穴位电针联合肌内效贴治疗脑卒中后肩手综合征的效果  

Effect of acupoint electroacupuncture combined with intramuscular effect plaster in the treatment of shoulder hand syndrome after stroke

作　　者：刘丽杰 郝娜 崔倩[2] 陈新意 金迪[3] 赵冬 LIU Lijie;HAO Na;CUI Qian;CHEN Xinyi;JIN Di;ZHAO Dong(Department of Rehabilitation,Liaoning Jinqiu Hospital,Liaoning Province,Shenyang110016,China;Department of Rehabilitation,Shengjing Hospital Affiliated to China Medical University,Liaoning Province,Shenyang110134,China;Department of Encephalopathy,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang110021,China;Ward Two,Department of General Geriatrics,Liaoning Jinqiu Hospital,Liaoning Province,Shenyang110021,China)

机构地区：[1]辽宁省金秋医院康复科,辽宁沈阳110016 [2]中国医科大学附属盛京医院康复科,辽宁沈阳110134 [3]辽宁中医药大学附属医院脑病科,辽宁沈阳110021 [4]辽宁省金秋医院综合老年医学科二病房,辽宁沈阳110021

出　　处：《中国医药导报》2023年第27期143-147,共5页China Medical Herald

基　　金：辽宁省科学技术研究发展计划项目(2020-ZD-1030)。

摘　　要：目的探讨穴位电针联合肌内效贴治疗脑卒中后肩手综合征的效果。方法选择2021年2月至2022年9月辽宁省金秋医院收治的174例脑卒中后肩手综合征患者,根据随机数字表法将其分为对照组A(58例)、对照组B(58例)与观察组(58例)。对照组A采用肌内效贴治疗,对照组B采用穴位电针治疗,观察组采用穴位电针联合肌内效贴治疗。三组患者均治疗3个疗程。比较三组症状评分、临床疗效、肩手肌群生物力学指标、治疗安全性。结果治疗后三组中医证候评分、肩手综合征评估量表(SHSS)评分较治疗前降低,Fugl-Meyer评估量表(FMA)评分较治疗前升高,且观察组中医证候评分、SHSS评分低于对照组A和对照组B,FMA评分高于照组A和对照组B,差异有统计学意义(P<0.05)。观察组临床疗效优于对照组A和对照组B,差异有统计学意义(P<0.05)。治疗后三组肩外展肌、肩前屈肌、内旋肌、外旋肌峰力矩较治疗前升高,且观察组高于对照组A和对照组B,差异有统计学意义(P<0.05)。观察组与对照组A、对照组B不良反应发生率比较,差异无统计学意义(P>0.05)。结论穴位电针联合肌内效贴治疗脑卒中后肩手综合征的效果显著,可改善患者症状和肩部肌群肌力,提高肢体运动功能,治疗安全性好。Objective To explore the effect of acupoint electroacupuncture combined with intramuscular effect plaster in the treatment of shoulder hand syndrome after stroke.Methods A total of 174 patients with shoulder hand syndrome after stroke admitted to Liaoning Jinqiu Hospital from February 2021 to September 2022 were selected and they were divided into control group A(58 cases),control group B(58 cases)and observation group(58 cases)according to random number table method.Control group A was treated with intramuscular effect plaster,control group B was treated with acupoint electroacupuncture,and observation group was treated with acupoint electroacupuncture combined with intramuscular effect plaster.All three groups were treated for three courses.Symptom scores,clinical efficacy,biomechanical indicators of shoulder and hand muscle groups and treatment safety were compared among three groups.Results After treatment,the scores of traditional Chinese medicine syndrome and shoulder hand syn drome assessment scale(SHSS)in three groups were lower than those before treatment,the scores of Fugl-Meyer assessment scale(FMA)in three groups were higher than those before treatment,and the scores of traditional Chinese medicine syndrome and SHSS in observation group were lower than those in control group A and control group B,FMA scores in observation group were higher than those in control group A and control group B,and the differences were statistically significant(P<0.05).Clinical efficacy of observation group was superior to that of control group A and control group B,the difference was statistically significant (P<0.05). After treatment, the peak torque of shoulder abductor muscle, anterior flexor muscle, internal rotator muscle, and external rotator muscle of three groups were higher than those before treatment, and those of observation group was higher than those of control group A and control group B, the differences were statistically significant (P<0.05). There was no statistically significant difference in the incidenc

关 键 词：脑卒中 肩手综合征 肌内效贴 穴位电针 生物肌力 

分 类 号：R255.2[医药卫生—中医内科学]