电针外耳道治疗脑卒中后肩手综合征的临床观察

发布时间：2018-12-12 08:48

【摘要】：[目的]本课题通过观察电针外耳道疗法与普通针刺治疗脑卒中后肩手综合征的疗效比较,为临床治疗肩手综合征提供新疗法、新思路。[方法]将符合纳入标准的60例脑卒中患者随机分为两组：治疗组、对照组,每组30例。对照组采用普通针刺和基础治疗,治疗组在对照组的基础上加用电针外耳道。每日1次,7天为一个疗程,疗程间隔为1天,共2个疗程。治疗前后采用肩手综合征评估量表(Kozin标准)、简化Fugel-Meyer上肢运动功能评定(FMA)、日常生活活动能力评定(ADL)、视觉模拟评分(VAS)对两组患者进行疗效评定。[结果]1、Kozin标准评分：治疗后两组均有降低(P0.01),但治疗组比对照组降低更显著(P0.01)；2、FMA评分：治疗后两组均有提高(P0.01),但治疗组比对照组提高更显著(P0.01);3、BI评分：治疗后两组均有提高(P0.01),但治疗组比对照组提高更显著(P0.01)；4、VAS评分：治疗后两组均有降低(P0.01),但治疗组比对照组降低更显著(P0.05)。[结论]1、电针外耳道能明显改善脑卒中后肩手综合征患者上肢疼痛、水肿的症状,关节活动度及上肢运动功能,提高日常生活活动(ADL)能力；2、电针外耳道治疗脑卒中后肩手综合征的疗效优于普通针刺法。
[Abstract]:[objective] to compare the curative effect of electroacupuncture external auditory canal therapy with that of common acupuncture in the treatment of shoulder hand syndrome after stroke, so as to provide new therapy and new ideas for clinical treatment of shoulder hand syndrome. [methods] 60 stroke patients who met the inclusion criteria were randomly divided into two groups: treatment group and control group, 30 cases in each group. The control group was treated with common acupuncture and basic treatment, and the treatment group was treated with electroacupuncture on the basis of external auditory canal. Once a day, 7 days as a course of treatment, the interval of 1 day, a total of 2 courses of treatment. Before and after treatment, shoulder hand syndrome assessment scale (Kozin) was used to simplify Fugel-Meyer upper limb motor function evaluation (FMA), ADL evaluation (ADL), visual analogue scale (VAS) to evaluate the curative effect of the two groups. [results] 1the scores of Kozin: after treatment, the two groups were decreased (P0.01), but the treatment group was significantly lower than the control group (P0.01). 2FMA score: both groups were improved after treatment (P0.01), but the treatment group was significantly higher than the control group (P0.01). 3BI score: both groups were improved after treatment (P0.01), but the treatment group was significantly higher than the control group (P0.01). 4 VAS score: after treatment, both groups were decreased (P0.01), but the treatment group was more significantly lower than the control group (P0.05). [conclusion] 1. Electroacupuncture of external auditory canal can significantly improve the symptoms of upper limb pain, edema, joint motion and upper limb motor function in patients with shoulder hand syndrome after stroke, and improve the ability of (ADL) in daily life activities. 2. The curative effect of electroacupuncture on shoulder-hand syndrome after stroke is 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】：2016
【分类号】：R246.6

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