【摘要】：目的通過觀察鋒勾針治療中風(fēng)后肩手綜合征的臨床療效,探討鋒勾針對(duì)中風(fēng)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(biāo)準(zhǔn)的患者隨機(jī)分為治療組和對(duì)照組分別30例,兩組患者均給予基礎(chǔ)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(duì)照組采用毫針針刺治療,每日1次,每周5次,4周為1個(gè)療程,1個(gè)療程后進(jìn)行療效評(píng)價(jià)。用統(tǒng)計(jì)軟件SPSS17.0統(tǒng)計(jì)分析治療前后兩組的腫脹評(píng)分、疼痛視覺模擬評(píng)分(VAS)、簡化Fugl-Meyer上肢運(yùn)動(dòng)評(píng)分(FMA)及日常生活能力(ADL)評(píng)分的變化。對(duì)比分析兩種治療方法對(duì)患者患肢腫脹、疼痛、運(yùn)動(dòng)功能及日常生活能力的影響,并評(píng)定兩組的臨床療效。結(jié)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(cè)上肢的腫脹評(píng)分、視覺疼痛模擬評(píng)分、簡化Fugl-Meyer運(yùn)動(dòng)功能評(píng)分及日常生活能力評(píng)分,經(jīng)統(tǒng)計(jì)學(xué)分析,P0.05,差異無統(tǒng)計(jì)學(xué)意義,具有可比性。2.治療1個(gè)療程后,兩組患者在患側(cè)上肢的腫脹評(píng)分、視覺疼痛模擬評(píng)分、簡化Fugl-Meyer運(yùn)動(dòng)功能評(píng)分及日常生活能力評(píng)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(duì)本病均具有明顯的臨床療效,組間比較,治療組優(yōu)于對(duì)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(duì)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(jì)學(xué)意義(P0.05),表明治療組的臨床療效優(yōu)于對(duì)照組。結(jié)論1.鋒勾針療法和毫針針刺均能明顯緩解中風(fēng)后肩手綜合征患者疼痛、手腕部腫脹,改善運(yùn)動(dòng)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(fēng)后肩手綜合征療效肯定,有臨床推廣的價(jià)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(xué)位授予單位】：山西中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6

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