锋勾针治疗中风后肩手综合征的临床疗效观察

发布时间：2018-08-29 12:52

【摘要】：目的通过观察锋勾针治疗中风后肩手综合征的临床疗效,探讨锋勾针对中风后肩手综合征的治疗作用,为临床上治疗本病寻求一种新而有效的治疗方法。方法将60例符合纳入标准的患者随机分为治疗组和对照组分别30例,两组患者均给予基础疾病的常规治疗。治疗组采用锋勾针治疗,每周治疗1次;对照组采用毫针针刺治疗,每日1次,每周5次,4周为1个疗程,1个疗程后进行疗效评价。用统计软件SPSS17.0统计分析治疗前后两组的肿胀评分、疼痛视觉模拟评分(VAS)、简化Fugl-Meyer上肢运动评分(FMA)及日常生活能力(ADL)评分的变化。对比分析两种治疗方法对患者患肢肿胀、疼痛、运动功能及日常生活能力的影响,并评定两组的临床疗效。结果1.两组患者的年龄、性别、病程、病因、发病次数以及治疗前患侧上肢的肿胀评分、视觉疼痛模拟评分、简化Fugl-Meyer运动功能评分及日常生活能力评分,经统计学分析,P0.05,差异无统计学意义,具有可比性。2.治疗1个疗程后,两组患者在患侧上肢的肿胀评分、视觉疼痛模拟评分、简化Fugl-Meyer运动功能评分及日常生活能力评分上,与治疗前比较,均有明显改善(P0.01),说明两种治疗方法对本病均具有明显的临床疗效,组间比较,治疗组优于对照组(P0.05)。3.两组临床疗效比较:治疗组29例,显效16例,有效8例,无效5例,总有效率82.76%;对照组30例,显效7例,有效16例,无效7例,总有效率为76.67%。两组总有效率比较,差异有统计学意义(P0.05),表明治疗组的临床疗效优于对照组。结论1.锋勾针疗法和毫针针刺均能明显缓解中风后肩手综合征患者疼痛、手腕部肿胀,改善运动功能,提高日常生活能力。2.组间比较,锋勾针疗法优于毫针针刺。3.锋勾针治疗中风后肩手综合征疗效肯定,有临床推广的价值。
[Abstract]:Objective to observe the clinical effect of front hook acupuncture on shoulder hand syndrome after stroke, and to explore the therapeutic effect of front hook on shoulder hand syndrome after stroke, so as to find a new and effective treatment method for this disease. Methods 60 patients who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with front hook acupuncture once a week, while the control group was treated with filiform acupuncture once a day, 5 times a week for 4 weeks as a course of treatment, and after one course of treatment, the curative effect was evaluated. Statistical software SPSS17.0 was used to analyze the changes of swelling score, pain visual analogue score (VAS), Fugl-Meyer upper limb motor score (FMA) and ADL (ADL) score before and after treatment. The effects of two treatment methods on swelling, pain, motor function and daily living ability of the patients were analyzed and the clinical effects of the two groups were evaluated. Result 1. Age, sex, course of disease, etiology, frequency of onset, swelling score of upper extremity, visual pain simulation score, simplified Fugl-Meyer motor function score and ADL score were analyzed in both groups. By statistical analysis, P 0.05, the difference is not statistically significant, comparable. 2. After one course of treatment, the patients in the two groups were compared with those before treatment in terms of swelling score of the affected upper limb, visual pain simulation score, simplified Fugl-Meyer motor function score and activity of daily living score. There were significant improvements (P0.01), indicating that the two treatment methods have obvious clinical effect on this disease, the treatment group is better than the control group (P0.05). 3. There were 29 cases in the treatment group, 16 cases were effective, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 82.76%, while in the control group, there were 7 cases of remarkable effect, 16 cases of effective effect, 7 cases of ineffective, and 76.67 67% of total effective rate. The total effective rate of the two groups was significantly higher than that of the control group (P0.05), indicating that the clinical efficacy of the treatment group was better than that of the control group. Conclusion 1. The front hook acupuncture therapy and the filiform acupuncture can obviously relieve the pain of the patients with shoulder and hand syndrome after apoplexy, the swelling of the wrist, improve the motor function, and improve the ability of daily living. Comparison between groups, the front hook acupuncture therapy is better than the filiform acupuncture. 3. The treatment of shoulder-hand syndrome after apoplexy has definite curative effect and has the value of clinical popularization.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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