浮针联合普通针刺和康复训练治疗脑卒中后肩手综合征Ⅰ期的临床研究

Clinical study of floating acupuncture combined with ordinary acupuncture and rehabilitation training for post-stroke shoulder-hand syndrome stage Ⅰ

目的探讨浮针联合普通针刺和康复训练治疗脑卒中后肩手综合征Ⅰ期的临床疗效。方法选取重庆市某医院2017年6月-2019年6月收治的90例脑卒中后肩手综合征Ⅰ期患者为研究对象,采用随机数字表法分为实验组和对照组,每组45例。对照组患者给予普通针刺和康复训练,实验组患者在对照组基础上联用浮针治疗,2组患者均治疗1个月。比较2组患者治疗前后肩部疼痛视觉模拟评分(VAS)、手部肿胀程度、上肢FuglMeyer运动功能评定量表(FMA)评分、日常生活活动能力(Barthel指数)及临床疗效。结果治疗前,2组患者VAS评分、手部肿胀程度、FMA评分及Barthel指数比较,差异均无统计学意义(P>0.05)。治疗后,2组患者VAS评分、手部肿胀程度均小于治疗前,FMA评分及Barthel指数大于治疗前,且实验组患者VAS评分、手部肿胀程度均小于对照组,FMA评分及Barthel指数大于对照组,差异均有统计学意义(P<0.05)。实验组患者治疗总有效率为97.78%,高于对照组的82.22%,差异有统计学意义(P<0.05)。结论浮针联合普通针刺和康复训练治疗脑卒中后肩手综合征Ⅰ期疗效显著,值得临床推广。

Objective To investigate the clinical efficacy of floating acupuncture combined with ordinary acupuncture and rehabilitation training in the treatment of post-stroke shoulder-hand syndrome stageⅠ.Methods Ninety patients with post-stroke shoulder-hand syndrome stageⅠadmitted to a hospital in Chongqing from June 2017 to June 2019 were selected for the study and divided into experimental and control groups using a random number table,with 45 cases in each group.Patients in the control group were given ordinary acupuncture and rehabilitation training,and patients in the experimental group were treated with floating acupuncture in addition;both groups were treated for 1 month.The visual analogue scale(VAS)scores of shoulder pain,the degree of hand swelling,the Fugl-Meyer Assessment(FMA)scores of the upper limbs,the Barthel index and the clinical efficacy were compared between the two groups before and after treatment.Results Before treatment,there were no statistically significant differences in VAS scores,degree of hand swelling,FMA scores and Barthel index between the 2 groups(P>0.05).After treatment,the VAS scores and hand swelling of the two groups were reduced than those before treatment,the FMA scores and Barthel index were larger than those before treatment,the VAS scores and degree of han swelling of the experimental group were lower than those of the control group,and the FMA scores and Barthel index were larger than those of the control group,with statistically significant differences(P<0.05).The total effective rate of treatment for patients in the experimental group was97.78%,which was higher than that of the control group(82.22%),and the difference was statistically significant(P<0.05).Conclusion The efficacy of floating acupuncture combined with ordinary acupuncture and rehabilitation training in the treatment of post-stroke shoulder-hand syndrome stageⅠis obvious;thus,it is worthy of clinical promotion.