本文選題：浮針 + 紅外治療儀　； 參考：《中國老年學(xué)雜志》2017年12期

【摘要】：目的探討浮針聯(lián)合紅外照射療法對(duì)老年腦卒中(中風(fēng))后肩手綜合征(SHS)肩部疼痛的效果。方法在針灸門診選取老年中風(fēng)后SHS患者98例,隨機(jī)分為觀察組48例,浮針組30例,紅外組20例,觀察組予浮針聯(lián)合紅外照射療法(在距離激痛點(diǎn)4~5 cm處進(jìn)針,于皮下掃散運(yùn)針,持續(xù)2 min,繼以紅外照射30 min),浮針組單純予浮針療法,紅外組單純予紅外照射療法,3組均予相同的康復(fù)訓(xùn)練,隔天治療1次,連續(xù)治療2 w。治療前后采用視覺模擬評(píng)分法、高岸肩關(guān)節(jié)功能量表疼痛評(píng)分和改良Barthel指數(shù)對(duì)3組疼痛情況進(jìn)行評(píng)估。結(jié)果觀察組SHS肩部疼痛及生活自理能力的改善優(yōu)于浮針組和紅組(P0.05,P0.01);浮針組SHS肩部疼痛及生活自理能力的改善明顯(P0.05);紅外組SHS肩部疼痛改善明顯(P0.05),生活自理能力改善不明顯(P0.05)。結(jié)論浮針聯(lián)合紅外照射療法可顯著改善老年中風(fēng)后SHS肩部疼痛,增強(qiáng)生活自理能力。
[Abstract]:Objective to investigate the effect of floating acupuncture combined with infrared radiation therapy on shoulder pain in elderly patients with shoulder-hand syndrome (SHS) after stroke. Methods 98 elderly patients with SHS after stroke were randomly divided into observation group (n = 48), floating needle group (n = 30) and infrared group (n = 20). After 30 mins of infrared irradiation, the floating needle group was treated only with floating acupuncture therapy, while the infrared group was treated with the same rehabilitation training once every other day for 2 weeks. Visual analogue scale, high bank shoulder function scale and modified Barthel index were used to evaluate the pain status of the three groups before and after treatment. Results the improvement of shoulder pain and self-care ability of SHS in observation group was better than that in floating needle group and red group, the improvement of shoulder pain and self-care ability of SHS in floating needle group was obvious (P 0.05), and that of SHS shoulder pain in infrared group was significantly improved (P 0.05), but the improvement of self-care ability was not obvious (P 0.05). Conclusion floating acupuncture combined with infrared radiation therapy can significantly improve the shoulder pain and self-care ability of elderly patients with SHS after stroke.
【作者單位】： 濟(jì)源市人民醫(yī)院針灸科;濟(jì)源市婦女兒童醫(yī)院;寧夏醫(yī)科大學(xué);
【基金】：濟(jì)源市2015科技攻關(guān)項(xiàng)目支持(No.15013037)
【分類號(hào)】：R743.3

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