摘要
目的观察肩关节腔注射结合针刺董氏奇穴治疗脑卒中后肩手综合征Ⅰ期的临床疗效。方法选取64例脑卒中后肩手综合征Ⅰ期患者为对象,采用随机数字表法分为观察组和对照组,每组32例,两组均给予常规的基础治疗和康复训练,观察组进行肩关节腔注射结合针刺董氏奇穴治疗,对照组进行常规针刺治疗方法,两组均以治疗4周为1个疗程,1个疗程后评估其治疗效果。采用视觉模拟量表(visual analogue scale,VAS)评估疼痛程度,采用Fugl-Meyer量表(Fugl-Meyer assessment,FMA)评估患者的运动功能,采用改良Barthel指数(modified Barthel index,MBI)评估患者的日常生活自理能力,并观察患者肩部肿胀程度。结果治疗4周后,观察组临床疗效明显优于对照组(P<0.05)。与治疗前比较,两组患者治疗后VAS评分、患手肿胀程度评分明显降低(P<0.05),FMA、MBI评分明显升高(P<0.05),观察组治疗后VAS评分降低程度和FMA、MBI评分升高程度显著大于对照组(P<0.05)。结论肩关节腔注射结合针刺董氏奇穴可以有效缓解脑卒中后肩手综合征Ⅰ期患者患侧肢体疼痛,提高患者上肢运动功能和患者日常生活自理能力,减轻手的肿胀程度。
Objective To investigate the clinical effect of shoulder joint cavity injection combined with acupuncture at Dong’s odd points in the treatment of stage Ⅰ post-stroke shoulder-hand syndrome. Methods A total of 64 patients with stage Ⅰ post-stroke shoulder-hand syndrome were enrolled as subjects and were divided into observation group and control group using a random number table, with 32 patients in each group. In addition to routine basic medical care and rehabilitation training, the patients in the observation group were given shoulder joint cavity injection combined with acupuncture at Dong’s odd points, and those in the control group were given conventional acupuncture. For both groups, each course of treatment was 4 weeks, and treatment outcome was evaluated after 1 course of treatment. Visual Analogue Scale(VAS) was used to evaluate the degree of pain, Fugl-Meyer Assessment was used to evaluate motor function, modified Barthel index(MBI) was used to assess self-care ability in daily life, and the degree of shoulder swelling was observed. Results After 4 weeks of treatment, the observation group had a significantly better clinical outcome than the control group(P<0.05). After treatment, both groups had significant reductions in VAS score and the score of swelling of the diseased hand(P<0.05) and significant increases in Fugl-Meyer score and MBI score(P<0.05), and compared with the control group, the observation group had a significantly greater reduction in VAS score and significantly greater increases in Fugl-Meyer score and MBI score(P<0.05). Conclusion In patients with stage Ⅰ post-stroke shoulder-hand syndrome, shoulder joint cavity injection combined with acupuncture at Dong’s odd points can effectively alleviate the pain of ipsilateral extremities, improve upper limb motor function and self-care ability in daily life, and reduce the degree of hand swelling.
作者
张海燕
肖洪波
陈亚锋
ZHANG Hai-yan;XIAO Hong-bo;CHEN Ya-feng(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《安徽中医药大学学报》
CAS
2022年第4期65-68,共4页
Journal of Anhui University of Chinese Medicine
基金
安徽省“十三五”省级中医重点专科建设项目(中医药服务秘[2017]567号)
安徽省2020年度中央财政中医药事业传承与发展专项资金项目(皖卫中医药发[2020]5号)。
关键词
脑卒中
肩手综合征
肩关节腔注射
董氏奇穴
运动功能
日常生活自理能力
Stroke
Shoulder-hand syndrome
Shoulder joint cavity injection
Dong’s odd points
Motor function
Self-care ability in daily life
