针灸推拿医学（英文版）2026，Vol.24Issue(3)：247-254,8.DOI:10.1007/s11726-026-1575-8
腕踝针联合耳穴贴压治疗脑卒中后肩手综合征Ⅰ期临床观察
Clinical observation of wrist-ankle acupuncture plus auricular point sticking for poststroke shoulder-hand syndrome in phase Ⅰ
摘要
Abstract
Objective:To observe the clinical efficacy of wrist-ankle acupuncture plus auricular point sticking for poststroke shoulder-hand syndrome(PS-SHS)in phase Ⅰ and its effect on pain and range of motion(ROM). Methods:A total of 90 patients with PS-SHS in phase Ⅰ were enrolled and divided into a conventional group,an auricular point group,and a combination group according to different treatment methods,with 30 cases in each group.The conventional group was treated with conventional rehabilitation training,and the auricular point group was treated with additional auricular point sticking.The combination group was treated with additional wrist-ankle acupuncture on the basis of the auricular point group treatment.The treatment was performed consecutively for 5 d per week,followed by 2 d of rest,with each group undergoing consecutive treatment for 6 weeks.The clinical efficacy,pain score,ROM indicator,serum levels of endothelin-1(ET-1),nitric oxide(NO),and bradykinin(BK),quality of life(QOL),and adverse reaction incidence rate were compared among the three groups. Results:After treatment,the total effective rate of the combination group was 96.7%,which was significantly higher than 70.0%of the conventional group and 83.3%of the auricular point group(P<0.05).After 3 weeks and 6 weeks of treatment,the pain score in all three groups decreased(P<0.05),and the score in the combination group was significantly lower than that in the conventional group and auricular point group at the same time point(P<0.05).After treatment,the ROM of the upper limbs,and the QOL score in all three groups increased(P<0.05),and the scores in the combination group were significantly higher than those in the conventional group and auricular point group(P<0.05).After 6 weeks of treatment,the serum levels of ET-1 and BK in all three groups were decreased compared with those before treatment,while the serum NO level increased(P<0.05).The serum levels of ET-1 and BK in the combination group were significantly lower than those in the conventional group and auricular point group(P<0.05),and the serum NO level in the combination group was significantly higher than that in the other two groups(P<0.05).No adverse reactions occurred during treatment in the three groups. Conclusion:Wrist-ankle acupuncture combined with auricular point sticking treatment has better clinical efficacy in the treatment of PS-SHS in phase Ⅰ than the other two treatment protocols,and has significant advantages in relieving pain,improving the recovery of articular activity function,and enhancing QOL,with good safety.关键词
腕踝针/耳穴贴压/疼痛测评/日常生活活动/活动范围,关节/中风后遗症/肩痛/肩手综合征Key words
Wrist-ankle Acupuncture/Auricular Point Sticking/Pain Measurement/Activities of Daily Living/Range of Motion,Articular/Poststroke Syndrome/Shoulder Pain/Shoulder-hand Syndrome分类
医药卫生引用本文复制引用
周英,金林珍,刘海飞,夏小云,宋丰军,张馥晴..腕踝针联合耳穴贴压治疗脑卒中后肩手综合征Ⅰ期临床观察[J].针灸推拿医学（英文版）,2026,24(3):247-254,8.基金项目
This study was supported by Basic Public Welfare Research Project of Wenzhou Science and Technology Bureau(温州市科技局基础公益科研项目,No.Y2023953). （温州市科技局基础公益科研项目,No.Y2023953）
