摘要
【目的】观察“滋水涵木”针刺法电针治疗脑梗死后肩手综合征的临床疗效。【方法】将120例脑梗死后肩手综合征患者随机分为对照组和观察组,每组各60例,对照组患者给予常规药物结合康复治疗,观察组在对照组治疗的基础上加用“滋水涵木”针刺法电针治疗,疗程为3周。治疗3周后,评价2组临床疗效,观察2组患者治疗前后肩手综合征评估量表(SHSS)、上肢Fugl-Meyer运动功能评定量表(FMA)、上肢神经功能缺损量表(NDS)、日常生活活动能力量表(ADL)评分的变化情况,以及上肢疼痛视觉模拟量表(VAS)评分、上肢肿胀程度评分的情况。比较2组患者治疗前后运动诱发电位波幅和潜伏期的变化情况。【结果】(1)观察组总有效率为95.00%(57/60),对照组为83.33%(50/60)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的SHSS、FMA、NDS、ADL评分圴明显改善(P<0.05),且观察组在改善SHSS、FMA、NDS、ADL评分方面圴明显优于对照组,差异圴有统计学意义(P<0.05)。(3)治疗后,2组患者的VAS评分与肿胀程度评分均明显改善(P<0.05),且观察组在改善VAS评分与肿胀程度评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者的运动诱发电位波幅和潜伏期圴明显改善(P<0.05),且观察组在改善运动诱发电位波幅和潜伏期方面圴明显优于对照组,差异圴有统计学意义(P<0.05)。【结论】“滋水涵木”针刺法电针治疗脑梗死后肩手综合征,能明显改善患者的疼痛症状,促进神经功能和运动功能恢复,从而提高患者生活质量,疗效显著。
Objective To observe the clinical efficacy of“Enriching Water(Kidney)to Nourishing Wood(Liver)”electropuncture for the treatment of shoulder-hand syndrome(SHS)after cerebral infarction.Methods A total of120 patients with SHS after cerebral infarction were randomly divided into control group and observation group,60 patients in each group.Patients in control group were given conventional medication combined with rehabilitation treatment,while the observation group was treated with“Enriching Water(Kidney)to Nourishing Wood(Liver)”electropuncture on the basis of the treatment for control group,and the courses of treatment lasted for 3 weeks.After 3 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the shoulder-hand syndrome assessment scale(SHSS),Fugl-Meyer assessrnent(FMA)scale for upper limb motor function,upper limb neurological deficit scale(NDS),activities of daily living scale(ADL)scores,as well as the Visual Analogue pain scores(VAS)and upper limb swelling scores were observed in the two groups before and after treatment.The changes in motor evoked potential wave amplitude and latency in the two groups of patients were compared before and after treatment.Results(1)The total effective rate was 95.00%(57/60)in the observation group and 83.33%(50/60)in the control group.The curative effect of observation group was superior to the control group in improving SHSS,FMA,NDS and ADL scores,and the difference was statistically significant(P<0.05).(2)After treatment,the scores of SHSS,FMA,NDS and ADL in two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving SHSS,FMA,NDS and ADL scores,and the difference was statistically significant(P<0.05).(3)After treatment,VAS scores and swelling degree score in two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving VAS scores and swelling degree score,and the differences were statistically significant(P<0.05).(4)After treatment,the amplitude and latency of evoked potential in two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving amplitude and lateney,and the difference was statistically significant(P<0.05).Conclusion“Enriching Water(Kidney)to Nourishing Wood(Liver)”electropuncture in treating SHS after cerebral infarction has significant effect in improving the patient’s pain symptoms and promoting the recovery of neurological and motor functions,thus improving the patient’s quality of life.
作者
黄心熳
何丽欣
黄冲
陈福初
HUANG Xin-Man;HE Li-Xin;HUANG Chong;CHEN Fu-Chu(Guangdong Provincial People’s Hospital’s Nanhai Hospital,Foshan 528251 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第5期1097-1103,共7页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
滋水涵木
针刺
电针
脑梗死
肩手综合征
临床观察
Enriching Water(Kidney)to Nourishing Wood(Liver)
acupuncture
electropuncture
cerebralinfarction
shoulder-hand syndrome(SHS)
clinical observation
作者简介
黄心熳(1990-),女,硕士,主治医师,E-mail:728145141@qq.com
