摘要
目的:观察PGLA穴位埋线治疗脑卒中后Ⅰ期肩手综合征(SHS)近、远期疗效。方法:将脑卒中后Ⅰ期SHS患者随机分为对照组和治疗组,每组30例。对照组采用常规针刺配合康复训练疗法,每日1次。治疗组采用PGLA穴位埋线配合康复训练疗法,埋线治疗每5 d进行1次。两组均15 d为1个疗程,共治疗2个疗程。观察两组治疗前后及治疗结束后1个月随访时视觉模拟量尺(VAS)评分、手部水肿分级评分、Fugl-Meyer运动功能评分,并比较两组临床疗效。结果:治疗后及治疗结束后1个月随访时对照组总有效率分别为73.33%(22/30)、56.67%(17/30),治疗组总有效率分别为93.33%(28/30)、86.67%(26/30),治疗组总有效率高于对照组(P<0.05)。两组患者治疗后及随访时VAS评分、手部水肿分级评分均较本组治疗前明显下降,Fugl-Meyer评分较本组治疗前明显升高(P<0.05),治疗组均优于对照组(P<0.05)。结论:PGLA穴位埋线疗法在改善脑卒中后Ⅰ期SHS近、远期疗效方面优于普通针刺法。
Objective To investigate short-term and long-term efficacy of PGLA thread-embedding therapy in the treatment of stageⅠpost-stroke shoulder-hand syndrome.Methods A total of 60 patients with stageⅠpost-stroke shoulder-hand syndrome were randomly divided into control group and treatment group,with 30 patients in each group.The patients in the control group were given acupuncture combined with rehabilitation training,and those in the treatment group were given PGLA thread-embedding therapy combined with rehabilitation training.Conventional acupuncture was performed once a day,and thread-embedding therapy was performed once every 5 days.Both groups were treated for 30 days.Clinical outcome,Visual Analogue Scale(VAS)score,hand edema score,and Fugl-Meyer Assessment(FMA)score were compared within and between groups immediately and at 1 month after treatment.Results The treatment group had a significantly higher overall response rate than the control group immediately and at 1 month after treatment(93.33%/86.67%vs 73.33%/56.67%,P<0.05).Both groups had significant reductions in VAS score and hand edema score and a significant increase in FMA score immediately and at 1 month after treatment(P<0.05),and the treatment group had significantly greater improvements than the control group(P<0.05).Conclusion PGLA thread-embedding therapy has a better clinical effect than conventional acupuncture in the treatment of stageⅠpost-stroke shoulder-hand syndrome.
作者
幸冰峰
洪敏
周歆
张凯娜
刁胜朋
吴洪鸿
XING Bing-feng;HONG Min;ZHOU Xin;ZHANG Kai-na;DIAO Sheng-peng;WU Hong-hong(The First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510405,China;The First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080)
出处
《针刺研究》
CAS
CSCD
北大核心
2019年第10期762-765,共4页
Acupuncture Research
关键词
PGLA穴位埋线
脑卒中
Ⅰ期肩手综合征
PGLA thread-embedding therapy
Stroke
StageⅠshoulder-hand syndrome
