循经远端选穴治疗脑梗死后肩手综合征临床观察

Observations on the Efficacy of Along-meridian Distal Point Selection in Treating Post-cerebral Infarction Shoulder-hand Syndrome

目的观察循经远端选穴治疗脑梗死后肩手综合征的疗效。方法将60例脑梗死后肩手综合征患者随机分为治疗组和对照组,每组30例。对照组给予常规神经内科治疗、传统"中风-中经络"针刺治疗、康复训练治疗。治疗组在对照组治疗基础上加用循经远端选穴治疗。两组均治疗4个疗程后评价疗效。比较两组治疗前后疼痛VAS评分、患侧手肿胀评分及上肢FMA评分。结果两组治疗后疼痛VAS评分、患侧手肿胀评分及上肢FMA评分3项指标均优于治疗前(P<0.01)。治疗组治疗后在疼痛VAS评分、患侧手肿胀评分及上肢FMA评分方面显著优于对照组,差异具有统计学意义(P<0.01,P<0.05)。结论循经远端选穴治疗脑梗死后肩手综合征在改善患者疼痛、患侧手肿胀及上肢功能方面有较好的临床疗效。

Objective To investigate the efficacy of along-meridian distal point selection in treating post-cerebral infarction shoulder-hand syndrome. Method Sixty patients with post-cerebral infarction shoulder-hand syndrome were randomly allocated to treatment and control groups, 30 cases each. The control group was treated by routine neurological medical treatment, conventional acupuncture for stroke-attack on meridians and rehabilitation training and the treatment group, by along-meridian distal point selection in addition. The therapeutic effects were evaluated in both groups after four courses of treatment. The VAS scores, affected-side hand swelling scores and upper limb FMA scores were compared between the two groups before and after treatment. Result The VAS score, affected-side hand swelling score and upper limb FMA score were significantly better in both groups after treatment than before（P0.01）. Post- treatment VAS score, affected-side hand swelling score and upper limb FMA score were significantly better in the treatment group than in the control group; there were statistically significant differences（P0.01,P0.05）. Conclusion Along-meridian distal point selection has clinically a better improving effect on the pain, affected-side hand swelling and upper limb function in patients with post-cerebral infarction shoulder-hand syndrome.