腕踝针联合耳穴贴压治疗中风肩痛的临床研究
首发时间:2020-05-27
摘要:目的中风肩痛为中风急性期后出现的并发症。观察腕踝针联合耳穴贴压对中风肩痛的临床疗效,为针刺治疗中风肩痛提供治疗思路。方法本研究选取80例中风肩痛患者,按随机数字表分为观察组42例和对照组38例。治疗前后统计视觉模拟量尺(VAS)评分和Fugl-Meyer评分,评定疼痛程度和上肢运动功能,并进行临床疗效评价。对照组选用传统针刺疗法,观察组采用腕踝针(患侧上肢上4、上5、上6 共 3 点)联合耳穴贴压(肩、锁骨、肩关节、腕、指、丘脑、交感、神门、耳大神经点)。两种针刺均每日治疗1次,每次留针30min,5d为1疗程,每疗程后休息2d,共治疗3个疗程;耳穴贴压2-3天更换一次,共治疗21天。结果治疗前后,两组VAS评分、Fugl-Meyer评分均明显降低(p<0.01);与对照组相比,观察组各项指标改善程度明显优于对照组(p<0.05)。结论传统针刺疗法和腕踝针联合耳穴贴压均可明显改善中风肩痛,腕踝针联合耳穴贴压治疗中风肩痛的镇痛效果优于传统针刺疗法。
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Clinical study on the treatment of shoulder pain caused by apoplexy with wrist ankle acupuncture combined with auricular point sticking
Abstract:Objective Shoulder pain after apoplexy is a complication after acute stage of apoplexy. To observe the clinical effect of wrist ankle acupuncture combined with auricular point sticking on the shoulder pain of apoplexy, and to provide the treatment ideas for acupuncture on the shoulder pain of apoplexy. Methods 80 patients with stroke and shoulder pain were randomly divided into observation group (42 cases) and control group (38 cases). Before and after treatment, the visual analoguClinical study on the treatment of shoulder pain caused by apoplexy with wrist ankle acupuncture combined with auricular point stickinge scale (VAS) score and Fugl Meyer score were used to evaluate the degree of pain and upper extremity motor function, and the clinical effect was evaluated. The control group was treated with traditional acupuncture. The observation group was treated with wrist ankle acupuncture (4, 5 and 6 points on the upper limb of the affected side) combined with auricular point sticking (shoulder, clavicle, shoulder joint, wrist, finger, thalamus, sympathetic, Shenmen and auricular nerve points). The two kinds of acupuncture were treated once a day, 30 minutes each time, 5 days as a course of treatment, 2 days after each course of rest, a total of 3 courses of treatment; auricular plaster 2-3 days to change, a total of 21 days of treatment. Results Before and after treatment, the VAS score and Fugl Meyer score of the two groups were significantly reduced (P < 0.01); compared with the control group, the improvement of each index in the observation group was significantly better than that in the control group (P < 0.05). Conclusion Traditional acupuncture and wrist ankle acupuncture combined with auricular point sticking can significantly improve shoulder pain in apoplexy, and the analgesic effect of wrist ankle acupuncture combined with auricular point sticking is better than that of traditional acupuncture.
Keywords: Wrist Ankle acupuncture auricular point sticking apoplexy and shoulder pain
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腕踝针联合耳穴贴压治疗中风肩痛的临床研究
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