针灸防治中风后偏瘫肩痛近期疗效观察

Short-term therapeutic effects of acupuncture and moxibustion on shoulder pain in the patient of poststroke hemiplegia

目的 :探索针灸早期介入中风后偏瘫肩痛防治的有效方法。方法 :将 90例中风后偏瘫肩痛患者按照随机数字表法分成 3组 :单纯针灸组 (A组 )、针灸加中西医内科常规治疗组 (B组 )和单纯中西医内科常规治疗组 (C组 )各 30例。A组针灸用穴以阴经为主 ;B组在针灸基础上 (用穴同A组 ) ,配合内科常规中西药治疗 ;C组单纯中西医内科常规治疗方法同B组。在对其效应进行同期平行观察时 ,对 3组间的视觉模拟评分 (VAS)及总有效率进行统计学分析。结果 :A、B两组在肢体疼痛缓解程度优良率分别为 90 0 %和 93 3%,均明显高于C组的 4 6 7%(P <0 0 1 ) ;而A、B组间则无明显差异 (P >0 0 5 )。结论 :针灸疗法对中风后偏瘫肩痛疗效确切 ,早期介入效果更佳 ,与单纯药物相比具有明显优势。

Objective To explore an effective method for shoulder pain due to poststroke hemiplegia. Methods Ninety cases were randomly divided into 3 groups: simple acup-mox group (group A), acup-mox plus Chinese and western medicine routine treatment group (group B) and simple Chinese and western medicine routine treatment group (group C), 30 cases in each group. The therapeutic effects were evaluated by VAS score. Results The good rate for pain was 90.0% in the groups A and 93.3% in the group B, significantly better than 46.7% in the group C (P<0.01); and there was no significant difference between the group A and group B (P>0.05). Conclusion Acup-mox therapy has a definite therapeutic effect, being significantly better than that of medicine.