摘要
目的:观察电针结合艾灸治疗脑卒中后肩手综合征Ⅰ期的临床有效性。方法:将90例脑卒中后肩手综合征Ⅰ期患者随机分为电针组、艾灸组、电针结合艾灸组,每组各30例。在常规康复训练基础上,电针组给予电针颈C5~C7夹脊穴治疗,艾灸组给予艾灸外关穴治疗,电针结合艾灸组给予电针颈C5~C7夹脊穴结合艾灸外关穴治疗。治疗4周后,比较各组患者的治疗效果。结果:电针结合艾灸组在减轻患肢疼痛、提高日常生活活动能力方面均明显优于单纯电针组和单纯艾灸组,差异均有统计学意义(P<0.05);电针结合艾灸组在提高患肢运动功能、改善肩关节活动度方面与单纯艾灸组比较,差异有统计学意义(P<0.05),与电针组比较无统计学差异(P>0.05)。结论:电针结合艾灸治疗可显著提高脑卒中后肩手综合征Ⅰ期患者的治疗效果,值得临床推广应用。
Objective:To observe the clinical effect of electro-acupuncture combined with moxibustion on shoulder-hand syndrome(SHS)phaseⅠafter stroke.Methods:A total of 90 patients with SHS phaseⅠafter stroke were randomized divided into electroacupuncture group,moxibustion group and electro-acupuncture combined with moxibustion group,with 30 cases in each group.On the basis of routine rehabilitation training,the electro-acupuncture group was given electro-acupuncture at Jiaji point(EX-B2)C5-C7,the moxibustion group was given moxibustion at Waiguan Point(SJ5),and the electro-acupuncture combined with moxibustion group was given the above two treatments.After 4 weeks of treatment,the therapeutic effect of each group was compared.Results:After the treatment,the electro-acupuncture combined with moxibustion group was significantly better than the other two groups in relieving the pain,and improving the activity of daily living ability,the differences were all statistically significant(P<0.05).The difference between the electro-acupuncture combined with moxibustion group and the moxibustion group was statistical significant in improving the movement function of the affected limb and the mobility of shoulder joint.While,the difference between the electro-acupuncture combined with moxibustion group and the electro-acupuncture group was no statistically significant in improving the movement function of the affected limb and the mobility of shoulder joint.Conclusion:The electro-acupuncture combined with moxibustion can significantly improve the clinical efficacy of SHS stage I patients after stroke,and is worthy of clinical application.
作者
余友金
周小炫
郑晓英
林云玲
何坚
Yu Youjin;Zhou Xiaoxuan;Zheng Xiaoying;Lin Yunling;He Jian(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Fujian Key Laboratory of Rehabilitation Technology,Fuzhou 350003,China)
出处
《亚太传统医药》
2020年第9期134-137,共4页
Asia-Pacific Traditional Medicine
基金
福建省卫生健康科研人才培养项目(2019-1-75)
福建中医药大学校管科研项目(XB2018043)
关键词
电针
艾灸
脑卒中
肩手综合征
Electro-acupuncture
Moxibustion
Stroke
Shoulder-hand Syndrome
