火龙罐联合醒脑开窍法穴位埋针治疗缺血性脑卒中后并发肩手综合征临床研究  

Clinical Study on Huolong Cupping Combined with Needle Embedment in Point with Method of Xingnao Kaiqiao for Shoulder-Hand Syndrome After Ischemic Stroke

作　　者：范旭莉 陈秋婉 朱小燕 傅娟 FAN Xuli;CHEN Qiuwan;ZHU Xiaoyan;FU Juan

机构地区：[1]金华市中医医院,浙江金华321017

出　　处：《新中医》2022年第23期183-187,共5页New Chinese Medicine

摘　　要：目的:观察火龙罐联合醒脑开窍法穴位埋针治疗缺血性脑卒中后并发肩手综合征的临床疗效。方法:选取62例缺血性卒中后并发肩手综合征患者,按随机数字表法分为联合组及对照组各31例。对照组给予常规治疗及醒脑开窍法穴位埋针治疗,联合组在对照组基础上实施火龙罐治疗,2组均治疗4周。比较2组治疗前后患肢疼痛程度、肿胀程度、上肢Fugl-Meyer运动功能评分(FMA)、肌力情况及肩手综合征评估量表(SHSS)评分的变化,比较2组临床疗效。结果:治疗后,2组疼痛评分、肿胀程度均较治疗前下降,FMA评分均较治疗前升高,差异均有统计学意义(P<0.05);治疗后,联合组疼痛评分、肿胀程度均低于对照组,FMA评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组患肢肌力均较治疗前有所改善(P<0.05),联合组患肢肌力改善优于对照组(P<0.05)。治疗后,2组患肢侧SHSS评分中运动、感觉、自主神经、总分均较治疗前下降(P<0.05),联合组患肢侧SHSS评分中运动、感觉、自主神经、总分均低于对照组(P<0.05)。联合组临床疗效为96.77%,对照组为77.42%,2组比较,差异有统计学意义(P<0.05)。结论:火龙罐联合醒脑开窍法穴位埋针治疗缺血性脑卒中后并发肩手综合征可明显改善患者患肢疼痛、肿胀、肌力下降、运动受限等症状,提高临床疗效。Objective:To observe the clinical effect of the therapy of Huolong cupping combined with needle embedment in point with the method of Xingnao Kaiqiao on shoulder-hand syndrome after ischemic stroke.Methods:A total of 62 patients with shoulder-hand syndrome after ischemic stroke were selected and divided into the combination group and the control group according to the random number table method,with 31 cases in each group.The control group was treated with routine treatment and needle embedment in point with the method of Xingnao Kaiqiao,and the combination group was additionally treated with Huolong cupping based on the treatment of the control group.Both groups were treated for four weeks.Before and after treatment,the changes of degree of pain of affected limbs,degree of swelling,scores of Fugl-Meyer Assessment(FMA) for upper extremity,muscle strength and scores of Shoulder-Hand Syndrome Scale(SHSS) were compared between the two groups.The clinical effects were compared between the two groups.Results:After treatment,the scores of pain and degree of swelling were decreased when compared with those before treatment,and the scores of FMA were increased,differences being significant(P<0.05);after treatment,the score of pain and degree of swelling in the combination group were lower than those in the control group,and the score of FMA in the combination group was higher,differences being significant(P<0.05).After treatment,the muscle strength of affected limbs in the two groups was improved when compared with those before treatment(P<0.05),and the improvement in the muscle strength of affected limbs in the combination group was better than that in the control group(P<0.05).After treatment,the scores of motion,sensation and autonomic nerve and total scores of SHSS of affected side in the two groups were decreased when compared with those before treatment(P<0.05),and the above four scores in the combination group were lower than those in the control group(P<0.05).The clinical effect was 96.77% in the combination grou

关 键 词：缺血性脑卒中 肩手综合征 火龙罐 醒脑开窍针法 穴位埋针 

分 类 号：R277.7[医药卫生—中医学]