promote the improvement of limb function.

关 键 词：中风 肩手综合征 反射性交感神经营养不良 电子针灸治疗仪 

分 类 号：R246.6[医药卫生—针灸推拿学]