摘要
目的:观察探讨冲击波疗法联合针刺治疗脑卒中后偏瘫肩痛(HSP)的临床疗效。方法:选取2019年9月~2021年9月期间于广东省中医院住院或门诊就诊的70例脑卒中后HSP患者作为研究对象,采用随机对照试验设计方法将入选患者通过随机数字表法分为联合组和对照组各35例,两组患者均给予基础药物治疗和常规康复治疗,对照组在此基础上给予针刺治疗,联合组在对照组基础上联合冲击波治疗,比较两组治疗后临床疗效差异和治疗前后两组中医症状积分、肩部疼痛程度、上肢运动功能、日常生活能力、肩关节被动活动度及不良反应发生率。结果:治疗后,联合组总有效率(97.14%)显著高于对照组(82.86%)(P<0.05);两组各项中医症状积分均较治疗前显著降低(P<0.05),且联合组显著低于对照组(P<0.05);两组VAS评分较治疗前显著降低(P<0.05),且联合组显著低于对照组(P<0.05),FMA评分MBI评分均较治疗前显著升高(P<0.05),且联合组显著高于对照组(P<0.05);两组前屈、后伸、内旋、外旋及外展角度均较治疗前显著升高(P<0.05),且联合组显著高于对照组(P<0.05);治疗期间两组组均未发生明显不良反应。结论:冲击波疗法联合针刺治疗脑卒中后HSP疗效显著,可有效减轻患者中医症候和肩部疼痛程度,并提高其上肢运动功能和日常生活能力,同时促进肩关节活动度改善,值得临床推广应用。
Objective:To observe and explore the clinical efficacy of applying shock wave therapy combined with acupuncture in the treatment of hemiplegic shoulder pain(HSP)after stroke.Methods:70 patients with HSP after stroke who were hospitalized or treated in outpatient department of Guangdong Provincial Hospital of Traditional Chinese Medicine between September 2019 and September 2021 were selected as the research subjects.Randomized controlled trial design method was used to divide the selected patients into a combined group and a controlled group by the random number table method,with 35 cases in each group.The two groups of patients were given basic drug treatment and conventional rehabilitation treatment,and the controlled group was given acupuncture treatment on this basis and the combined group was combined with shock wave therapy on the basis of the controlled group.The difference in clinical efficacy after treatment,scores of TCM symptoms,shoulder pain degree,upper limb motor function,activity of daily living and shoulder passive range of motion before and after treatment and incidence rates of adverse reactions were compared between the two groups.Results:After treatment,the total effective rate of 97.14%in the combined group was significantly higher than 82.86%in the controlled group(P<0.05).The scores of TCM symptoms in both groups were significantly reduced compared with those before treatment(P<0.05),and the scores of the combined group were significantly lower than those of the controlled group(P<0.05).The VAS score of the two groups was significantly decreased compared to before treatment(P<0.05),and the score of the combined group was significantly lower compared to the controlled group(P<0.05),and the FMA score and MBI score were significantly increased compared with those before treatment(P<0.05),and the scores of the combined group were significantly higher than those of the controlled group(P<0.05).The angles of anteflexion,rear protraction,internal rotation,external rotation and abduction in both gr
作者
农文恒
朱俊志
杜丽诗
唐丹丹
段权
郭友华
NONG Wenheng;ZHU Junzhi;DU Lishi(Department of Rehabilitation,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 510120,China)
出处
《四川中医》
2022年第7期188-192,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
广东省中医药管理局科研项目(编号:20191127,针灸结合冲击波疗法治疗脑卒中后偏瘫肩痛的临床疗效观察)
关键词
体外冲击波疗法
针刺
脑卒中
偏瘫肩痛
临床疗效
Extracorporeal shock wave therapy
Acupuncture
Stroke
Hemiplegic shoulder pain
Clinical efficacy
