电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期临床观察
|
摘要
目的:观察电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期的临床疗效。方法:将86例脑卒中后肩手综合征Ⅰ期患者按照随机数字表法分为治疗组和对照组,各43例,对照组给予常规针刺治疗,治疗组给予电针结合药饼灸治疗。观察两组疼痛视觉模拟法(VAS)评分、手部水肿分级评分、上肢简化Fugl-Meyer运动量表(FMA)评分与临床疗效。结果:两组治疗后手部水肿分级评分、VAS评分均较治疗前显著降低(P<0.05),治疗组治疗后手部水肿分级评分、VAS评分较对照组降低更显著(P<0.05);两组治疗后上肢简化Fugl-Meyer运动量表(FMA)评分较治疗前显著升高(P<0.05),治疗组治疗后FMA评分较对照组升高更显著(P<0.05);两组临床总有效率比较,治疗组总有效率优于对照组,差异有统计学意义(P<0.05)。结论:电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期疗效显著,优于单纯针刺治疗。
Objective: To observe the clinical efficacy of electro-acupuncture combined with medicated cake moxibustion treating post-stroke shoulder-hand syndrome( SHS) of phase Ⅰ. Methods: 86 post-stroke patients with SHS of phase Ⅰ were randomly divided into the treatment group and the control group,with 43 cases in each group; the control group was given conventional acupuncture treatment,the treatment group was treated with electro-acupuncture combined with medicated cake moxibustion. Scores of VAS,hand edema,and FMA,as well as clinical efficacy were observed and compared between the two groups. Results: Scores of hand edema and VAS were significantly lowered after the treatment than those before the treatment in the two groups( P < 0. 05),of which the treatment group improved more than the control group( P < 0. 05). In terms of FMA score,it was significantly increased after the treatment in the two groups( P < 0. 05),it was increased more in the treatment group than that in the control group( P < 0. 05). In terms of the total effective rate,it was higher in the treatment group than that in the control group,the difference was statistically significant( P < 0. 05).Conclusion: Electro-acupuncture combined with medicated cake moxibustion has a significant curative effect on post-stoke SHS of phase Ⅰ,which is superior to single acupuncture.
Objective: To observe the clinical efficacy of electro-acupuncture combined with medicated cake moxibustion treating post-stroke shoulder-hand syndrome( SHS) of phase Ⅰ. Methods: 86 post-stroke patients with SHS of phase Ⅰ were randomly divided into the treatment group and the control group,with 43 cases in each group; the control group was given conventional acupuncture treatment,the treatment group was treated with electro-acupuncture combined with medicated cake moxibustion. Scores of VAS,hand edema,and FMA,as well as clinical efficacy were observed and compared between the two groups. Results: Scores of hand edema and VAS were significantly lowered after the treatment than those before the treatment in the two groups( P < 0. 05),of which the treatment group improved more than the control group( P < 0. 05). In terms of FMA score,it was significantly increased after the treatment in the two groups( P < 0. 05),it was increased more in the treatment group than that in the control group( P < 0. 05). In terms of the total effective rate,it was higher in the treatment group than that in the control group,the difference was statistically significant( P < 0. 05).Conclusion: Electro-acupuncture combined with medicated cake moxibustion has a significant curative effect on post-stoke SHS of phase Ⅰ,which is superior to single acupuncture.
引文
[1]南登昆.康复医学[M].3版.北京:人民卫生出版社,2004:208.
[2]段英春,刘芳,张彦.电针结合康复训练治疗肩手综合征[J].吉林中医药,2014,34(2):190-191.
[3]陈雄杰,高潇,高雪霞,等.电针耳廓背侧根部治疗卒中后肩手综合征Ⅰ期的临床疗效观察[J].针灸临床杂志,2015,31(8):22-24.
[4]中华医学会.临床诊疗指南·神经病学分册[M].北京:人民卫生出版社,2006:35-40.
[5]王茂斌,贾子善,吕佩源,等.脑卒中康复[M].石家庄:河北科技出版社,2006:241.
[6]王启才.针灸治疗学[M].2版.北京:中国中医药出版社,2007:7.
[7]赵俊,李树人,宋文阁.疼痛诊断治疗学[M].郑州:河南医科大学出版社,1999:201-209.
[8]王茂斌.偏瘫的现代评价与治疗[M].北京:华夏出版社,1990:226-231.
[9]王玉龙.康复评定[M].北京:人民卫生出版社,1992:169-171.
[10]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:113.
[11]Borchers AT,Gershwin ME.Complex regional pain syndrome:a comprehensive and critical review[J].Autoimmun Rev,2014,13(3):242-265.
[12]彭玉,宁为民.降钙素基因相关肽与肩手综合征关系的研究进展[J].实用心脑肺血管病杂志,2016,24(7):4-6.
[13]Ada L,Foongchomcheay A.Efficacy of electrical stimulation in preventing or reducing subluxation after stroke;a metaanalysis[J].Austr J Physiother,2002,48(4):86-88.
[14]高翱.不同针灸疗法结合康复训练治疗中风后肩手综合征的临床观察[J].中医药信息,2017,34(2):176-177.
[15]姜殷.电针治疗中风后肩手综合征概况[J].实用中医内科杂志,2015,29(9):176-177.
[16]王磊,李学武,张莉.艾灸疗法作用机制国内外研究进展[J].中国针灸,2001,21(9):567-570.
[2]段英春,刘芳,张彦.电针结合康复训练治疗肩手综合征[J].吉林中医药,2014,34(2):190-191.
[3]陈雄杰,高潇,高雪霞,等.电针耳廓背侧根部治疗卒中后肩手综合征Ⅰ期的临床疗效观察[J].针灸临床杂志,2015,31(8):22-24.
[4]中华医学会.临床诊疗指南·神经病学分册[M].北京:人民卫生出版社,2006:35-40.
[5]王茂斌,贾子善,吕佩源,等.脑卒中康复[M].石家庄:河北科技出版社,2006:241.
[6]王启才.针灸治疗学[M].2版.北京:中国中医药出版社,2007:7.
[7]赵俊,李树人,宋文阁.疼痛诊断治疗学[M].郑州:河南医科大学出版社,1999:201-209.
[8]王茂斌.偏瘫的现代评价与治疗[M].北京:华夏出版社,1990:226-231.
[9]王玉龙.康复评定[M].北京:人民卫生出版社,1992:169-171.
[10]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:113.
[11]Borchers AT,Gershwin ME.Complex regional pain syndrome:a comprehensive and critical review[J].Autoimmun Rev,2014,13(3):242-265.
[12]彭玉,宁为民.降钙素基因相关肽与肩手综合征关系的研究进展[J].实用心脑肺血管病杂志,2016,24(7):4-6.
[13]Ada L,Foongchomcheay A.Efficacy of electrical stimulation in preventing or reducing subluxation after stroke;a metaanalysis[J].Austr J Physiother,2002,48(4):86-88.
[14]高翱.不同针灸疗法结合康复训练治疗中风后肩手综合征的临床观察[J].中医药信息,2017,34(2):176-177.
[15]姜殷.电针治疗中风后肩手综合征概况[J].实用中医内科杂志,2015,29(9):176-177.
[16]王磊,李学武,张莉.艾灸疗法作用机制国内外研究进展[J].中国针灸,2001,21(9):567-570.