电针治疗40例中风偏瘫肩－手综合征临床观察

Clinical Observation on Treatment of 40 Cases of Apoplexy Hemiplegia Complicated Shoulder-Hand Syndrome with Electro-Acupuncture

运用电针和毫针刺法分别治疗中风偏瘫肩－手综合征４０例，两个疗程后显示电针对手背水肿、手部皮温升高及屈指时手痛的疗效优于毫针刺法（Ｐ＜０．０５）；指关节和肩关节功能积分增加３分以上（包括３分）的疗效电针组分别优于毫针组（Ｐ＜０．０５）；总显效率电针组（７５％）优于毫针组（５０％，Ｐ＜０．０５）。提示电针产生肌肉节律性收缩具有＂肩－手泵＂样作用，这对消除手背水肿，防止手部肌肉萎缩有重要意义。

The authors treated 40 cases of shoulder-hand syndrome of apoplexy hemiplegia with electroacupuncture(EA) and filiform needle acupuncture(FNA) respectively.The results showed that EA had better results in treating hand back swelling,hand skin temperature elevating and the bending finger caused pain than that with FNA(P<0.05).The finger joint and shoulder joint improvement(the functional scoring increased for 3 points or more) in EA was also better than that of FNA(P<0.05).The total marked effective rate was higher in EA group(75%) than that in FNA(50%,P<0.05).It suggested that EA produced rhythmic muscle contraction which had a'shoulder-hand pump'like action,and is significant in eliminating hand back swelling and preventing atrophy of hand muscles.