摘要
目的探讨基于肌骨超声技术下经筋排刺法对中风后偏瘫肩痛患者的治疗效果,分析经筋排刺法在治疗肩痛过程中的优势。方法120例中风后偏瘫肩痛患者,按照随机数字表法分为观察组与对照组,每组60例。对照组在常规康复与药物治疗基础上,根据传统体查结果给予常规针刺治疗;观察组在常规康复与药物治疗的基础上,利用肌骨超声对患者的肩痛部位进行诊查,并针对超声诊查结果给予经筋排刺治疗。记录分析观察组患者患侧肩关节肌骨超声检查结果,比较两组患者临床疗效以及治疗前和治疗1、3、6周的视觉模拟评分法(VAS)、Fugl-Meyer上肢运动功能评分。结果观察组60例患者中,粘连性肩关节囊炎16例,肩锁关节病变14例,肩袖肌腱病8例,肱二头肌腱炎7例,肩关节半脱位7例,钙化性肌腱炎4例,滑囊炎4例。治疗1、3、6周,两组VAS评分均低于本组治疗前,且治疗3、6周时,观察组VAS评分分别为(2.47±1.33)、(1.96±0.31)分,均低于对照组的(3.91±1.41)、(3.79±1.35)分,差异均具有统计学意义(P<0.05)。治疗1、3、6周,两组患者Fugl-Meyer上肢运动功能评分均高于本组治疗前,且治疗6周时,观察组Fugl-Meyer上肢运动功能评分(38.43±9.58)分高于对照组的(29.14±8.01)分,差异均具有统计学意义(P<0.05)。治疗1、3周时,两组患者Fugl-Meyer上肢运动功能评分比较,差异无统计学意义(P>0.05)。观察组愈显率76.67%高于对照组的56.67%,差异具有统计学意义(P<0.05)。结论在肌骨超声的辅助下,采用经筋排刺法联合常规康复训练可有效提高中风后偏瘫肩痛的治疗效果。
Objective To investigate the therapeutic effects of acupuncture with muscle region based on musculoskeletal ultrasonography to treat hemiplegic shoulder pain after stroke,so as to analyze the advantages of acupuncture with muscle region in the treatment of shoulder pain.Methods 120 patients with hemiplegic shoulder pain after stroke were randomly divided into an observation group and a control group,with 60 cases in each group.On the basis of conventional rehabilitation and medication,patients of the control group received conventional acupuncture treatment according to the results of traditional physical examination;on the basis of routine rehabilitation training and drug treatment,patients of the observation group were examined with musculoskeletal ultrasonography,and received acupuncture with muscle region based on results of the ultrasonic examination.The results of musculoskeletal ultrasonography of shoulder joint of patients of the observation group were recorded and analyzed.The clinical efficacy,visual analogue scale(VAS)and Fugl-Meyer assessment of the upper extremity score before treatment and after 1,3 and 6 weeks of treatment were compared between the two groups.Results Among the 60 patients of the observation group,there were 16 cases of adhesive capsulitis of shoulder,14 cases of acromioclavicular joint disease,8 cases of rotator cuff tendinitis,7 cases of biceps brachii tendinitis,7 cases of shoulder subluxation,4 cases of calcified tendinitis and 4 cases of bursitis.After 1,3 and 6 weeks of treatment,the VAS scores of the two groups were lower than those of this group before treatment.The VAS scores of the observation group after 3 and 6 weeks of treatment were(2.47±1.33)points and(1.96±0.31)points,respectively,which were lower than(3.91±1.41)points and(3.79±1.35)points of the control group;and the differences were statistically significant(P<0.05).After 1,3 and 6 weeks of treatment,the Fugl-Meyer assessment of the upper extremity scores of the two groups were higher than those of this group b
作者
李梦
LI Meng(Guangzhou University of Chinese Medicine Shenzhen Hospital,Shenzhen 518034,China)
出处
《中国现代药物应用》
2022年第15期163-167,共5页
Chinese Journal of Modern Drug Application
关键词
肌骨超声
经筋排刺法
偏瘫
肩痛
康复
Musculoskeletal ultrasonography
Row acupuncture with muscle region
Hemiplegia
Shoulder pain
Rehabilitation
