摘要
目的探讨温针灸和透刺法配合康复治疗脑卒中后肩痛的效果。方法将2016年1月～2018年1月我院收治的30例脑卒中后肩痛患者,按随机数字表法分为研究组和参照组,每组各15例。参照组给予"手足十二针"配合康复治疗,研究组给予温针灸和透刺法配合康复治疗。比较两组的临床疗效、治疗前后的肩关节外展角度(ROM)、疼痛视觉模拟评分(VAS)、上肢运动功能Fugl-Meyer(FMA)评分和功能独立性评定(FIM)量表评分,并观察两组的不良反应发生情况。结果研究组患者的临床疗效优于参照组,差异有统计学意义(P<0.05)。两组患者治疗前的ROM、VAS、FMA和FIM评分比较,差异无统计学意义(P>0.05);两组患者治疗后的ROM、FMA和FIM评分均高于治疗前,VAS评分低于治疗前,差异有统计学意义(P<0.05);治疗后,研究组患者的ROM、FMA和FIM评分均明显高于参照组,VAS评分明显低于参照组,差异有统计学意义(P<0.05)。两组患者在治疗期间均未出现不良反应。结论温针灸和透刺法配合康复治疗脑卒中后肩痛的临床效果显著,可以有效增加肩关节活动度、缓解肩部疼痛、改善上肢运动功能和日常生活独立能力,且安全性良好。
Objective To explore the effect of warm acupuncture and penetration needling combined with rehabilitation treating shoulder pain after stroke.Methods All of 30 patients with shoulder pain after stroke admitted to our hospital from January 2016 to January 2018 were randomly divided into the study group and reference group,with 15 cases in each group.The reference group was given“12-needle hand and foot”combined with rehabilitation treatment,and the reference group was given warm acupuncture and penetration needling combined with rehabilitation treatment.The clinical efficacy,shoulder abduction angle(ROM),visual analogue score(VAS)of pain,upper limb motor function Fugl-Meyer(FMA)score and functional independence assessment(FIM)score before and after treatment were compared between the two groups,and the incidence of adverse reactions of the two groups were observed.Results The clinical efficacy of the study group was better than that of the reference group,and the difference was statistically significant(P<0.05).There were no significant differences in the ROM,VAS,FMA and FIM scores between the two groups before treatment(P>0.05).The ROM,FMA and FIM scores of the two groups were higher than those before treatment,and the VAS score was lower than that before treatment,and the differences were statistically significant(P<0.05).After treatment,the ROM,FMA and FIM scores of the study group were significantly higher than the reference group,and the VAS score was significantly lower than the reference group,and he differences were statistically significant(P<0.05).There was no adverse reactions occurred in the two groups during the treatment period.Conclusion Warm acupuncture and penetration needling combined with rehabilitation treating shoulder pain after stroke has a significant clinical effect,which can effectively increase mobility of shoulder joint,relieve shoulder pain,improve upper limb motor function and daily life independence ability,and have good safety.
作者
钟格玲
张苏婉
高圣海
ZHONG Ge-ling;ZHANG Su-wan;GAO Sheng-hai(Department of Rehabilitation Medicine,the Third People′s Hospital of Longgang District in Shenzhen City,Guangdong Province,Shenzhen 518115,China)
出处
《中国当代医药》
2019年第6期117-119,共3页
China Modern Medicine
基金
广东省深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目(LGKCYLWS2018000095)
关键词
脑卒中
肩痛
温针灸
透刺
Stroke
Shoulder pain
Warm acupuncture
Penetration needling
