平衡针治疗脑卒中后肩痛临床观察

Clinical observation on post-stroke shoulder pain treated with balance acupuncture

目的:观察平衡针法与常规针刺治疗脑卒中后肩痛的疗效差异。方法:将60例患者随机分为平衡针组和常规针刺组,每组30例。平衡针组应用平衡针法,穴取肩痛穴;常规针刺组采用常规针刺法,穴取水沟、内关、通里、足三里、悬钟等穴并循经配穴。采用疼痛视觉模拟量表(VAS)评估疗效。结果:平衡针组第1次治疗前后VAS评分分别为5.62±0.46、5.00±0.31,常规针刺组分别为5.52±0.65、5.22±0.29,两组治疗前后比较,差异均有统计学意义(P<0.01,P<0.05),其改善程度平衡针组优于常规针刺组(P<0.05)。两组治疗10次(1疗程)后VAS评分平衡针组为3.75±0.67,常规针刺组为3.77±0.62,均较治疗前显著降低(均P<0.01),组间比较差异无统计学意义(P>0.05)。结论:平衡针法与常规针刺法治疗脑卒中后肩痛均有显著的止痛效果,且平衡针法的即时止痛效果优于常规针刺法。

Objective To observe the difference of therapeutic effect on post-stroke shoulder pain between balance acupuncture and conventional acupuncture. Methods Sixty cases were randomly divided into two groups, 30 cases in each one. In balance acupuncture group, the balance technique of acupuncture was used on Jiantong point. In conventional acupuncture group, the conventional acupuncture was applied to Shuigou （GV 26）, Neiguan （PC 6）, Tongli （HT 5）, Zusanli （ST 36）, Xuanzhong （GB 39） and others, combined with the points on the affected meridians. The Visual Analogue Scale （VAS） was adopted to evaluate the efficacy. Results Separately, before and after the 1st treatment, VAS scores were 5.62±0.46 and 5.00±0.31 in balance acupuncture group （P〈0.01）, and those were 5.52±0.65 and 5.22±0. 29 in conventional acupuncture group （P〈0.05）. The improvement in balance acupuncture group was superior to that in conventional acupuncture group （P〈0. 05）. After 10 treatments （one course of treatment）, VAS score was 3.75!0.67 in balance acupuncture group and was 3.77±0.62 in conventional acupuncture group, which reduced significantly as compared with those before treatment （both P〈0.01）, the difference between two groups was not significant （P〉0.05）. Conclusion Either balance acupuncture or conventional acupuncture has significant analgesia on post-stroke shoulder pain. But, the instant analgesia of balance acupuncture is superior to that of conventional acupuncture.