运动针法治疗中风后肩手综合征的临床观察

Clinical observation of motion with needling on post-stroke shoulder-hand syndrome

关键词:  中风  肩手综合征  运动针法

Key words:  stroke  shoulder-hand syndrome  the method of motion with needling

摘要:

[目的] 观察运动针法治疗中风后肩手综合征的临床疗效.[方法] 将75例患者随机分为两组,A组采用传统针法,B组采用运动针法,治疗4周后比较两组患者治疗前后目测类比评分法(VAS)疼痛积分、肿胀程度积分、Fugl-Meyer运动功能评定(FMA)积分及日常生活活动能力(ADL)积分.[结果] VAS疼痛积分,两组治疗后较治疗前均明显下降(P<0.01),但两组间差异无统计学意义(P>0.05);FMA积分及ADL积分,两组治疗后较治疗前均显著升高(P<0.01), B组积分明显高于A组积分(P<0.05),肿胀程度积分,两组治疗后较治疗前均显著下降(P<0.01),B组积分显著低于A组(P<0.01).[结论] 运动针法在改善上肢运动功能、提高日常生活活动能力及改善肢体肿胀方面优于常规针刺.

Abstract:

[Objective] To observe the clinical efficacy of motion with needling on post-stroke shoulde-hand syndrome. [Methods] The 75 patients were randomly divided into two groups, the traditional needling method on group A and the method of motion with needling on group B. After four weeks of the treatment, VAS pain scores, swelling degree of integration, FMA scores and ADL scores were compared between the two groups and within separate group at the time of before and after treatment. [Results] VAS pain scores after four weeks of the treatment were significantly decreased comparing with that of before treatment for both in the two groups(P<0.01), but no significant differences between two groups(P>0.05). For FMA scores and ADL scores, both between two groups were significantly increased(P<0.01), and Group B was significantly higher than that in group A(P<0.05). And for swelling degree of integration, between two groups were significantly decreased(P<0.01), and group B was significantly lower than that in group A(P<0.01). [Conclusion] The method of motion with needling is superior to the conventional needling method on improving upper limb motor function, activities of daily living and alleviating the swelling of the limbs.