针刺结合间歇性气压疗法治疗脑卒中后肩手综合征的临床观察

发布时间：2018-02-14 11:15

本文关键词： 气压疗法针刺脑卒中肩手综合征　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察针刺结合间歇性气压疗法在治疗脑卒中后肩手综合征的临床治疗效果,为其在脑卒中后肩手综合征的治疗中提供客观依据。方法:随机将60例肩手综合征患者分为治疗组(针刺结合气压疗法)与对照组(针刺组),两组在常规康复训练的基础上,治疗组采用针刺结合间歇性气压疗法,选取肩毭、肩毼、肩井、臂佈、曲池、手三里、外关、合谷,采用直刺,依次行提插捻转,平补平泻,患者有肿胀感为适宜,留针30分钟。间歇性气压疗法充气压力为10kpa,每次持续加压12s,一次治疗时间为30分钟。治疗组治疗一日一次,四周为一个疗程。对照组采用针刺疗法,针刺法操作、疗程同治疗组。治疗组与对照组均用Fugl-Meyer(FMA)简易上肢功能评定量表,数字疼痛评估量表(NRS),肿胀度评分进行同组前后,组间疗效的评定。结果:1.Fugl-Meyer(FMA)评分:两组治疗后,FMA评分均显著提高,与治疗前比较差异显著(P0.05),治疗后两组间对比差异具有统计学意义(P0.05),治疗组优于对照组。2.NRS数字疼痛评分:两组治疗后,积分均明显下降,与治疗前相比差异显著(P0.05),治疗后两组NRS比较具有统计学意义(P0.01)。治疗组优于对照组。3肿胀度评分:两组治疗后,肿胀度评分都显著提高,与治疗前相比差异显著(P0.05),治疗后两组肿胀度评分比较不具有统计学意义(P0.05)。结论:针刺结合间歇性气压疗法与针刺疗法都对脑卒中后肩手综合征的治疗有较好的疗效,但是针刺结合间歇性气压疗法的效果更好
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with intermittent barotherapy in the treatment of shoulder hand syndrome after stroke. Methods: 60 patients with shoulder hand syndrome were randomly divided into treatment group (acupuncture combined with pneumatic therapy) and control group (acupuncture group). The treatment group was treated with acupuncture combined with intermittent barometric therapy. The patients were selected as shoulder, shoulder, shoulder well, arm cloth, curved pool, hand Sanli, Waiguan, Hegu, straight pricking, then lifting and twisting in turn, flat tonifying and reducing, and the patient had a sense of swelling. Retention of needle for 30 minutes. Intermittent barotherapy inflated pressure was 10 kpa. each time continuous pressure was 12 seconds, treatment time was 30 minutes. The treatment group was treated once on 1st, four weeks as a course of treatment. The control group was treated with acupuncture therapy, acupuncture method was used, the treatment group was treated with acupuncture therapy, and the control group was treated with acupuncture therapy. Both the treatment group and the control group were treated with Fugl-Meyerian FMA (simple upper limb function rating scale), digital pain assessment scale (NRSs) and swelling score before and after the same group. Results: 1. The FMA score of Fugl-Meyern FMA: the FMA scores of both groups were significantly improved after treatment. There was a significant difference between the two groups before and after treatment (P 0.05). The scores of the treatment group were better than those of the control group (P 0.05). 2. The scores of the two groups were significantly decreased after treatment. Compared with before treatment, the difference was significant (P 0.05). After treatment, the NRS of the two groups was significantly higher than that of the control group (P 0.01). The swelling degree score of the treatment group was better than that of the control group. After treatment, the swelling degree score of the two groups was significantly increased. Compared with before treatment, the difference was significant (P 0.05). There was no significant difference in swelling score between the two groups after treatment. Conclusion: acupuncture combined with intermittent barometric therapy and acupuncture therapy have better curative effect on shoulder hand syndrome after stroke. But acupuncture combined with intermittent barotherapy is better.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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