多针浮刺配合中药外洗治疗中风后肩手综合征疗效观察

Observations on the Efficacy of Superficial Needling plus External Washing with Chinese Herbal Medicine in Treating Post-stroke Shoulder-hand Syndrome

目的观察多针浮刺配合中药外洗治疗中风后早期肩手综合征的临床疗效。方法将60例中风后肩手综合征患者随机分为治疗组和对照组,每组30例。治疗组采用多针浮刺配合中药外洗治疗,对照组采用常规针刺治疗。两组治疗前后分别采用目测类比评分法(VAS)评定疼痛程度,采用Fugl-Meyer运动功能评定法(FMA)评定上肢功能,并比较两组临床疗效。结果治疗组总有效率为96.7%,对照组为83.3%,两组比较差异具有统计学意义(P<0.05)。两组治疗后VAS评分和FMA评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后VAS评分和FMA评分与对照组比较,差异均具有统计学意义(P<0.05)。结论多针浮刺配合中药外洗是一种治疗中风后肩手综合征的有效方法。

Objective To investigate the clinical efficacy of superficial needling plus external washing with Chinese herbal medicine in treating post-stroke shoulder-hand syndrome. Methods Sixty patients with post-stroke shoulder-hand syndrome were randomly allocated to treatment and control groups, 30 cases each. The treatment group received superficial needling plus external washing with Chinese herbal medicine and the control group, conventional acupuncture. Pain severity was assessed using the visual analogue scale（VAS） and upper limb function was assessed using the Fugl-Meyer Assessment（FMA） of motor recovery in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Results The total efficacy rate was 96.7% in the treatment group and 83.3% in the control group; there was a statistically significant difference between the two groups（P〈0.05）. There were statistically significant pre-/post-treatment differences in the VAS score and the FMA score in the two groups（P〈0.05）. There were statistically significant post-treatment differences in the VAS score and the FMA score between the treatment and control groups（P〈0.05）. Conclusion Superficial needling plus external washing with Chinese herbal medicine is an effective way to treat post-stroke shoulder-hand syndrome.