基于“从阳引阴”探讨艾管针对中风后肩痛患者的影响  

Effect of Moxa-Tube Acupuncture in Treatment of Post-Stroke Shoulder Pain Based on‘Guiding Yin through Yang’

作　　者：陈禹宇 周海纯[1,2] CHEN Yuyu;ZHOU Haichun(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Fourth Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150070,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第四医院,黑龙江哈尔滨150070

出　　处：《针灸临床杂志》2025年第3期35-40,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金,编号:LH2021H089;黑龙江省中医药科研项目,编号:GY2022-23;黑龙江省中医药经典普及化研究专项课题,编号:ZYW2024-013;中国康复医学会科研项目,编号:KFKT-2023-037。

摘　　要：目的:比较“从阳引阴”理论下艾管针和传统针刺治疗中风后肩痛的疗效。方法:纳入72例中风后肩痛患者,并将患者随机分为两组:观察组采用艾管针疗法、对照组采用传统针刺治疗。两组治疗周期相同,为1次/d、6次/周,治疗4周。观察对比两组疼痛视觉模拟评分法(VAS)、简化上肢运动功能评分(FMA)、Constant-Murley肩关节功能评分、超敏C-反应蛋白(hs-CRP)水平以及白细胞介素-6(IL-6)水平治疗前后的变化。结果:与治疗前比较,两组患者的VAS评分、hs-CRP水平和IL-6水平均呈现出显著的下降趋势,差异具有统计学意义(P<0.05),且观察组的降低更为显著,差异具有统计学意义(P<0.01);此外,两组患者的FMA评分、Constant-Murley肩关节功能评分均出现治疗后的显著提升,差异具有统计学意义(P<0.05),且观察组升高更显著,差异具有统计学意义(P<0.01)。结论:艾管针治疗中风后肩痛疗效确切,可有效减轻患者肩痛,改善肩关节功能,其机制可能与降低hs-CRP、IL-6水平和减轻炎性反应有关。Objective:To compare the efficacy of the conventional acupuncture and moxa-tube acupuncture based on the theory of‘guiding Yin through Yang in treatment of post-stroke shoulder pain.Methods:72 patients with post-stroke shoulder pain were randomly divided into the observation group and the control group.The observation group was treated with moxa-tube acupuncture;whereas the control group was treated with conventional acupuncture.Both groups were treated once a day,6 times a week for 4 weeks.The changes in the scores of VAS,FMA and Constant-Murley shoulder function,and the levels of hs-CRP and IL-6 were compared between the two groups.Results:The VAS scores,and the levels of hs-CRP and IL-6 showed decreasing tendency after the treatment compared with those before the treatment in the two groups(P<0.05),with a more pronounced reduction observed in the observation group(P<0.05).The scores of FMA and the Constant-Murley shoulder function were significantly increased after the treatment compared with those before the treatment in the two groups(P<0.05),and the increases were more significant in the observation group(P<0.01).Conclusion:Moxa-tube acupuncture is effective in treatment of post-stroke shoulder pain,which can effectively reduce shoulder pain and improve shoulder joint function.The mechanism may be related to reducing the levels of hs-CRP and IL-6 and alleviating inflammatory responses.

关 键 词：中风 肩痛 艾管针 针刺 从阳引阴 

分 类 号：R246.6[医药卫生—针灸推拿学]