针刺运动疗法治疗中风后偏瘫肩痛的临床观察  

Clinical Observation on the Treatment of Post-stroke Hemiplegic Shoulder Pain with Acupuncture Motor Therapy

作　　者：王鹏[1] 万姹嫣 张衍辉[1] WANG Peng;WAN Chayan;ZHANG Yanhui(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330000,China;不详)

机构地区：[1]江西中医药大学附属医院,江西南昌330000

出　　处：《中国医学创新》2022年第34期83-88,共6页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2020B0125)。

摘　　要：目的:探究针刺运动疗法在治疗中风后偏瘫肩痛中的临床效果。方法:选择2020年12月-2021年12月在江西中医药大学附属医院接受治疗的中风后偏瘫肩痛患者60例作为研究样本,将患者按照随机分配方式分为对照组和治疗组,各30例。对照组给予常规中医针刺疗法,治疗组在对照组基础上给予针刺运动疗法,3周为1个疗程,两组患者均治疗1个疗程。采用Fugl-Meyer评分表(FMA)评估治疗前、治疗1个疗程后两组上肢运动功能,采用视觉模拟评分法(VAS)及简明疼痛程度量表(BPI)评估治疗前、治疗1个疗程后两组患者的疼痛程度,分别记录并比较治疗前、治疗1个疗程后两组肩关节被动关节活动度(PROM)。结果:治疗前,两组FMA评分比较,差异无统计学意义(P>0.05);治疗1个疗程后,治疗组FMA评分比对照组高,差异有统计学意义(P<0.05),且两组FMA评分均比治疗前高,差异均有统计学意义(P<0.05)。治疗前,对两组VAS、BPI评分进行比较,差异均无统计学意义(P>0.05);治疗1个疗程后,与治疗前比较,两组VAS、BPI评分均明显降低,且治疗组均比对照组低,差异均有统计学意义(P<0.05)。治疗前,两组前屈、外展活动度对比,差异均无统计学意义(P>0.05);治疗1个疗程后,两组前屈、外展活动度与治疗前相比均有明显提高,且治疗组均比对照组高,差异均有统计学意义(P<0.05)。结论:针刺运动疗法可使中风后偏瘫肩痛患者的上肢运动功能、疼痛程度及肩关节活动度均得到显著改善,利于患者预后。Objective:To explore the clinical efficacy of acupuncture motor therapy in the treatment of post-stroke hemiplegic shoulder pain.Method:A total of 60 patients with post-stroke hemiplegic shoulder pain who were treated in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from December 2020 to December 2021 were selected as research samples,and the patients were randomly assigned to a control group and a treatment group,with 30 cases in each group.The control group was given conventional traditional Chinese medicine acupuncture therapy,and the treatment group was given acupuncture motor therapy on the basis of the control group.3 weeks was a course of treatment,and both groups were treated for one course of treatment.The Fugl-Meyer assessment scale(FMA)was used to evaluate the motor function of upper limbs in the two groups before treatment and after one course of treatment.The visual analogue scale(VAS)and the brief pain inventory(BPI)were used to assess the pain severity before treatment and after one course of treatment in the two groups.The passive range of motion(PROM)of the shoulder before treatment and after one course of treatment was recorded and compared between the two groups.Result:Before treatment,there was no significant difference between the two groups in FMA scores(P>0.05).After one course of treatment,the FMA score of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05),and the FMA scores of the two groups were higher than those before treatment,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in VAS and BPI scores between the two groups(P>0.05).After one course of treatment,compared with before treatment,the VAS and BPI scores of the two groups were significantly reduced,and the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant diff

关 键 词：中风 偏瘫 肩痛 针刺 肩关节 关节活动度 

分 类 号：R246.9[医药卫生—针灸推拿学]