摘要
目的观察董氏奇穴、平衡针联合改良中药硬膏热贴敷治疗中风后肩痛(Hemiplegic shoulder pain,HSP)患者的临床疗效。方法选取2020年1月—2021年9月期间佛山健翔骨伤医院收治的120例HSP患者,按随机数字表法分为针刺组、中药组和针药组,每组各40例。针刺组接受董氏奇穴合平衡针治疗,中药组接受改良中药硬膏热贴敷治疗,针药组接受针刺联合热贴敷治疗。治疗8周后,观察比较3组患者临床疗效,治疗前后肩关节功能、活动度、疼痛、日常生活能力评分及血清白介素-1β(Interleukin-1β,IL-1β)水平。结果治疗后3组患者肢体运动功能Fugel-Meyer Assessment(FMA)及肩关节主动外展、前屈的活动度评分均高于治疗前,差异有统计学意义(P<0.05);且针药组均高于针刺组、中药组,差异有统计学意义(P<0.05)。治疗后3组患者视觉模拟评分法(Visual analogue scale,VAS)评分均低于治疗前,日常生活能力量表(Activity of dailyliving scale,ADL)评分均高于治疗前,差异有统计学意义(P<0.05);且针药组VAS评分均低于针刺组、中药组,ADL评分均高于针刺组、中药组,差异有统计学意义(P<0.05)。治疗后3组患者白细胞介素-1β(Inter leukin-1β,IL-1β)水平均低于治疗前,差异有统计学意义(P<0.05);且针药组IL-1β水平均低于针刺组、中药组,差异有统计学意义(P<0.05)。治疗后针药组总有效率95.00%(38/40)明显高于针刺组80.00%(32/40)、中药组77.50%(31/40),差异有统计学意义(P<0.05)。结论HSP患者应用董氏奇穴平衡针联合改良中药硬膏热贴敷治疗对改善其上肢功能、活动度、疼痛、日常生活能力及血清炎症水平的疗效显著优于单纯的针刺、热贴敷疗法。
Objective To observe the efficacy of Dong′s extra acupoint acupuncture,balance acupuncture,and hot application of modified Chinese medicine plaster on Hemiplegic Shoulder Pain(HSP).Methods A total of 120 HSP patients who were treated in Foshan Jianxiang Bone Injury Hospital from January 2020 to September 2021 were randomized into the acupuncture group(Dong′s extra acupoint acupuncture+balance acupuncture),Chinese medicine group(hot application of modified Chinese medicine plaster),and acupuncture+Chinese medicine group(Dong′s extra acupoint acupuncture+balance acupuncture+hot application of modified Chinese medicine plaster),with 40 cases in each group.After eight weeks of treatment,the efficacy was compared among the three groups,and the function,range of motion,and pain of shoulder joint,activity of daily living(ADL),and the level of serum interleukin-1β(IL-1β)in the three groups were compared before and after treatment.Results After treatment,the scores of Fugl-Meyer Assessment(FMA)scale,shoulder flexion,and shoulder abduction were higher than those before treatment in the three groups(P<0.05),and the sores in the acupuncture+Chinese medicine group were higher than those in the other two groups(P<0.05).After treatment,the visual analog scale(VAS)score was lower than that before treatment,and ADL score was higher than that before treatment in the three groups(P<0.05).In addition,the VAS score in the acupuncture+Chinese medicine group was lower than that in the other two groups,and ADL score in acupuncture+Chinese medicine group was higher than that in the rest two groups(P<0.05).After treatment,the serum IL-1βlevel was decreased in the three groups(P<0.05),and the level in acupuncture+Chinese medicine group was lower than that in the rest two groups(P<0.05).The total effective rate in theacupuncture+Chinese medicine group was 95.00%(38/40),as compared with the 80.00%(32/40)in the acupuncture group and 77.50%(31/40)in the Chinese medicine group(P<0.05).Conclusion The combination of Dong′s extra acupoint acupuncture,balance acupuncture,and hot application of modified Chinese medicine plaster demonstrates more obvious effect on the upper limb function,mobility,pain,ADL,and serum inflammatory factor level of HSP patients than that of Dong′s extra acupoint combined with balance acupuncture or hot application of modified Chinese Medicine plaster alone.
作者
胡洪平
林俊
车德文
HU Hong-ping;LIN Jun;CHE De-wen(Graduate School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006;Foshan Jianxiang Bone Injury Hospital,Foshan Guangdong 528000)
出处
《世界中西医结合杂志》
2022年第10期1989-1992,1996,共5页
World Journal of Integrated Traditional and Western Medicine
基金
2020年佛山市自筹经费类科技计划项目(医学类科技攻关项目)(2020001005262)。
关键词
中风后肩痛
董氏奇穴
平衡针
改良中药硬膏
热贴敷
Post-stroke Shoulder Pain
Dong′s Extra Acupoint Acupuncture
Balance Acupuncture
Modified Chinese Medicine Plaster
Hot Application
