《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

条口透承山针法配合患肢活动对卒中后肩手综合征Ⅰ期的疗效①

周亮1，朱根应1，谭同才1，石君杰2，叶祥明1   

  1. 1.浙江省人民医院康复科，浙江杭州市310014；2.浙江医学高等专科学校，浙江杭州市310053。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Effects of Acupuncture from Tiaokou to Chenshan and Exercise on Shoulder- hand Syndrome at Stage I after Stroke

ZHOU Liang1, ZHU Gen-ying1, TAN Tong-cai1, SHI Jun-jie2, YE Xiang-ming1   

  1. 1. Department of Rehabilitation, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, China; 2. Zhejiang Medical College, Hangzhou, Zhejiang 310053, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 目的观察条口透承山针法配合患肢活动对卒中后肩手综合征Ⅰ期的治疗效果。方法2013 年1 月~2014 年12 月，40例肩手综合征Ⅰ期脑卒中住院患者随机分为治疗组和对照组，每组20 例。两组均接受常规康复治疗，治疗组采用针刺偏瘫侧对侧条口透承山加患部运动，对照组采用偏瘫侧“肩三针”。治疗前和治疗4 周后采用疼痛分级指数(PRI)、Fugl-Meyer 评定(FMA)和改良Barthel 指数(MBI)进行评定。结果治疗组总有效率90%，对照组总有效率80% (χ2=0.784, P=0.376)。治疗后，两组PRI 较治疗前显著降低(t>5.37, P<0.001)，FMA、MBI较治疗前显著提高(t>4.66, P<0.001)；治疗组FMA、MBI较对照组显著提高(t>2.253, P<0.05)。结论条口透承山针法配合患肢活动治疗卒中后肩手综合征Ⅰ期患者疗效优于“肩三针”。

关键词: 脑卒中, 肩手综合征, 针刺

Abstract: Objective To observe the effect of acupuncture penetrated from Tiaokou (ST38) to Chenshan (BL57) combined with exercise on affected limbs of shoulder-hand syndrome (SHS) at stage I after stroke. Methods 40 inpatients with SHS at stage I after stroke from January, 2013 to December, 2014 were randomly divided into treatment group (n=20) and control group (n=20). The treatment group accepted acupuncture from Tiaokou to Chenshan on unaffected sides and exercise of affected upper limbs, and the control group accetpted routine acupuncture on Triple Shoulder Acupoints on affected sides. They were assessed with Pain Rating Index (PRI), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) before and 4 weeks after intervention. Results The incidence of improvement was 90% in the treatment group, and 80% in the control group (χ2=0.784, P=0.376). The scores of PRI decreased (t>5.37, P<0.001), and the score of FMA and MBI increased (t>4.66, P<0.001) significantly after intervention. The score of FMA and MBI improved more in the treatment group than in the control group (t>2.25, P<0.05). Conclusion Acupuncture from Tiaokou to Chenshan combined with exercise is more effective on SHS at stage I after stroke than conventional Triple Shoulder Acupoints.

Key words: stroke, shoulder-hand syndrome, acupuncture