广州中医药大学学报2026，Vol.43Issue(8)：2066-2071,6.DOI:10.13359/j.cnki.gzxbtcm.2026.08.006
董氏奇穴动气针法联合姿势解密技术治疗脑卒中后偏瘫肩痛的疗效观察
Clinical Observation on the Efficacy of Dong's Extraordinary Acupoint Motion Acupuncture Combined with Posture Decoding Technique in the Treatment of Post-Stroke Hemiplegic Shoulder Pain
摘要
Abstract
Objective To observe the clinical efficacy of Dong's extraordinary acupoint motion acupuncture combined with posture decoding technique in the treatment of post-stroke hemiplegic shoulder pain(HSP).Methods A total of 90 patients with a confirmed diagnosis of post-stroke HSP,who were treated at Maanshan Hospital of Traditional Chinese Medicine from September 2024 to March 2025,were enrolled and randomly divided into an observation group(45 cases)and a control group(45 cases)using a random number table.The control group received posture decoding technique,while the observation group received Dong's extraordinary acupoint motion acupuncture in addition to the treatment given to the control group.Both groups were treated continuously for 4 weeks.After 4 weeks of treatment,the clinical efficacy was evaluated.Changes in the Visual Analogue Scale(VAS)score for pain,passive range of motion(PROM)of the shoulder(including flexion,abduction,and external rotation),Fugl-Meyer Assessment-Upper Limb(FMA-UL)score,and Modified Barthel Index(MBI)score were observed before and after treatment.Results(1)After treatment,the VAS scores in both groups were significantly improved,and the improvement in the observation group was significantly greater than that in the control group,the difference being statistically significant(P＜0.05).(2)After treatment,the PROM of the shoulder,including the angles of flexion,abduction,and external rotation,were significantly improved in both groups,with the observation group showing significantly greater improvement than the control group,the difference being statistically significant(P＜0.05).(3)After treatment,the FMA-UL and MBI scores were significantly improved in both groups(P＜0.05),and the improvement in the observation group was significantly superior to that of the control group,the difference being statistically significant(P＜0.05).(4)The total effective rate was 95.56%(43/45)in the observation group and 71.11%(32/45)in the control group.The clinical efficacy of the observation group was significantly superior to that of the control group,the difference being statistically significant(P＜0.05).Conclusion Dong's extraordinary acupoint motion acupuncture combined with posture decoding technique can significantly alleviate pain,increase the range of motion of the shoulder joint,enhance shoulder flexibility and stability,effectively promote functional recovery,and improve the activities of daily living in patients with post-stroke HSP,demonstrating remarkable clinical efficacy.关键词
董氏奇穴/动气针法/姿势解密技术/脑卒中/偏瘫肩痛/疗效观察Key words
Dong's extraordinary acupoints/motion acupuncture/posture decoding technique/stroke/hemiplegic shoulder pain(HSP)/clinical observation分类
医药卫生引用本文复制引用
施君,张亮亮..董氏奇穴动气针法联合姿势解密技术治疗脑卒中后偏瘫肩痛的疗效观察[J].广州中医药大学学报,2026,43(8):2066-2071,6.基金项目
安徽省卫生健康委科研资助项目(编号:AHWJ2024b116) （编号:AHWJ2024b116）
