不同留针时间对针刺治疗中风后肩痛疗效的影响

Different Needle Retaining Time on Curative Effect of Acupuncture in the Treatment of Shoulder Pain after Stroke

目的分析不同留针时间对针刺治疗中风后肩痛患者的影响。方法选取2015年9月—2016年8月治疗的中风后肩痛患者86例,随机分为2组各43例,2组患者均行针刺治疗,取穴方案相同,留针时间分别为30 min(观察组)、60 min(对照组),比较2组患者疼痛改善情况及运动功能恢复情况。结果观察组减痛总有效率95.3%,显著高于对照组74.4%。2组患者治疗前VAS评分、肩痛频率评分、FMA评分组间比较无显著差异(P>0.05),治疗后观察组VAS评分(2.8±0.3)分及肩痛频率评分(0.8±0.3)分均显著低于对照组(3.9±0.5)分、(1.6±0.5)分(P<0.05),FMA评分(27.5±6.3)分显著高于对照组(20.7±5.9)分(P<0.05)。结论在中风后肩痛患者针刺治疗中,留针30min可取得比60 min更好的镇痛效果,且患者治疗后运动功能可得到更加明显的改善,值得临床推广。

Objective To analyze different retaining needle time on effect of acupuncture in the treatment of shoulder pain after stroke. Methods From September 2015 to August 2016 in our hospital, 86 cases of patients with post-stroke shoulder pain were randomly divided into two groups, with 43 cases in each group. Two groups of patients were performed acupuncture, and point selection was the same. The retaining needle time was 30 min（observation group） and 60 min（control group）, respectively. The improve-ment on the pain and movement function recovery was compared. Results The total effective rate of reducing pain of the observation group was 95.3% which was significantly higher than 74.4% of the control group. Before treatment, VAS score, frequency of shoulder pain score and FMA between the two groups had no significant difference（ P〉0.05）. After treatment, in the observation group, the VAS score was（2.8±0.3）, the frequency of shoulder pain score was（0.8±0.3） which were significantly lower than（3.9±0.5） and（1.6±0.5） of the control group（ P〈0.05）. FMA score（27.5±6.3） points of the observation group was significantly higher than（20.7±5.9） of the control group（ P〈0.05）. Conclusion In patients with post-stroke shoulder pain, 30 min retaining needle can obtain a better analgesic effect than 60 min, and motor function after treatment in patients has more obvious improvement. It is wor-thy of clinical promotion.