设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 审稿专家名录 | 投稿指南 | 订阅指南 | 过刊浏览 | 论著模板 | 综述模板 | 帮助

 
陈飞宇,刘小平,包烨华,楚佳梅,袁健辉,张雯舒,陈顺喜.基于主客配穴的针刺对脑卒中后肩痛及上肢运动功能障碍的影响及相关性分析[J].中国康复医学杂志,2019,(7):808~812
基于主客配穴的针刺对脑卒中后肩痛及上肢运动功能障碍的影响及相关性分析    点此下载全文
陈飞宇  刘小平  包烨华  楚佳梅  袁健辉  张雯舒  陈顺喜
杭州市丁桥医院,浙江省杭州市,310022
基金项目:杭州市科技局资助项目(20160533B64)
DOI:
摘要点击次数: 36
全文下载次数: 20
摘要:
      摘要 目的:观察基于主客配穴的针刺疗法对脑卒中后肩痛及上肢运动功能障碍的影响,并探索疼痛改善与上肢运动功能的恢复是否具有相关性。 方法:将60例符合纳入标准的患者随机分成治疗组(主客配穴组)和对照组(传统取穴组),各30例。对照组取穴:肩髃、臂臑、曲池、手三里、外关、合谷,治疗组取穴:太渊、偏历、合谷、列缺 、腕骨、通里、阳池、内关(两组均患侧),两组均接受常规内科基础治疗及综合康复治疗,留针30min,每隔10min行针1次,治疗每日1次,每周治疗5次,周末双休,共治疗4周。观察两组患者治疗前及治疗4周后疼痛视觉模拟评分(Visual analogue score,VAS)、上肢运动功能评分量表(Simplified Fugl-Meyer motor function assessment ,FMA)及两者之间的关联。 结果:治疗后两组VAS评分较治疗前均降低(均P<0.01),FMA评分较治疗前均升高(均P<0.01);治疗组治疗后VAS评分及FMA评分改善程度优于对照组(均P<0.05)。VAS的变化与FMA的变化呈正相关。 结论:主客配穴法缓解脑卒中后肩痛的疗效优于传统取穴法。主客配穴法与传统取穴法相比在疼痛改善程度相同时,上肢运动功能恢复更好,但其仅针对于部分患者。主客配穴疗法有待进一步探索,以期更广泛的适用于各类脑卒中后肩痛的患者。
关键词:主客配穴  原络配穴  脑卒中后肩痛  上肢  运动功能障碍  相关性分析
Analysis of correlation and effect of acupuncture on shoulder pain after stroke and upper extremity motor dysfunction based on host-guest point selection    Download Fulltext
Hangzhou Dingqiao Hospital, Zhejiang,Hangzhou,310022
Fund Project:
Abstract:
      Abstract Objective: To observe effect of acupuncture on shoulder pain after stroke and upper extremity motor dysfunction based on host-guest point selection, and to explore if relationship between improvement in pain and recovery of upper extremities function exist. Method: Sixty patients who met the inclusion criteria were randomly divided into treatment group (host-guest point selection) and control group (traditional point selection), 30 cases in each group. Points chosen in control group: JianYu (LI15), BiNao (LI14), QuChi (LI11), ShouSanLi (LI10), WaiGuan (SJ5), HeGu (LI4), points chosen in treatment group: TaiYuan (LU9), PianLi (LI6), HeGu (LI4), LieQue (LU7), WaiGuan (SI4),TongLi (HT5), YangChi (SJ4), NeiGuan (PC6), all points in effected side. Both two groups were given routine medical treatment and comprehensive rehabilitation training. Needle retaining time is 30min, hand manipulating of needle were done every 10 minutes, for once a day, 5 times a week, free on weekend, 4 weeks were required in two groups. Visual analogue score(VAS), Simplified Fugl-Meyer motor function assessment (FMA) and the correlation of the two scales of both two group were observed and explored before and after 4 weeks’ treatment. Result: The scores of VAS in both groups reduced after the treatment (both P<0.01), scores of FMA rose after the treatment (both P<0.01); after treatment, the improvement of VAS and FMA in treatment group was better than that in control group (both P<0.05). There was positive correlation between the change of VAS and FMA. Conclusion: The effect of host-guest point selection therapy is superior to that of traditional point selection therapy on relieve shoulder pain after stroke. For the two therapies, when the degree of pain improvement is simultaneous, Host-guest point selection therapy make upper extremity motor function recover better, but only for partial patients. This therapy remain to be explored, in order to be applied to all kinds of patients with shoulder pain after stroke.
Keywords:host-guest point selection  yuan-source and luo-connecting point selection  shoulder pain after stroke  upper extremity  motor dysfunction  correlation
查看全文  查看/发表评论  下载PDF阅读器

您是本站第 20685862 位访问者

版权所有:中国康复医学会
主管单位:国家卫生健康委员会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计 京ICP备18060696号-2