中国康复理论与实践Issue(1)：95-97,3.DOI:10.3969/j.issn.1006-9771.2016.01.021
条口透承山针法配合患肢活动对卒中后肩手综合征Ⅰ期的疗效
Effects of Acupuncture from Tiaokou to Chenshan and Exercise on Shoulder-hand Syndrome at Stage I after Stroke
摘要
Abstract
Objective To observe the effect of acupuncture penetrated from Tiaokou (ST38) to Chenshan (BL57) combined with exer-cise on affected limbs of shoulder-hand syndrome (SHS) at stage I after stroke. Methods 40 inpatients with SHS at stage I after stroke from January, 2013 to December, 2014 were randomly divided into treatment group (n=20) and control group (n=20). The treatment group accept-ed acupuncture from Tiaokou to Chenshan on unaffected sides and exercise of affected upper limbs, and the control group accetpted routine acupuncture on Triple Shoulder Acupoints on affected sides. They were assessed with Pain Rating Index (PRI), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) before and 4 weeks after intervention. Results The incidence of improvement was 90% in the treatment group, and 80%in the control group (χ2=0.784, P=0.376). The scores of PRI decreased (t>5.37, P<0.001), and the score of FMA and MBI increased (t>4.66, P<0.001) significantly after intervention. The score of FMA and MBI improved more in the treatment group than in the control group (t>2.25, P<0.05). Conclusion Acupuncture from Tiaokou to Chenshan combined with exercise is more effective on SHS at stage I after stroke than conventional Triple Shoulder Acupoints.关键词
脑卒中/肩手综合征/针刺Key words
stroke/shoulder-hand syndrome/acupuncture分类
医药卫生引用本文复制引用
周亮,朱根应,谭同才,石君杰,叶祥明..条口透承山针法配合患肢活动对卒中后肩手综合征Ⅰ期的疗效[J].中国康复理论与实践,2016,(1):95-97,3.基金项目
浙江医学高等专科学校科研基金项目(No.2014XZB03)。 （No.2014XZB03）
