摘要
目的观察百会透太阳针法结合康复手法治疗脑卒中后肩手综合征临床疗效。方法将脑卒中肩手综合征患者80例,随机分为透刺组和对照组,每组40例。透刺组采用百会透太阳针法结合康复手法,每天治疗1次,对照组仅给予每天1次康复手法治疗。观察治疗前后患肢的疼痛VAS、肿胀程度以及上肢功能(Carol)、日常生活能力(Bathel)的评分,比较两组临床疗效。结果两组治疗后VAS评分、患肢Carol评分及Bathel指数评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。透刺组治疗后VAS评分、患肢Carol评分及Bathel指数评分与对照组治疗后比较,差异均具有统计学意义(P<0.01)。透刺组治疗后显效率为35%,对照组治疗后显效率为5%,两组显效率比较差异具有统计学意义。结论百会透太阳针法结合康复手法是治疗脑卒中后肩手综合征的有效方法。
Objective To observe the clinical efficacy on post- stroke shoulder- hand syndrome( SHS) treated with penetrating acupuncture from Baihui( GV20) to Taiyang( EX- HN5) combined with rehabilitation manipulation. Methods Eighty cases of SHS were randomized into a penetrating acupuncture group and a control group,40 cases in each one. In the penetrating acupuncture group,the penetrating acupuncture from Baihui( GV20) to Taiyang( EX- HN5) combined with rehabilitation manipulation was applied,once a day. In the control group,the rehabilitation manipulation was only used. VAS of the affected limb,swelling degree,the upper limb motor function( Carol),the ability of daily life activity( Bathel) were observed before and after treatment. The clinical efficacy was compared between the two groups. Results After treatment,VAS score,Carol score and Bathel score were different significantly as compared with those before treatment in each group( P < 0. 01). In the penetrating acupuncture group,after treatment,all of the scores were different significantly as compared with those in the control group( P < 0. 01). The remarkable effective rate was 35% after treatment in the penetrating acupuncture group and was 5% in the control group,indicating the significant difference. Conclusion The penetrating acupuncture from Baihui( GV20) to Taiyang( EX-HN5) combined with rehabilitation manipulation is the effective method for post- stroke SHS.
出处
《世界中西医结合杂志》
2016年第6期804-807,共4页
World Journal of Integrated Traditional and Western Medicine
基金
上海市中医药特色项目(shjczyynlts-sqzyyts-8)
关键词
肩手综合征
百会透太阳
透刺
康复手法
Shoulder-Hand Syndrome
Penetrating Acupuncture from Baihui(GV20) to Taiyang(EX-HN5)
Penetrating Acupuncture Technique
Rehabilitation Manipulation
