针灸与康复治疗偏瘫肩痛的对照观察(英文)

被引:3
作者
贺新泽 [1 ]
戴淑青 [2 ]
苏莉 [2 ]
WANG Fang
机构
[1] 青岛大学医学院中西医结合中心
[2] 青岛市海慈医疗集团针推康复科
关键词
偏瘫肩痛; 补元固肩法; 针灸疗法; 康复疗法;
D O I
暂无
中图分类号
R246.6 [神经精神病科]; R743.3 [急性脑血管疾病(中风)];
学科分类号
摘要
目的:比较补元固肩针灸法与康复治疗偏瘫肩痛的疗效差异。方法:56例偏瘫肩痛患者随机分为针灸组(30例)、康复组(26例)。针灸组采用艾条温和灸关元、气海、足三里,针刺肩贞、臑俞、曲池等穴;康复组采用按摩局部组织、抗痉挛活动等常规康复治疗,均每天治疗1次,15次为一疗程,共治疗2个疗程。以疼痛视觉模拟评分(VAS)、Fugl-Meyer运动功能评定量表、临床神经功能缺损程度评分量表等为观察指标,在治疗前和治疗后30d分别进行评分,进行止痛效果和功能效果评价。结果:针灸组止痛总有效率为100.0%(30/30),康复组为96.2%(25/26),组间差异无统计学意义(P>0.05);治疗后两组VAS评分较治疗前均显著降低(均P<0.01),两组治疗前后差值比较,差异无统计学意义(P>0.05)。两组治疗后Fugl-Meyer运动功能评分、临床神经功能缺损程度评分均显著改善(均P<0.01),且针灸组改善程度优于康复组(均P<0.01)。结论:两种方法对偏瘫肩痛的治疗均有止痛效果,补元固肩针灸法对患侧上肢功能和神经功能缺损恢复要优于康复疗法。
引用
收藏
页码:18 / 22
页数:5
相关论文
共 10 条
[1]  
Observation on the efficacy of double-needle contrlateral meridian acupuncture in treating posthemiplegic omalgia. S.Y. Zhu. Shang Hai Zhen Jiu Za Zhi . 2008
[2]  
The application of Fu-gI-Meyer scale to efficacy evaluation of stroke rehabilitation incommunity. SANG DC,JI SR,ZHANG Y,et al. Chinese Journal of Rehabilitation Medicine . 2007
[3]  
Contribution of Wang Qin-ren on windstroke. Chen HY,Jin J,Zhang RX,Zhang XW. Shaanxi Correspondence Course Trad Chin Med . 1997
[4]  
Zhao,T. Modern Therapeutics for Hemiplegia . 1996
[5]  
60cases of post-apoplexy shoulder-hand syndrome treated with electroacupuncture and rehabilitation. Tang Q,Zhang LY,Li J. J Clin Acup-Mox . 2005
[6]  
Essentials of Diagnosis of Cerebrovascular Diseases. Chinese Society for Neurology and Neurosurgery. Chinese Journal of Neuroanatomy . 1996
[7]  
40cases of shoulder-hand syndrome in hemiplegia treated with acupuncture and medication. Li XM. J Emerg Syndromes Tradit Chin Med . 2009
[8]  
Treatment of 79 Cases of Post-stroke Shoulder Pain by Puncturing Tendon in Row. F.-jun. Song. Zhejiang Journal of Traditional Chinese Medicine . 2010
[9]  
Arthrographic studies in painful hemiplegic shoulders. Rizk TE,Christopher RP,Pinals RS,Salazar JE,Higgins C. Arch Phys MeRehabil . 1984
[10]  
Effect of moxibustion at Zusanli (ST36)and Guanyuan (CV4)on hemorheology. Jiang XY. Sichuan Tradit Chin Med (Chin) . 2001