摘要
目的:探讨点按肩髃穴镇痛对治疗中风后肩关节半脱位的临床作用。方法:将101例中风后肩关节半脱位的患者随机分为对照组51例和治疗组50例,对照组采用良肢位摆放和康复训练,治疗组在对照组的基础上采用点按肩髃穴的方法,观察期为6周,治疗前后分别予视觉模拟评级法VAS进行疼痛评分,Fugl-Meyer运动量表评估肢体运动功能,X线评定采用AHI测量方法。结果:经过6周治疗,治疗组VAS疼痛评分显著低于对照组(P<0.01),AHI显著小于对照组(P<0.01)。结论:点按肩髃穴可缓解卒中后肩关节半脱位患者的疼痛,同时改善其半脱位状态,为今后的上肢功能恢复打下基础。
Objective： To discuss the alleviation effect of Jianyu point massage for post-stroke glenohumoral subluxation. Methods： The 101 cases patients with psot-stroke glenohumoral subluxation were randomly divided into control group （n=51） and treatment group（n=50）. Suitable positioning and system rehabilitation were applied for control group. Jianyu point massage was applied in addition to traditional approaches for experimental group. A 6-week treatment course was conducted. Visual analogue scale （VAS）, Fugl-Meyer Score（for upper limbs） and acromio-humeral interval（AHI） based on X-ray were evaluated before and after treatment in two groups. Results： After 6-week treatment, the treatment group showed significantly lower VAS score （P〈0.O1） and shorter AHI （P〈0.01） than the control group. Conclusion： Jianyu point massage could relieve pain for post-stroke glenohumoral subluxation, improve its anatomic abnormality, and favors functional recovery of upper limbs.
出处
《中医药导报》
2014年第3期22-24,共3页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
2012年上海市卫生局中医药科研基金资助(2012L089A)
关键词
推拿
肩祸
镇痛
中风
肩关节半脱位
Massage
Jianyu point
Analgesia
Stoke
Glenohumoral subluxation
