Clinical study of superficial acupuncture combined manipulation on treating shoulder-hand syndrome after stroke

CUI Xiao; FAN Wen-chao; WU Yao-chi; HUANG Chun-shui; NI Huan-huan; ZHOU Cui-xia; WU Ji; WANG Jun; YE Wen-cheng; LIANG Rui-long

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Clinical study of superficial acupuncture combined manipulation on treating shoulder-hand syndrome after stroke

更新时间：2022-08-31

- Clinical study of superficial acupuncture combined manipulation on treating shoulder-hand syndrome after stroke
- Shanghai Journal of Traditional Chinese Medicine Vol. 49, Issue 8, Pages: 32-34(2015)
- 作者机构：
  
  1. 上海市长宁区天山中医医院康复科,上海,200051
  2. 上海中医药大学2015级博士研究生班,上海,201203
  3. 上海交通大学附属第六人民医院针推伤科,上海,200233
- 作者简介：
- 基金信息：
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CUI Xiao, FAN Wen-chao, WU Yao-chi, et al. Clinical study of superficial acupuncture combined manipulation on treating shoulder-hand syndrome after stroke. [J]. Shanghai Journal of Traditional Chinese Medicine 49(8):32-34(2015)
DOI：

CUI Xiao, FAN Wen-chao, WU Yao-chi, et al. Clinical study of superficial acupuncture combined manipulation on treating shoulder-hand syndrome after stroke. [J]. Shanghai Journal of Traditional Chinese Medicine 49(8):32-34(2015) DOI：

摘要

目的：观察浮刺联合推拿疗法治疗脑卒中后肩手综合征的临床疗效方法：将60例脑卒中后肩手综合征患者随机分为治疗组与对照组,每组30例。两组均进行相同常规康复治疗,对照组加予推拿治疗,治疗组在对照组治疗措施的基础上加用浮刺疗法。两组疗程均为6周,观察比较上肢FMA功能评分及疼痛VAS评分的变化情况结果：①治疗前后组内比较,两组FMA评分水平差异有统计学意义(P<0.05)；组间治疗前后FMA评分差值比较,差异有统计学意义(P<0.05)。②首次治疗前后,两组疼痛VAS评分水平差异有统计学意义(P<0.05)；组间治疗后比较,疼痛VAS评分差异有统计学意义(P<0.05)。此后各时点,两组疼痛VAS评分均存在上升趋势,但治疗24 h后,治疗组疼痛VAS评分仍显著低于对照组(P<0.05)。③总体治疗前后,两组疼痛VAS评分差异有统计学意义(P<0.05)；组间治疗前后疼痛VAS评分差值比较,差异有统计学意义(P<0.05) 结论：浮刺联合推拿疗法治疗脑卒中后肩手综合征,可显著缓解患肢疼痛,改善其活动功能。

Abstract

Objective:To observe the effect of treating on shoulder-hand syndrome after stroke under superficial acupuncture combined manipulation Methods:60 cases of the patient with shoulder-hand syndrome after stroke were randomly divided into treatment group and control group equally. Both of the two groups were treated with usual rehabilitation therapy, and control group was treated with manipulation therapy while treatment group was treated with superficial acupuncture on the base of control group. The courses of the two groups were 6 weeks. Cores of upper limb FMA function and pain VAS were observed Results:① There were significant difference in FMA scores in each group before and after the treatment (P<0.05); there were significant difference in FMA scores between the two groups after the treatment (P<0.05). ② There were significant difference in pain SVAS scores in each group before and after the first treatment (P<0.05); after the treatment, there were significant difference in pain VAS scores between the two groups (P<0.05). After that, VAS scores in the two groups increased, but after 24 hours, VAS pain score of the treatment group was significantly lower than that of the control group (P<0.05). ③ Before and after the overall treatment, there were statistically difference in pain VAS scores in each group (P<0.05); before and after the treatment, there were statistically difference in pain VAS scores between the two groups (P<0.05) Conclusion:The shoulder-hand syndrome after stroke treated b Methods: of superficial acupuncture combined manipulation can significantly alleviate limb pain and improve their motor functions.

关键词

肩手综合征脑卒中浮刺推拿

Keywords

shoulder-hand syndromestrokesuperficial acupuncturemanipulation

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