肩三针联合经筋结点电针刺激治疗脑卒中后肩手综合征的效果  

Therapeutic effect of shoulder three-needle acupoint scattered needling combined with electroacupuncture stimulation at the tendon node on shoulder hand syndrome after stroke

作　　者：胡薇[1] 张勇[1] 薛志欣[1] 李佩佩[1] 胡竞 侯珺 Hu Wei;Zhang Yong;Xue Zhixin;Li Peipei;Hu Jing;Hou Jun(Department of Acupuncture and Moxibustion,Shaanxi Provincial People’s Hospital,Xi’an 710068,China;Department of Acupuncture and Moxibustion II,Shaanxi Provincial Hospital of Chinese Medicine,Xi’an 710003,China)

机构地区：[1]陕西省人民医院针灸科,西安710068 [2]陕西省中医医院针灸二科,西安710003

出　　处：《中国实用医刊》2024年第8期107-110,共4页Chinese Journal of Practical Medicine

摘　　要：目的探究脑卒中后肩手综合征(SHS)采用肩三针联合经筋结点电针刺激治疗的临床效果。方法队列研究。抽取2022年3月至2023年3月陕西省人民医院收治的脑卒中后SHS患者60例,按随机数字表法分为对照组和观察组,每组30例。对照组予以常规治疗联合康复训练,观察组在此基础上采取肩三针联合经筋结点电针刺激治疗,均治疗4周。比较两组的临床疗效、肩痛程度[视觉模拟评分法(VAS)评分]、血液流变学指标[全血高切黏度(HBV)、全血低切黏度(LBV)、血浆黏度(PV)]、上肢功能[Fugl-Meyer上肢运动功能评定量表(FMA-UE)评分]及生活质量[脑卒中专用生活质量量表(SS-QOL)评分]。结果观察组治疗总有效率(93.33%,28/30)高于对照组(73.33%,22/30),P<0.05。治疗后,观察组VAS评分低于对照组(P<0.05);治疗后,观察组HBV、LBV、PV均低于对照组,FMA-UE、SS-QOL评分均高于对照组(P均<0.05)。结论肩三针联合经筋结点电针刺激治疗脑卒中后SHS的效果显著,可减轻患者肩部疼痛,改善血液流动学,加快上肢功能恢复,提高生活质量。Objective To investigate the clinical effect of shoulder three-needle acupoint scattered needling combined with electroacupuncture stimulation at the tendon node in the treatment of shoulder hand syndrome(SHS)after stroke.Methods Sixty patients with post-stroke SHS admitted to Shaanxi Provincial People’s Hospital from March 2022 to March 2023 were selected for the cohort study.And they were divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group received routine treatment combined with rehabilitation training,while the observation group was treated by shoulder three-needle acupoint scattered needling combined with electroacupuncture stimulation at the tendon node based on the treatment of the control group.Both groups were treated for 4 weeks.The clinical efficacy,degree of shoulder pain assessed by visual analogue scale(VAS)score,hemorheological indicators,including whole blood high shear viscosity(HBV),whole blood low shear viscosity(LBV)and plasma viscosity(PV),upper limb function assessed by Fugl-Meyer assessment upper extremity scale(FMA-UE)score,and quality of life assessed by stroke specific quality of life scale(SS-QOL)score were compared between the two groups.Results The total effective rate of treatment in the observation group(93.33%,28/30)was higher than that in the control group(73.33%,22/30),P<0.05.After treatment,the VAS score of the observation group was lower than that of the control group(P<0.05).After treatment,the HBV,LBV,and PV of the observation group were lower than those of the control group,while the FMA-UE score and SS-QOL score were higher than those of the control group(all P<0.05).Conclusions Shoulder three-needle acupoint scattered needling combined with electroacupuncture at the tendon node has a significant effect in the treatment of SHS patients after stroke.It can alleviate shoulder pain,improve blood flow,accelerate upper limb function recovery,and improve quality of life.

关 键 词：脑卒中 肩手综合征 肩三针 经筋结点 电针刺激 肩痛程度 血液流变学 上肢功能 

分 类 号：R246.6[医药卫生—针灸推拿学]