摘要
目的探讨采用不同的针刺疗法治疗脑卒中(CS)后肩手综合征(SHS)的临床效果。方法选取2020年9月至2022年11月辽宁中医药大学附属医院收治的114例CS后SHS患者作为研究对象,采用随机数字表法将其分为电针组和温针组,各57例。全部患者均给予常规内科治疗与康复治疗,电针组增加电针疗法,温针组增加温针灸疗法。比较两组患者治疗前后简式麦吉尔疼痛问卷(SF-MPQ)、上肢运动功能评定量表(FMA)、炎症因子水平、血液流变学指标、临床疗效。结果两组患者经治疗后的SF-MPQ评分、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、全血黏度高切(WBV-H)、全血黏度低切(WBV-L)、纤维蛋白原(Fbg)均低于本组治疗前,差异有统计学意义(P<0.05);温针组经治疗后的SF-MPQ评分、hs-CRP、TNF-α、IL-6低于电针组,差异有统计学意义(P<0.05);电针组经治疗后的WBV-H、WBV-L、Fbg低于电针组,差异有统计学意义(P<0.05)。两组患者经治疗后的FMA评分均高于本组治疗前,电针组经治疗后的FMA评分高于温针组,差异有统计学意义(P<0.05)。电针组经治疗后的临床痊愈例数少于温针组,差异有统计学意义(P<0.05)。结论采用电针疗法或温针灸疗法的治疗方式,更符合CS后合并SHS患者迫切需要快速治疗的目的,且电针疗法在患者缓解活动度与肿胀程度方面更具治疗优势,温针灸疗法在缓解患者的疼痛方面更具治疗优势。
Objective Explore the clinical effect of different acupuncture therapies on shoulder-hand syndrome(SHS)after cerebral stroke(CS).Methods A total of 114 patients with SHS after CS admitted to the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2020 to November 2022 were selected as the research subjects,and they were divided into electroacupuncture group and warm acupuncture group according to random number table method,with 57 cases in each group.All patients were treated with conventional medical treatment and rehabilitation,electroacupuncture was added to the electroacupuncture group and warm acupuncture therapy was added to the warm acupuncture group.The short-form of Mc Gill pain questionnaire(SF-MPQ),fugl-meyer assessment(FMA),inflammatory factor level,blood rheological index,and clinical efficacy were compared between the two groups.Results After treatment,SF-MPQ score,hypersensitive C-reactive protein(hs-CRP),tumour necrosis factor-α(TNF-α),interleukin-6(IL-6),whole blood high shear rate(WBV-H),whole blood low shear rate(WBV-L)and fibrinogen(Fbg)of two groups were lower than those before treatment,the differences were statistically significant(P<0.05).The SF-MPQ score,hs-CRP,TNF-αand IL-6 in the warm acupuncture group after treatment were lower than those in the electroacupuncture group,the differences were statistically significant(P<0.05).WBV-H,WBV-L,Fbg in the warm acupuncture group after treatment were lower than those in the electroacupuncture group,the differences were statistically significant(P<0.05).The FMA score in two groups after treatment was higher than that before treatment,the FMA score in the electroacupuncture group after treatment was higher than that in the warm acupuncture group,the differences were statistically significant(P<0.05).The number of clinical recovery cases after treatment in the electroacupuncture group was less than that in the warm acupuncture group,and the difference was statistically significant(P<0.05).Conclusion The use of electroacupuncture or warm acupuncture therapy is more in line with the urgent need for rapid treatment of patients with SHS after CS,and electroacupuncture therapy has more therapeutic advantages in relieving patients'mobility and swelling degree,while warm acupuncture therapy has more therapeutic advantages in relieving patients'pain.
作者
高士淇
王野
GAO Shiqi;WANG Ye(Rehabilitation Center,the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China)
出处
《中国当代医药》
CAS
2023年第25期83-87,共5页
China Modern Medicine
基金
第一批辽宁省老中医药专家学术经验继承工作项目(辽中医药函〔2021〕1号)。
关键词
电针
温针灸
脑卒中
肩手综合征
Electroacupuncture
Warm acupuncture
Cerebral stroke
Shoulder-hand syndrome
