摘要
目的探讨针刺、推拿结合肌电生物反馈治疗对偏瘫肩痛患者症状及肩关节功能的影响。方法将2018年1月—2019年6月安庆市第一人民医院收治的96例偏瘫肩痛患者随机分成对照组和观察组,对照组48例给予肌电生物反馈电刺激治疗,观察组48例在对照组治疗基础上联合推拿、针刺治疗,2组均治疗4周。对比2组治疗前后视觉模拟量表(VAS)疼痛评分、简化Fugl-Meyer上肢运动功能评分(FMA)、改良Barthel指数评分(MBI)、肩关节活动度(前屈、后伸、外展、内旋、外旋),比较2组临床疗效、肩手综合征发生率及不良反应发生情况。结果治疗后,2组VAS评分均明显降低(P均<0.05),且观察组降低更为明显(P<0.05);2组FMA评分和MBI评分均明显升高(P均<0.05),且观察组升高更为明显(P均<0.05);2组前屈、后伸、外展、内旋、外旋度均明显升高(P均<0.05),且观察组升高更为明显(P均<0.05);观察组总有效率为93.8%(45/48),对照组为79.2%(38/48),观察组明显高于对照组(P<0.05);观察组肩手综合征发生率为2.1%(1/48),对照组为12.5%(6/48),观察组明显低于对照组(P<0.05);2组治疗期间均未出现明显不良反应。结论针刺、推拿结合肌电生物反馈电刺激治疗能够有效缓解偏瘫肩痛患者症状,提高肩关节功能,降低肩手综合征发生率,是一种安全有效的治疗方法。
Objective It is to investigate the effects of combination of acupuncture,massage and electromyographic biofeedback therapy on symptom and shoulder joint function in patients with hemiplegic shoulder pain.Methods Ninety-six patients with hemiplegic shoulder pain admitted to Anqing First People’s Hospital from January 2018 to June 2019 were randomly divided into control group and observation group.48 cases in the control group were treated with electromyographic biofeedback electrical stimulation,and 48 cases in the observation group were treated with massage and acupuncture on the basis of the treatment of the control group,both groups were treated for 4 weeks.The pain score of visual analogue scale(VAS),scores of simplified Fugl-Meyer assessment of upper limb motor function(FMA),modified Barthel index score(MBI),shoulder mobility(anteflexion,rear protraction,abduction,internal rotation,external rotation)before and after treatment were compared between the two groups,the clinical efficacy,the incidence of shoulder-hand syndrome and the occurrence of adverse reactions were compared between the two groups.Results After treatment,the VAS scores in the two groups were significantly reduced(P<0.05),and the reduction in the observation group was more significant(P<0.05);the FMA score and MBI score in the two groups were significantly increased(P<0.05),and the increase in the observation group was more obvious(P<0.05);the degrees of anteflexion,rear protraction,abduction,internal rotation,external rotation in the two groups were significantly increased(P<0.05),and the increase in the observation group was more significant(P<0.05);the total effective rate of the observation group was 93.8%(45/48),the control group was 79.2%(38/48),the observation group was significantly higher than the control group(P<0.05);the incidence of shoulder-hand syndrome in the observation group was 2.1%(1/48),the control group was 12.5%(6/48),the observation group was significantly lower than the control group(P<0.05);there was no obvious adve
作者
王嫦娥
WANG Chang’e(Anqing First People’s Hospital, Anqing 246003,Anhui,China)
出处
《现代中西医结合杂志》
CAS
2021年第25期2777-2781,共5页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
偏瘫
肩痛
针刺
推拿
肌电生物反馈电刺激
疼痛
肩关节功能
hemiplegia
shoulder pain
acupuncture
massage
electromyography biofeedback electrical stimulation
pain
shoulder joint function
