中医学报2017，Vol.32Issue(7)：1329-1332,4.DOI:10.16368/j.issn.1674-8999.2017.07.350
针刺联合艾灸治疗缺血性中风后肩手综合征临床研究
Clinical Study on Acupuncture Combined with Moxibustion in Treating for Shoulder-hand Syndrome after Ischemic Stroke
摘要
Abstract
Objective:To investigate the clinical efficacy of acupuncture combined with moxibustion in treatment of shoulder-hand syndrome after Ischemic stroke.Methods:120 patients who met the diagnostic criteria were randomly divided into control group and observation group,with 60 cases in each group.The control group was given basic internal medical therapy and rehabilitation training,including correct placement of body,passive movement and active exercise.The observation group was treated with acupuncture and moxibustion in addition to that of the control group.The symptom improvement of the two groups were evaluated by the evaluation of the shoulder-hand syndrome scale,the upper limb Fugl-Meyer function scale,the daily living activity scale,the degree of neurological deficit and the Wind Phlegm Stasis Syndrome score.The Calcitonin gene-related peptide (CGRP),Substance P (Substance P) and plasma bradykinin level and the clinical efficacy of both groups were also evaluated.Results:①After treatment,the three dimensions of pain,hyperalgesia,distal edema and shoulder movement were significantly lower than those before treatment (P ＜ 0.05).After treatment,the scores of the three dimensions of SHS scale and the total score were lower than those of the control group (P ＜ 0.01).②Compared with that before treatment,the scores of upper limb Fugl-Meyer assessment scale (UFMA) and activity daily living Scale (ADL) in the two groups were significantly higher (P ＜ 0.01).The national institute of health stroke scale (NIHSS) and the Wind Phlegm Stasis Syndrome score of the observation group was lower than those of the control group (P ＜ 0.01).The scores of U-FMA and ADL in the observation group were higher than those in the control group (P ＜ 0.01),NIHSS and wind phlegm stagnation score were lower than those in the control group(P ＜ 0.01,P ＜0.01).③Compare with that before treatment,the level of CGRP in the observation group was higher than that in the control group,while the level of SP and bradykinin were lower than that of the control group (P ＜ 0.01),and the levels of SP and bradykinin decreased (P ＜ 0.01).④ The effective rate of the observation group was 96.43％,which was significantly higher than that (83.64％) of the control group (X2 =5.085,P ＜ 0.05).Conclusion:Acupuncture combined with moxibustion is effective in treating for Shoulder-hand syndrome after Ischemic stroke.关键词
缺血性中风/肩手综合征/针刺疗法/艾灸/康复训练Key words
Ischemic stroke/Shoulder-hand syndrome/acupuncture therapy/moxibustion/rehabilitation training分类
医药卫生引用本文复制引用
王瑞红,何亚楠,黄涛..针刺联合艾灸治疗缺血性中风后肩手综合征临床研究[J].中医学报,2017,32(7):1329-1332,4.基金项目
国家科技支撑计划项目(2013BAI05B09) （2013BAI05B09）
