穴位注射联合针刺对脑卒中后肩手综合征患者患肢疼痛及运动能力的影响

Influence of Acupoint Injection Concomitant with Needling on the Pain and Motor Function of Affected Limbs in Patients with Shoulder-Hand Syndrome After Cerebral Stroke

目的:观察穴位注射与针刺联合治疗对脑卒中后肩手综合征(houlder-hand syndrome,SHS)患者患肢疼痛及运动能力的影响。方法:选择2012年6月—2014年4月在本中心门诊治疗的SHS患者120例,按照随机分组法将其分为观察组和对照组各60例,对照组在常规治疗的基础上给予针刺治疗,观察组在对照组治疗的基础上加用穴位注射治疗。比较两组治疗前后疼痛数字评价量表(The digital pain assessment scale,NRS)、上肢运动功能(The motor function of upper limbs,FMA)评分以及肩关节活动度范围评分,并进行统计分析。结果:观察组治疗后的NRS、FMA以及肩关节活动度范围评分分别为(1.35±0.91)、(41.91±6.71)和(2.48±0.46),而对照组分别为(3.13±1.09)、(33.46±4.62)和(1.65±0.36),两组比较,差异具有统计学意义(P<0.05)。结论:通过穴位注射与针刺联合治疗疗效显著,能明显减缓SHS患者肢体疼痛感,提升运动功能,从而改善患者生存质量。

Objective： To observe the influence of acupoint injection concomitant with needling on the pain and movement function of affected limbs in patients with should-hand syndrome（ SHS） after cerebral stroke. Methods： A total of 120 patients diagnosed as SHS in our center from June,2012 to April,2014 were selected and randomly divided into control group and observation group,60 cases for each. Needling therapy was given to control group based on routine therapies,on which basis observation group was added with acupoint injection. The digital pain assessment scale（ NRS）,the motor function of upper limbs（ FMA）and should motor range scale were compared between two groups. Results： After treatment,NRS,FMA and should motor range scale were（1. 35 ± 0. 91）,（41. 91 ± 6. 71） and（2. 48 ± 0. 46） in observation group,evidently lower than the（3. 13 ± 1. 09）,（33. 46 ± 4. 62） and（1. 65 ± 0. 36） in control group,and the differences were significant（P〈0. 05）. Conclusion： Acupoint injection concomitant with needling is favorable in clinical efficacy because it can significantly alleviate the pain of affected limbs,increase the motor function and improve the quality of life of patients with SHS.