摘要
目的观察经筋排刺电针治疗中风后肩痛的疗效及作用机制。方法将80例患者随机分为经筋排刺组和常规针刺组,主要观察治疗前后简明麦吉尔疼痛量表评分和血清IL-6、TNF-α及NO水平。结果经筋排刺电针治疗和常规针刺治疗中风后肩痛,在简明麦吉尔疼痛量表评分和血清IL-6、TNF-α、NO水平较治疗前明显降低,而经筋排刺电针治疗较常规针刺治疗下降的水平更加显著。结论经筋排刺电针治疗中风后肩痛的作用机制可能是降低血清IL-6、TNF-α、NO水平,减少或抑制了炎性因子的释放,抑制了炎性反应,从而改善症状。
Objective To observe the therapeutic efficacy and action mechanism of muscle-region alignment electroacupuncture in treating post-stroke shoulder pain. Method Eighty patients were randomized into a muscle-region alignment needling group and a conventional acupuncture group. The Short-form McGill Pain Questionnaire (SF-MPQ), and serum levels of IL-6, TNF-α, and NO were majorly observed before and after the treatment. Result The muscle-region alignment electroacupuncture and conventional acupuncture both obviously reduced the SF-MPQ score and down-regulated the serum levels of IL-6, TNF-α, and NO, and the decreases by the muscle-region alignment electroacupuncture were more significant than that by the conventional acupuncture. Conclusion The action of muscle-region alignment electroacupuncture in treating post-stroke shoulder pain is plausibly by down-regulating serum levels of IL-6, TNF-α, and NO, reducing or inhibiting the production of inflammatory factors and restraining inflammation.
作者
宋丰军
郑士立
朱文宗
陈柄
奚经巧
邹晓静
方君辉
刘海飞
叶必宏
SONG Feng-jun ZHENG Shi-li ZHU Wen-zong CHEN Bing XI Jing-qiao ZOU Xiao-jing FANG Jun-hui LIU Hai-fei YE Bi-hong.(Wenzhou Hospital of Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Wenzhou 325000,Chin)
出处
《上海针灸杂志》
2016年第10期1158-1161,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省温州市科技局资助项目(y20110267)
浙江省中医药重点学科项目(2012-XK-A30)
浙江省温州市高级人才研修培育项目(2013年)
关键词
中风并发症
偏瘫
肩痛
十二经筋
针刺
电针
排刺
炎性因子
Post-stroke complications
Hemiplegia
Shoulder pain
Musculature of 12 meridians
Acupuncture
Electroacupuncture
Alignment acupuncture
Inflammatory factors