鋒勾針治療中風后肩手綜合征的臨床療效觀察
發(fā)布時間：2018-08-29 12:52
【摘要】：目的通過觀察鋒勾針治療中風后肩手綜合征的臨床療效,探討鋒勾針對中風后肩手綜合征的治療作用,為臨床上治療本病尋求一種新而有效的治療方法。方法將60例符合納入標準的患者隨機分為治療組和對照組分別30例,兩組患者均給予基礎疾病的常規(guī)治療。治療組采用鋒勾針治療,每周治療1次;對照組采用毫針針刺治療,每日1次,每周5次,4周為1個療程,1個療程后進行療效評價。用統(tǒng)計軟件SPSS17.0統(tǒng)計分析治療前后兩組的腫脹評分、疼痛視覺模擬評分(VAS)、簡化Fugl-Meyer上肢運動評分(FMA)及日常生活能力(ADL)評分的變化。對比分析兩種治療方法對患者患肢腫脹、疼痛、運動功能及日常生活能力的影響,并評定兩組的臨床療效。結果1.兩組患者的年齡、性別、病程、病因、發(fā)病次數(shù)以及治療前患側上肢的腫脹評分、視覺疼痛模擬評分、簡化Fugl-Meyer運動功能評分及日常生活能力評分,經(jīng)統(tǒng)計學分析,P0.05,差異無統(tǒng)計學意義,具有可比性。2.治療1個療程后,兩組患者在患側上肢的腫脹評分、視覺疼痛模擬評分、簡化Fugl-Meyer運動功能評分及日常生活能力評分上,與治療前比較,均有明顯改善(P0.01),說明兩種治療方法對本病均具有明顯的臨床療效,組間比較,治療組優(yōu)于對照組(P0.05)。3.兩組臨床療效比較:治療組29例,顯效16例,有效8例,無效5例,總有效率82.76%;對照組30例,顯效7例,有效16例,無效7例,總有效率為76.67%。兩組總有效率比較,差異有統(tǒng)計學意義(P0.05),表明治療組的臨床療效優(yōu)于對照組。結論1.鋒勾針療法和毫針針刺均能明顯緩解中風后肩手綜合征患者疼痛、手腕部腫脹,改善運動功能,提高日常生活能力。2.組間比較,鋒勾針療法優(yōu)于毫針針刺。3.鋒勾針治療中風后肩手綜合征療效肯定,有臨床推廣的價值。
[Abstract]:Objective to observe the clinical effect of front hook acupuncture on shoulder hand syndrome after stroke, and to explore the therapeutic effect of front hook on shoulder hand syndrome after stroke, so as to find a new and effective treatment method for this disease. Methods 60 patients who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with front hook acupuncture once a week, while the control group was treated with filiform acupuncture once a day, 5 times a week for 4 weeks as a course of treatment, and after one course of treatment, the curative effect was evaluated. Statistical software SPSS17.0 was used to analyze the changes of swelling score, pain visual analogue score (VAS), Fugl-Meyer upper limb motor score (FMA) and ADL (ADL) score before and after treatment. The effects of two treatment methods on swelling, pain, motor function and daily living ability of the patients were analyzed and the clinical effects of the two groups were evaluated. Result 1. Age, sex, course of disease, etiology, frequency of onset, swelling score of upper extremity, visual pain simulation score, simplified Fugl-Meyer motor function score and ADL score were analyzed in both groups. By statistical analysis, P 0.05, the difference is not statistically significant, comparable. 2. After one course of treatment, the patients in the two groups were compared with those before treatment in terms of swelling score of the affected upper limb, visual pain simulation score, simplified Fugl-Meyer motor function score and activity of daily living score. There were significant improvements (P0.01), indicating that the two treatment methods have obvious clinical effect on this disease, the treatment group is better than the control group (P0.05). 3. There were 29 cases in the treatment group, 16 cases were effective, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 82.76%, while in the control group, there were 7 cases of remarkable effect, 16 cases of effective effect, 7 cases of ineffective, and 76.67 67% of total effective rate. The total effective rate of the two groups was significantly higher than that of the control group (P0.05), indicating that the clinical efficacy of the treatment group was better than that of the control group. Conclusion 1. The front hook acupuncture therapy and the filiform acupuncture can obviously relieve the pain of the patients with shoulder and hand syndrome after apoplexy, the swelling of the wrist, improve the motor function, and improve the ability of daily living. Comparison between groups, the front hook acupuncture therapy is better than the filiform acupuncture. 3. The treatment of shoulder-hand syndrome after apoplexy has definite curative effect and has the value of clinical popularization.
【學位授予單位】：山西中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6
本文編號：2211266
[Abstract]:Objective to observe the clinical effect of front hook acupuncture on shoulder hand syndrome after stroke, and to explore the therapeutic effect of front hook on shoulder hand syndrome after stroke, so as to find a new and effective treatment method for this disease. Methods 60 patients who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with front hook acupuncture once a week, while the control group was treated with filiform acupuncture once a day, 5 times a week for 4 weeks as a course of treatment, and after one course of treatment, the curative effect was evaluated. Statistical software SPSS17.0 was used to analyze the changes of swelling score, pain visual analogue score (VAS), Fugl-Meyer upper limb motor score (FMA) and ADL (ADL) score before and after treatment. The effects of two treatment methods on swelling, pain, motor function and daily living ability of the patients were analyzed and the clinical effects of the two groups were evaluated. Result 1. Age, sex, course of disease, etiology, frequency of onset, swelling score of upper extremity, visual pain simulation score, simplified Fugl-Meyer motor function score and ADL score were analyzed in both groups. By statistical analysis, P 0.05, the difference is not statistically significant, comparable. 2. After one course of treatment, the patients in the two groups were compared with those before treatment in terms of swelling score of the affected upper limb, visual pain simulation score, simplified Fugl-Meyer motor function score and activity of daily living score. There were significant improvements (P0.01), indicating that the two treatment methods have obvious clinical effect on this disease, the treatment group is better than the control group (P0.05). 3. There were 29 cases in the treatment group, 16 cases were effective, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 82.76%, while in the control group, there were 7 cases of remarkable effect, 16 cases of effective effect, 7 cases of ineffective, and 76.67 67% of total effective rate. The total effective rate of the two groups was significantly higher than that of the control group (P0.05), indicating that the clinical efficacy of the treatment group was better than that of the control group. Conclusion 1. The front hook acupuncture therapy and the filiform acupuncture can obviously relieve the pain of the patients with shoulder and hand syndrome after apoplexy, the swelling of the wrist, improve the motor function, and improve the ability of daily living. Comparison between groups, the front hook acupuncture therapy is better than the filiform acupuncture. 3. The treatment of shoulder-hand syndrome after apoplexy has definite curative effect and has the value of clinical popularization.
【學位授予單位】：山西中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6
【參考文獻】
相關期刊論文 前10條
1 呂廷娟;;心理康復護理干預在老年腦卒中后抑郁癥的臨床應用效果分析[J];中國現(xiàn)代藥物應用;2014年20期
2 王建;祝順偉;;氯沙坦與氨氯地平的降壓療效及其對左心室肥厚逆轉作用的效果對比[J];實用心腦肺血管病雜志;2014年05期
3 王衛(wèi)強;孟立強;冀來喜;;鋒勾針治療中風后肩手綜合征臨床研究[J];貴陽中醫(yī)學院學報;2014年01期
4 王玲;;穴位注射聯(lián)合針刺治療腦卒中后肩手綜合征76例療效觀察[J];亞太傳統(tǒng)醫(yī)藥;2014年01期
5 吳志媛;李飛;吳兆梅;朱小玲;;中藥濕熱敷對腦卒中后RSD綜合征的治療作用觀察[J];中醫(yī)藥臨床雜志;2013年11期
6 王友明;;益氣活血開竅法對缺血性中風患者功能恢復的影響[J];中華中醫(yī)藥學刊;2013年10期
7 顧海軍;;針刺配合腦心通治療肩手綜合征療效觀察[J];實用中醫(yī)藥雜志;2013年09期
8 常文艷;楊欣;;雷火灸結合康復手法治療肩手綜合征臨床觀察[J];遼寧中醫(yī)藥大學學報;2013年09期
9 董玲;;康復療法介入治療腦卒中偏癱患者肩手綜合征[J];光明中醫(yī);2013年06期
10 曹玉霞;王海軍;王建朝;聶培瑞;張春龍;張俊明;冀來喜;;鋒勾針療法治療肩周炎的臨床應用研究[J];中國民間療法;2013年02期
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