开关通脉针法治疗中风后肩手综合征临床观察

Clinical Observation for Kai Guan Tong Mai Acupuncture Therapy Treating Shoulder-hand Syndrome After Stroke

目的:观察开关通脉针法治疗中风后肩手综合征的临床疗效。方法:150例中风合并有肩手综合征的患者,随机分为治疗组和对照组,分别采用开关通脉针法和手三阳经穴位针刺,采用Fugl-M eyer评定上肢功能活动,并对肢体疼痛、肿胀进行疗效评定。结果:治疗组上肢运动积分评分平均高于对照组;治疗组对疼痛的疗效优于对照组,但对肿胀的疗效,两组无显著性差异。结论:开关通脉针法治疗中风后肩手综合征具有肯定的疗效,在改善肢体疼痛方面优于手三阳经穴位针刺法。

Objective：To observe the clinical effect of Kai Guan Tong Mai （ KGTM ） acupuncture therapy treating Shoulder - hand syndrome after stroke. Methods ： The stroke patients with Shoulder - hand syndrome were divided into two groups by random, the KGTM acupuncture therapy and the control group with puncturing the points on the three Yang channels of the hand. Using Fugl - Meyer assessing method to assess the upper limb function, and assess the effect for treating pain and swell. Results ： The grade of upper limb funetion of KGTM group was higher to the control group, and the effect for treating pain was superior to the control gro. up; but in the effect of treating swell, the two group had no obviously difference. Conclusion ： The effect of KGTM acu- puncture therapy is affirmed,itS superior to the acupuncture therapy with puncturing the points on the three Yang channels of the hand in improving the pain of upper limb after stroke.