头穴丛刺联合巨刺法治疗脑卒中后肩手综合征Ⅰ期临床疗效观察  

Therapeutic Observation of the Clinical Efficacy of Scalp Cluster Needling Combined with Opposing Needling in the Treatment of Post-stroke Shoulder-Hand Syndrome in StageⅠ

作　　者：陈世龙 高伟 杨鹏 邓祥敏 滕云 徐勤磊 颜燕 CHEN Shilong;GAO Wei;YANG Peng;DENG Xiangmin;TENG Yun;XU Qinlei;YAN Yan(Jiangsu College of Nursing,Huaian 223001,Jiangsu,China;Huaian Economic Development Zone Hospital,Huaian 223299,Jiangsu,China;Huaian 82nd Hospital,Huaian 223001,Jiangsu,China)

机构地区：[1]江苏护理职业学院,江苏淮安223001 [2]淮安市经济开发区医院,江苏淮安223299 [3]淮安八十二医院,江苏淮安223001

出　　处：《辽宁中医药大学学报》2025年第3期200-204,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：淮安市科技局科研项目(HABL202222)。

摘　　要：目的在康复训练的基础之上比较头穴丛刺联合巨刺法和常规针刺法在治疗脑卒中后肩手综合征Ⅰ期的临床疗效差异。方法选取2023年6月—2023年12月淮安市经济开发区医院收治的80例脑卒中后肩手综合征Ⅰ期患者,将其随机分为试验组和对照组(各40例)。两组患者均予常规治疗及康复训练,对照组采用常规针刺治疗,试验组选用于氏头穴丛刺法联合巨刺法治疗,治疗4周。观察两组患者治疗前后肩手综合征评估量表(shoulder hand syndrome scale,SHSS)评分、疼痛视觉模拟量表(visual analogue scale,VAS)评分、上肢简化Fugl-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)评分的变化;应用排水法测量治疗前后水肿程度,从而评价临床疗效。结果治疗后两组患者SHSS评分、VAS评分、FMA评分较治疗前均有改善(P<0.05),试验组较对照组效果更加显著(P<0.05);治疗后两组患者水肿程度较治疗前显著降低(P<0.05),试验组较对照组效果更加显著(P<0.05);试验组总有效率(92.50%)高于对照组(85.00%)。结论应用头穴丛刺联合巨刺法治疗脑卒中后肩手综合征Ⅰ期患者,可以显著提升治疗效果,改善患者的临床症状。相较于常规针刺治疗,头穴丛刺联合巨刺法展现出更佳的疗效和更高的安全性。Objective To compare the clinical efficacy differences between scalp cluster needling combined with opposing needling and routine acupuncture in the treatment of post-stroke shoulder-hand syndrome in stage I based on rehabilitation training.Methods 80 patients with post-stroke shoulder-hand syndrome in stage I admitted to Huaian economic development zone hospital from June 2023 to December 2023 were randomly divided into an experimental group and a control group(40 cases in each group).Both groups of patients received routine treatment and rehabilitation training.The control group received routine acupuncture treatment,while the experimental group received a combination of acupuncture at the scalp cluster needling combined with opposing needling,treatment for 4 weeks.To observe the changes in the shoulder hand syndrome scale(SHSS)scores,pain visual analogue scale(VAS)scores,and simplified Fugl-Meyer motor function scale(FMA)scores of two groups of patients before and after treatment,and measure the degree of edema before and after treatment using drainage method to evaluate clinical efficacy.Results After treatment,the SHSS scores,VAS scores,and FMA scores of both groups of stroke patients with stage I shoulder-hand syndrome improved compared to before treatment(P<0.05),and the effect of the experimental group was more significant(P<0.05);The degree of edema of both groups after treatment was significantly reduced compared to before treatment(P<0.05),and the effect of the experimental group was more significant(P<0.05);The total effective rate of the experimental group was 92.50%,which was higher than the control group's total effective rate of 85.00%.Conclusion The application of scalp cluster needling combined with opposing needling can significantly improve the treatment effect and clinical symptoms of patients with post-stroke shoulder-hand syndrome in stageⅠ.Comparing with conventional acupuncture treatment,the combination of scalp cluster needling combined with opposing needling shows better efficacy and

关 键 词：头穴丛刺 巨刺法 脑卒中 肩手综合征 Ⅰ期 

分 类 号：R245.31[医药卫生—针灸推拿学] R255.2[医药卫生—中医临床基础]