刺络拔罐配合康复训练治疗偏瘫肩痛26例的对照观察

Comparative observation effect of cupping with bloodletting on the pain of shoulder in patients with hemiplegia

目的 :观察刺络拔罐配合康复训练治疗偏瘫肩痛的疗效。方法 :将 5 6例偏瘫肩痛患者随机分成 2组 ,其中治疗组 2 6例 ,采用刺络拔罐配合康复训练治疗 ,对照组 30例采用单纯康复训练治疗 ,对 2组肩痛程度和频度 ,以及上肢Brunnstrom分级进行组间及自身前后对照。结果 :治疗后两组肩痛程度和频度积分均低于治疗前 (P <0 .0 1) ,两组间差值比较有统计学意义 (P <0 .0 5 ) ,治疗组优于对照组。治疗组偏瘫患者上肢运动功能达Ⅳ级以上的由 15 .4%提高到 6 5 .4% ,高于对照组的 5 6 .7%。结论

Objective: To observe the effects of cupping with bloodletting on the shoulderache in patients with hemiplegia. Method:56 stroke patients were randomly divided into treatment group(26 cases) and control group (30 cases). All of them received routine rehabilitation training,while treatment group was also given the method of cupping with bloodletting. The scores of grade and frequency of shoulder pain and the Brunnstrom′ classification of upper limbs in the two groups were measured in pre- and post-treatment respectively. Result: The scores of grade and frequency of shoulder pain oneset in the two groups were improved significantly after treatment (P<0.01),but there was a significant difference between the two group(P<0.05),the effects of treatment group were superior to those of control group. The motor function of upper limbs improved to Ⅳgrade which accounted for 65.4% in treatment group,and 56.7% in control group. Conclusion: It′s a preferably means for cupping with bloodletting to treat the shoulder pain in patients with hemiplegia.