摘要
目的:通过与常规的平补平泻手法做比较来观察说明青龙摆尾针法治疗中风后肩手综合征的成效及其对本病的临床应用价值。方法:选取60例中风后肩手综合征Ⅰ期患者,按照1:1的比例采用电脑随机数字表法,将其中的30例标记为治疗组(青龙摆尾针刺组);另外标记为对照组的30例采用常规的平补平泻手法。2组均每日治疗1次,以6d为1个疗程,疗程间休息1d,4个疗程后使用简化上肢运动功能评价量表(FMA)、疼痛视觉模拟量表(VAS)和Barthel指数积分评价日常生活能力量表(ADL)评分来对比两组的治疗前后及组间差异性。结果:采用青龙摆尾法治疗后总有效率达90%,与常规刺法的63.3%相比存在明显的统计学差异(P<0.05);经过治疗两组患者FMA及ADL评分升高,VAS评分下降,且组间比较,治疗组差异性更加显著(P<0.05)。结论:青龙摆尾针法治疗中风后肩手综合征疗效确切,可以有效改善患者临床症状,提升生存自理能力,值得在临床上进一步应用和推广。
Objective:To observe and explain the effectiveness of Qinglong tail-wagging acupuncture in the treatment of post-stroke shoulder-hand syndrome and its clinical application value for this disease by comparing it with the conventional flattening,flattening and reducing techniques.Methods:Sixty patients with post-stroke shoulder-hand syndrome stage Ⅰ were selected,and 30 of them were marked as the treatment group (Qinglong tail acupuncture group)according to the ratio of 1:1 using the computerized random number table;the other was marked as the control group Thirty patients in the group used conventional methods of flattening,replenishing and reducing.Both groups were treated once a day,with 6 days as a course of treatment,1 day rest between treatments,and the simplified upper limb motor function assessment scale (FMA),pain visual analog scale (VAS) and Barthel index score evaluation after 4 courses The ability of daily living (ADL) score was used to compare the differences between the two groups before and after treatment and between the groups.Results:The total effective rate after treatment with the Qinglong tail swinging method was 90%,which was significantly different from the 63.3% of the conventional acupuncture method (P<0.05).After the treatment,the FMA and ADL scores of the two groups increased,and the VAS The score decreased,and the difference between the treatment groups was more significant (P<0.05).Conclusion:The Qinglong tail-waving acupuncture method is effective in treating post-stroke shoulder-hand syndrome.It can effectively improve the clinical symptoms of patients and enhance the ability of survival and self-care.It is worthy of further clinical application and promotion.
作者
李慧惠
王颖
计海生
刘秀秀
韩为
LI Huihui;WANG Ying;JI Haisheng;LIU Xiuxiu;HAN Wei(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230061,China)
出处
《中医药临床杂志》
2022年第1期159-163,共5页
Clinical Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81973933)
安徽省第十三批115产业创新团队“针药结合防治脑病产业创新团队”项目(皖人才办[2020]4号)
安徽省中医药传承创新科研项目(2020cczd04)。
关键词
肩手综合征
中风
青龙摆尾
针刺手法
Shoulder-hand syndrome
Stroke
Qinglong tail waving
Acupuncture
