经筋触骨针法治疗脑卒中后肩痛疗效观察
发布时间：2019-01-22 20:25
【摘要】：目的:评价经筋触骨针法对脑卒中后肩痛患者的疼痛程度、上肢运动功能和生活质量的改善情况。方法:将106例脑卒中后肩痛患者随机分为观察组和对照组,每组53例。观察组采用经筋触骨针法结合康复训练进行治疗,穴取患侧"肩毭次""臂佈次""肩毼次""肩前次"、曲池、手三里、外关,针体与皮肤呈45°角斜刺入腧穴"次",穿入筋结点,针尖到达骨膜,手下有触骨感觉后行针得气,留针30 min;康复治疗采用良肢位摆放、床上桥式运动、重心转移及平衡训练、关节活动度维持训练、肩关节被动和主动运动、日常生活活动能力训练(ADL)、Bobath技术等康复训练。对照组采用常规针刺法结合康复训练进行治疗,穴取患侧肩毭、臂佈、肩毼、肩前、曲池、手三里、外关,康复训练同观察组。两组治疗均每日1次,每周6次。完成20次治疗后,采用疼痛视觉模拟量表(VAS)评分、上肢Fugl-Meyer(FMA)评分和Barthel(MBI)评分对两组患者的疼痛程度、上肢运动功能和日常生活能力进行评定,并评定两组临床疗效。结果:两组患者治疗后VAS评分较治疗前下降,FMA和MBI评分均较治疗前升高,差异均有统计学意义(P0.05,P0.01),且治疗后观察组均优于对照组(均P0.05)。观察组愈显率为69.8%(37/53),优于对照组的47.2%(25/53,P0.05)。结论:经筋触骨针法能明显改善脑卒中肩痛患者的疼痛程度、上肢运动功能和日常生活能力,其疗效优于常规针刺。
[Abstract]:Objective: to evaluate the improvement of pain degree, upper limb motor function and quality of life in patients with shoulder pain after stroke. Methods: 106 patients with shoulder pain after stroke were randomly divided into observation group (n = 53) and control group (n = 53). The observation group was treated by meridian touching bone acupuncture method combined with rehabilitation training. Acupoints were taken from the affected side as "shoulder times", "arm cloth times", "shoulder front times", "bend pool", "hand three li", Waiguan, 45 掳angle between needle body and skin into the acupoint "times". Through the fascia node, the tip of the needle reaches the periosteum, the hand has the feeling of touching the bone to get qi through the needle, and keep the needle for 30 min; The rehabilitation training included good limb placement, bridge-type exercise on bed, center of gravity transfer and balance training, joint motion maintenance training, shoulder passive and active movement, daily life activity training, (ADL), Bobath technique and so on. The control group was treated with routine acupuncture combined with rehabilitation training. The points were taken from the affected side of the shoulder, arm cloth, shoulder, bended pool, hand Sanli, Waiguan, rehabilitation training with observation group. The two groups were treated once a day, 6 times a week. After 20 times of treatment, the pain degree, motor function and daily living ability of the two groups were evaluated by (VAS) score, Fugl-Meyer (FMA) score and Barthel (MBI) score. The clinical efficacy of the two groups was evaluated. Results: after treatment, the VAS score of the two groups was lower than that of the control group, and the FMA and MBI scores were higher than that of the control group (P 0.05, P 0.01), and the observation group was better than the control group after treatment (P0.05). The curative effect rate of the observation group was 69.8% (37 / 53), which was better than that of the control group (47.2%) (25 / 53). Conclusion: the acupuncture method of meridian touching bone can obviously improve the pain degree, upper limb motor function and daily living ability of stroke patients with shoulder pain, and its curative effect is superior to that of routine acupuncture.
【作者单位】： 南京中医药大学;陕西中医药大学附属医院;
【基金】：陕西省科技厅惠民计划项目:2015 HM-10 咸阳市科学技术研究计划项目:2015 K 04-24
【分类号】：R246.6
本文编号：2413536
[Abstract]:Objective: to evaluate the improvement of pain degree, upper limb motor function and quality of life in patients with shoulder pain after stroke. Methods: 106 patients with shoulder pain after stroke were randomly divided into observation group (n = 53) and control group (n = 53). The observation group was treated by meridian touching bone acupuncture method combined with rehabilitation training. Acupoints were taken from the affected side as "shoulder times", "arm cloth times", "shoulder front times", "bend pool", "hand three li", Waiguan, 45 掳angle between needle body and skin into the acupoint "times". Through the fascia node, the tip of the needle reaches the periosteum, the hand has the feeling of touching the bone to get qi through the needle, and keep the needle for 30 min; The rehabilitation training included good limb placement, bridge-type exercise on bed, center of gravity transfer and balance training, joint motion maintenance training, shoulder passive and active movement, daily life activity training, (ADL), Bobath technique and so on. The control group was treated with routine acupuncture combined with rehabilitation training. The points were taken from the affected side of the shoulder, arm cloth, shoulder, bended pool, hand Sanli, Waiguan, rehabilitation training with observation group. The two groups were treated once a day, 6 times a week. After 20 times of treatment, the pain degree, motor function and daily living ability of the two groups were evaluated by (VAS) score, Fugl-Meyer (FMA) score and Barthel (MBI) score. The clinical efficacy of the two groups was evaluated. Results: after treatment, the VAS score of the two groups was lower than that of the control group, and the FMA and MBI scores were higher than that of the control group (P 0.05, P 0.01), and the observation group was better than the control group after treatment (P0.05). The curative effect rate of the observation group was 69.8% (37 / 53), which was better than that of the control group (47.2%) (25 / 53). Conclusion: the acupuncture method of meridian touching bone can obviously improve the pain degree, upper limb motor function and daily living ability of stroke patients with shoulder pain, and its curative effect is superior to that of routine acupuncture.
【作者单位】： 南京中医药大学;陕西中医药大学附属医院;
【基金】：陕西省科技厅惠民计划项目:2015 HM-10 咸阳市科学技术研究计划项目:2015 K 04-24
【分类号】：R246.6
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