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小针刀配合针灸对偏瘫并发肩手综合征的疗效观察 被引量:10

The Curative Effect Observation of Needle-shaped Scalpel With Acupuncture for Hemiplegic Shoulder-hand Syndrome
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摘要 目的观察小针刀配合针灸对偏瘫并发肩手综合征患者疗效,探讨小针刀配合针灸对偏瘫并发肩手综合征治疗效果的可能机制。方法 40例偏瘫并发肩手综合征患者随机分为治疗组20例,对照组20例,治疗组给予小针刀配合针灸及康复训练,对照组给予针灸及康复训练,疗程4周。治疗前后采用上肢简化Fugl-Meyer评分(FMA)、疼痛视觉模拟评分(VAS)、水肿程度评分对患者的运动功能、疼痛及上肢水肿情况进行评定。结果治疗后,两组患者的上肢运动功能、疼痛程度、水肿与治疗前相比均有显著改善(P<0.01),且治疗组的改善程度明显优于对照组(P<0.O5)。结论小针刀配合针灸对偏瘫并发肩手综合征(Ⅰ期)患者有良好的疗效。 Objective This study aims to observe The Curative Effect of Needle-shaped scalpel with acupuncture therapy on hemiplegic patients with shoulder-hand syndrome(SHS),and to discuss possible mechanisms for remedy.Methods Forty cases with SHS after hemiplegia were randomly distributed in half into two groups: treatment group and control group.The treatment group was treated with needle-shaped scalpel combined with acupuncture and rehabilitation training,and the control group was treated with acupuncture and rehabilitation training only.The treatment course lasted for 4 weeks.Before and after treatment,upper limb motor function,pain severity and degree of edema were evaluated by simplified Fugl-Meyer assessment(FMA),visual analogue scale(VAS),and edema scale.Results The upper limb motor function of patients improved significantly.Pain and edema were relieved significantly in both two groups after treatment(P0.01).In the treatment group the improvement was more significant than that in the control group(P0.O5).Conclusion Needle-shaped scalpel with acupuncture has effective remedy on patients with SHS after hemiplegia.
出处 《职业卫生与病伤》 2012年第2期109-111,共3页 Occupational Health and Damage
关键词 偏瘫 肩手综合征 针灸 小针刀 康复训练 hemiplegia shoulder-hand syndrome acupuncture needle-shaped scalpel rehabilitation training
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