针灸配合体外冲击波治疗脑卒中后肩痛39例

Acupuncture and extracorporeal shock wave on shoulder pain in patients with poststroke hemiplegia

目的观察针灸配合体外冲击波治疗脑卒中后肩痛的临床疗效。方法将117例脑卒中后偏瘫肩痛患者按照随机数字表法分成三组:单纯针灸组(A组)、针灸加体外冲击波治疗组(B组)和单纯体外冲击波治疗组(C组)各39例。A组针灸用穴以阴经为主;B组在针灸基础上(用穴同A组)配合体外冲击波治疗;C组用单纯体外冲击波常规治疗方法同B组。在对其效果进行同期平行观察时,对三组间的视觉模拟评分(VAS)及总有效率进行统计学分析。结果 A、C两组肩痛缓解程度优良率分别为59.0%和69.2%,均明显低于B组(94.9%)(P<0.01)。结论针灸配合体外冲击波治疗脑卒中后肩痛疗效确切,早期介入效果更佳,与单纯针灸或体外冲击波相比具有明显优势。

Obiective To observe the clinical curative effect of acupuncture combined with extracorporeal shock wave in treatment of post-stroke shoulder pain. Methods A total of 117 cases shoulder pain in patients with poststroke hemiplegia were randomly divided into 3 groups： simple acupuncture group（group A）,acupuncture group plus extracor- poreal shock wave treatment group（group B） and simple extraeorporeal shock wave treatment treatment group（group C）, 39 eases in each group. The therapeutic effects and VAS score were evaluated. Results The good rate for pain was 59.0% in the group A and 69.2% in the group C,significantly lower than 94.9%in the group B（P〈0.01）. Conclusion early intervention effect of Acupuncture and moxibustion combined with extracorporeal shock wave therapy on shoulder pain after stroke is better, compared with simple acupuncture or extracorporeal shock wave has obvious advantages.