耳针治疗卒中后肩手综合征临床疗效分析

Clininal Efficacy of Post-stroke Shoulder-hand Syndrome Patients Treated by Ear Acupuncture

目的:探讨耳针疗法对卒中后肩手综合征的治疗效果。方法:将60例卒中后肩手综合征患者,予以相同的基础治疗,随机分为耳针组(观察组30例)以及体针组(对照组30例),采用非盲法随机对照研究。以VAS法评定患肢疼痛和水肿,以彩色超声多普勒测定患肢血液流速,以Fugl-m eyer法评定上肢综合性运动功能。4疗程后统计疗效,计分结果进行统计分析。结果:耳针对于卒中后肩手综合征患肢的疼痛、水肿等症状的改善,以及对患肢尺静脉、桡静脉和中指指间动脉血液流速的改善高于体针组(P<0.05)。结论:耳针能促进卒中后肩手综合征患肢静脉血液的回流,改善微循环,能明确缓解病人疼痛、水肿症状,从而明显改善患肢综合性运动功能。

Objective：To study the effect of the ear acupuncture therapy in the treatment in the patients with shoulder-hand syndrome （SHS） after stroke. Methods ：60 patients with SHS after stroke were unblindly randomized divided into two groups： ear aeuptmeture group and body acupuncture group. Body aeupuneturo treatment was chosen as the eontrol treat- ment. Set each groups with 30 patients. All the patients were treated with the same foundation treatment. The VAS scale was used to assess the pain and dropsy of the upper limbs, the color doppler flow imaging （CDFI） was used to measure the velocity of blood flow of the upper limbs, and the fugl - meyer scale was used to assess movement function of the up- per limbs. We studied the results with statistical analysis after 4 courses. Results：Treatment empress, there were significant differences of the pain, dropsy symptom and the velocity of blood flow of the ulnar vein, radial vein and middle finger digital artery between the two groups. The results of the ear acuptmcture group obviously improved to those of the body acupuncture group （P 〈 0.05 ）. Conclusion： The ear acupuncture therapy can improve the velocity of blood flow of the veins of the upper limb, earl improve the blood circulation, can particularly decrease the degree of pain and dropsy symp- tom of SHS, and benefit to ftmetion rehabilitation of the upper limb.