摘要
目的探究针灸联合强化肩胛带训练对脑卒中后偏瘫伴颈肩痛患者的疗效。方法抽取安阳市第六人民医院于2016年3月至2019年3月收治的脑卒中后偏瘫伴颈肩痛患者58例,采用随机数字表法将其分为A组27例和B组31例。A组行针灸联合常规训练治疗,B组在A组的基础上联合强化肩胛带训练。采用视觉模拟评分法(VAS)评估患者的疼痛情况,简明疼痛程度量表(BPI)评价患者的疼痛困扰;采用日常生活活动能力量表(ADL)及简式Fugl-Meyer评分(FMA)对患者的日常活动能力、运动、平衡及感觉等功能进行评价,对比患者治疗前后关节活动度的差异。结果治疗后,两组VAS评分均较治疗前降低(P均<0.05),且B组低于A组(P<0.05)。治疗后,B组前屈、后伸、外旋、内旋及外展活动度均高于A组,ADL及FMA评分也高于A组(P<0.05)。治疗后,两组BPI疼痛困扰各指标评分均低于治疗前(P均<0.05),且B组低于A组(P<0.05)。结论针灸联合强化肩胛带训练,能够有效控制脑卒中后偏瘫伴颈肩痛患者的疼痛情况,提高患者的日常活动能力和关节活动度。
Objective To investigate the effects of acupuncture combined with intensive shoulder scapular control training on patients with post-stroke hemiplegia,neck and shoulder pain.Methods A total of 58 patients with post-stroke hemiplegia complicated by neck and shoulder pain admitted to Anyang Sixth People’s Hospital from March 2016 to March 2019 were enrolled in the study.And they were divided into group A(27 cases)and group B(31 cases)by random number table method.Patients in the group A received acupuncture combined with conventional training,while patients in the group B received acupuncture combined with intensive scapular control training.The visual analogue scale(VAS)was used to assess pain,and the Brief Pain Inventory(BPI)was used to assess pain suffering.The activity of daily living(ADL)scale and the short form Fugl-Meyer Assessment(FMA)were used for evaluating daily activities,movement,balance and sensory function.Joint range of motion before and after treatment were compared.Results After treatment,the VAS scores of the two groups were lower than those before treatment(P<0.05),and group B had lower VAS scores than group A(P<0.05).After treatment,ranges of anteflexion,extension,extorsion,intorsion and abduction of group B were larger than those of group A,and the ADL and FMA scores of group B were higher than those of group A(P<0.05).After treatment,the BPI scores decreased in the two groups(P<0.05),and group B had lower BPI scores than group A(P<0.05).Conclusions Acupuncture combined with intensive scapular control training can effectively control the pain of patients with post-stroke hemiplegia,complicated by neck and shoulder pain,and improve their daily activities and joint range of motion.
作者
邢青霞
柏超
郭华
Xing Qingxia;Bai Chao;Guo Hua(Department of Pain,Anyang Sixth People’s Hospital,Anyang 455000,China)
出处
《中国实用医刊》
2021年第3期114-117,共4页
Chinese Journal of Practical Medicine
关键词
脑卒中
偏瘫
颈肩痛
肩胛带控制训练
针灸
疼痛
日常活动能力
Stroke
Hemiplegia
Neck and shoulder pain
Scapular control training
Acupuncture
Pain
Daily activity
