针刺结合NJF技术治疗偏瘫肩痛疗效观察

发布时间：2018-02-02 21:10

本文关键词： 针刺神经肌肉关节促进法中风偏瘫肩痛　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:以偏瘫肩痛患者为研究对象,通过针刺结合神经肌肉关节促进法(NJF)的治疗,探究其临床作用及疗效,从而为本病的临床治疗提供更多的实践依据。研究方法:将收集到的40例偏瘫肩痛患者随机分为对照组和治疗组。两组患者均接受常规内科治疗及康复训练,对照组采用针刺治疗,治疗组在对照组的基础之上,配合NJF技术进行康复治疗,针刺治疗及康复治疗各30分钟,每天一次,一周六次,共治疗三周。并分别在治疗前后对两组患者进行视觉模拟评分(VAS)、肩关节被动活动范围评定(PROM)、Barthel指数评分(BI)、简化Fugl-Meyer上肢运动功能评定(FMA)。全部临床相关数据均以SPSS20.0统计软件进行相关统计差异分析。研究结果:对两组患者的病程、年龄、治疗前观察指标的基本资料进行统计学比较,显示无明显差异(p0.05),具有可比性。经治疗后,两组患者在VAS、PROM、BI、FMA评分方面均有显著改善(p＜0.05)。治疗组在VAS、PROM、FMA评分方面疗效显著于对照组,但是在BI评分方面,治疗组与对照组比较无明显差异(p0.05)。研究结论:针刺配合NJF技术与单纯针刺治疗对偏瘫肩痛均有疗效,都能改善患者的临床症状。针刺配合NJF技术对提高偏瘫肩痛患者上肢的运动功能、改善疼痛及增加关节活动度方面的疗效要优于单纯针刺治疗,但在提高患者生活自理能力评分方面两者并未见明显差异。
[Abstract]:Objective: to explore the clinical effect and curative effect of acupuncture combined with neuromuscular joint promoting therapy in patients with shoulder pain of hemiplegia. In order to provide more practical basis for the clinical treatment of this disease. Methods: 40 patients with shoulder pain of hemiplegia were randomly divided into control group and treatment group. Both groups received routine medical treatment and rehabilitation training. The control group was treated with acupuncture, and the treatment group was treated with NJF technique on the basis of the control group. Acupuncture treatment and rehabilitation therapy were performed for 30 minutes, once a day, six times a day. The patients in the two groups were treated for three weeks. The visual analogue score and the range of passive motion of shoulder joint were evaluated respectively before and after treatment. Simplified Fugl-Meyer evaluation of upper limb motor function. All the clinical data were analyzed by SPSS20.0 statistical software. Results: the course of disease of the two groups was analyzed. Age, the basic data of observation before treatment were compared statistically, showing no significant difference (p0.05), comparable. After treatment, the two groups of patients in VAS-PROMBI. FMA scores were significantly improved in the treatment group as compared with the control group, but in the BI score. There was no significant difference between the treatment group and the control group (P 0.05). Conclusion: acupuncture combined with NJF technique and simple acupuncture treatment are effective for shoulder pain of hemiplegia. Acupuncture combined with NJF can improve the upper limb motor function, improve pain and increase joint motion in patients with hemiplegic shoulder pain. However, there was no significant difference between the two in improving the scores of patients' ability to take care of themselves.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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