凤凰展翅针法针刺相对穴治疗中风后肩手综合征临床研究  

Clinical Study of Phoenix Spreading Wing Needling Corresponding Acupoints in Treatment of Post-Stroke SHS

作　　者：师帅[1] 郑义 张倩[2] 赵冰冰[1] 张金朋[1] 马祺昊 SHI Shuai;ZHENG Yi;ZHANG Qian;ZHAO Bingbing;ZHANG Jinpeng;MA Qihao(The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2022年第7期38-42,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省科学基金,编号:QC2018114;黑龙江省中医药科研项目,编号:ZHY2020-162;黑龙江中医药大学“优秀青年骨干教师支持计划”,编号:15041190022。

摘　　要：目的:观察凤凰展翅针法针刺相对穴治疗中风后肩手综合征的临床疗效。方法:60例中风后肩手综合征患者随机分为对照组和治疗组,对照组30例采用常规针刺,治疗组30例采用凤凰展翅针法针刺相对穴,在治疗7 d、14 d时观察两组治疗后的临床疗效、疼痛视觉模拟量尺、水肿程度评分和Fugl-Meyer量表结果,检测一氧化氮(NO)和内皮素1(ET-1)表达水平。结果:对照组治疗后总有效率为83.3%(25/30),治疗组治疗后总有效率为93.3%(28/30),治疗组治疗后总有效率明显高于对照组,差异具有统计学意义(P<0.05)。治疗7 d、14 d时两组患者的VAS评分、水肿程度评分和ET-1表达水平均较治疗前降低,差异具有统计学意义(P<0.05),FMA评分、NO表达水平均较治疗前升高,差异具有统计学意义(P<0.05),且治疗组明显优于对照组,差异具有统计学意义(P<0.05)。结论:采用凤凰展翅针法针刺相对穴治疗中风后肩手综合征能有效减轻肿痛,改善肢体功能,调节血管功能,临床疗效显著,且明显优于常规针刺。Objective:To observe the clinical effect of phoenix spreading wing needling corresponding acupoints in the treatment of post-stroke should-hand syndrome(SHS).Methods:60 patients with post-stroke SHS were randomly divided into the control group(n=30)and the treatment group(n=30).The control group was treated with conventional acupuncture,whereas the treatment group was treated with phoenix spreading wing needling corresponding acupoints.Clinical efficacy,scores of visual analogue scale(VAS),edema and Fugl-Meyer assessment(FMA)were observed,and expression levels of nitric oxide(NO)and endothelin 1(ET-1)were detected 7 d and 14 d after the treatment in the two groups.Results:The total effective rate was 93.3%(28/30)in the treatment group,which was significantly higher than 83.3%(25/30)in the control group(P<0.001).After 7 days and 14 days of the treatments,VAS score,edema score and ET-1 expression were all decreased(P<0.05),whereas FMA score and NO expression were increased compared with those before the treatment in the two groups(P<0.05);of which the improvements were more significant in the treatment group than those in the control group(P<0.05).Conclusion:Phoenix spreading wing needling corresponding acupoints can effectively relieve swelling and pain,improve limb function,regulate vascular function in the treatment of post-stroke SHS with its significant clinical efficacy,which is better than the conventional acupuncture.

关 键 词：凤凰展翅针法 相对穴 肩手综合征 中风 

分 类 号：R246.6[医药卫生—针灸推拿学]