腹针结合康复训练治疗卒中后肩痛的临床观察

Clinical Observation on the Combination of Abdominal Acupuncture and Rehabilitation in Treating Omalgia after Stroke

目的观察腹针结合康复运动疗法治疗中风后肩痛的临床疗效。方法将符合纳入标准的60例中风后肩痛患者随机分为治疗组和对照组,每组30例。治疗组给予腹针加康复训练(包括良肢位摆放、关节松动、被动运动及鼓励主动运动等),对照组只给予康复训练。治疗前与治疗2周后,各进行1次目测类比定级(VAS)、简化Fugl-Meyer运动功能评分法(FMA)中的上肢运动功能评分及改良的Barthel指数(MBI)评定。结果 2组治疗前后比较,VAS评分、FMA上肢功能评分及MBI评分差异均有统计学意义(P<0.05),2组治疗后比较VAS评分差异有统计学意义(P<0.05),而上肢功能评分及MBI评分差异没有统计学意义(P>0.05)。结论腹针配合现代康复技术治疗卒中后肩痛患者,在改善卒中后肩痛疼痛症状方面,较单纯现代康复技术治疗效果更佳;而在改善患肢运动功能及患者日常自理能力方面,两者疗效基本一致。

OBJECTIVE To observe clinical therapeutic effects of abdominal acupuncture combined with rehabilitation in treating omalgia after stroke.METHODS 60 patients conforming to the standards of omalgia after stroke were equally randomized into treatment group and control group.The treatment group was given abdominal acupuncture and rehabilitation（including the position of healthy limbs,joint mobilization,passive movement and encouraging active movement,etc.）,while the control group was offered merely rehabilitation.Each group respectively performed Visual Analogue Scale（VAS）,upper limb motor functional assessment in the simplified Fugl-Meyer functional motor assessment（FMA） and evaluation of Modified Barthel Index（MBI） once two weeks before and after treatment.RESULTS By comparing two groups before and after treatment,the differences of VAS scores,FMA upper limb functional scores and MBI scores suggested statistical significance（P0.05）.The difference of VAS scores of both groups after treatment had statistical significance（P0.05）,whereas there was no statistical significance（P0.05） in FMA upper limb functional score and MBI score.CONCLUSION In the aspect of alleviating pain in omalgia after stroke,the therapeutic effects of abdominal acupuncture combined with modern rehabilitation are better than those of single modern rehabilitation in treating omalgia after stroke,but both produce the same therapeutic effects in terms of improving the motor function of affected limbs and daily self-care ability of patients.