肩三针配合输穴穴位贴敷治疗中风后肩手综合征的临床疗效观察

发布时间：2018-07-05 01:32

本文选题：肩手综合征 + 针刺　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:探讨肩三针配合输穴穴位贴敷治疗中风后肩手综合征的临床疗效,并且与普通针刺组的疗效进行对比分析,为临床治疗中风后肩手综合征提供新的方法与思路。方法:选择符合纳入标准的60例中风后肩手综合征患者,将其按照随机数字表法分为治疗组和对照组,每组30例。治疗组采用肩三针配合输穴白脉软膏穴位贴敷治疗,对照组采用普通针刺治疗,每日1次,每周治疗6次,6次一个疗程,共治疗4个疗程。4个疗程后观察比较两组患者治疗前后的Barthel指数评分、VAS评分、上肢Fugl-Meyer运动功能评分,运用统计学方法进行分析处理。结果:两组患者的性别,年龄,病程以及治疗前的Barthel指数评分,VAS评分,上肢Fugl-Meyer运动功能评分经过统计学分析,结果差异均不具有统计学意义(P0.05),具有可比性。而治疗结束后,两组患者的Barthel指数评分,VAS评分,上肢Fugl-Meyer运动功能评分与治疗前相比,均有明显改善(P＜0.05),两组组间比较,治疗组疗效优于对照组(P＜0.05)。结论:1.肩三针配合输穴穴位贴敷与普通针刺均能减轻中风后肩手综合征患者的疼痛,改善其上肢运动功能;2.肩三针配合输穴穴位贴敷的疗效优于普通针刺治疗。
[Abstract]:Objective: to explore the clinical effect of three points of shoulder acupuncture combined with acupoint application in the treatment of shoulder hand syndrome after apoplexy, and to provide a new method and train of thought for clinical treatment of shoulder hand syndrome after apoplexy by comparing the curative effect with that of common acupuncture group. Methods: sixty patients with shoulder-hand syndrome after stroke were selected and divided into treatment group and control group according to random digital table method with 30 cases in each group. The treatment group was treated with shoulder three acupuncture combined with acupoint application of Baimai ointment, while the control group was treated with common acupuncture once a day, 6 times a week for 6 times a course of treatment, After 4 courses of treatment, the Barthel Index score (VAS) and Fugl-Meyer motor function score of upper extremity were observed and compared between the two groups before and after treatment. Results: the gender, age, course of disease, Barthel index score before treatment and Fugl-Meyer motor function score of upper extremity were statistically analyzed in the two groups. The results were not statistically significant (P0.05), and were comparable. After the treatment, the scores of Barthel index and VAS and Fugl-Meyer motor function of upper extremity were significantly improved in both groups (P < 0.05). The curative effect of the treatment group was better than that of the control group (P < 0.05). Conclusion 1. The combination of three shoulder acupuncture points and acupoint application and common acupuncture can relieve the pain of patients with shoulder hand syndrome after stroke and improve the motor function of upper limbs. The curative effect of three-point shoulder acupuncture combined with acupoint application was better than that of common acupuncture.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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