不同留针时间浮刺治疗中风后偏瘫肩痛的临床观察

Clinical Observation of Different Needle-retaining Lengths of Superficial Needling in Treating Hemiplegic Shoulder Pain After Stroke

目的通过观察不同留针时间浮刺治疗中风后偏瘫肩痛的临床疗效,寻找浮刺治疗中风后偏瘫肩痛的最佳留针时间。方法将120例中风后偏瘫肩痛患者随机分为A组、B组、C组和D组,每组30例。4组均采用浮刺治疗,治疗后分别留针10 min、20 min、30 min、40 min。每日1次,10次为1个疗程,共治疗2个疗程。观察4组治疗前后VAS评分、上肢Fugl-Meyer运动功能评定量表(FMA)评分和改良Barthel指数(MBI)评分的变化情况。结果 4组治疗后不同时间VAS评分、上肢FMA评分和MBI评分与同组治疗前比较,差异有统计学意义(P<0.01)。4组治疗后VAS评分、上肢FMA评分和MBI评分比较,差异有统计学意义(P<0.01)。4组治疗后VAS评分、上肢FMA评分和MBI评分均呈下降趋势。经10 d、20 d治疗后,C组、D组VAS评分改善明显优于A组、B组(P<0.01,P<0.05)。结论浮刺能明显缓解疼痛,留针30 min可取得最佳疗效。

Objective By observing the clinical efficacy of different needle-retaining lengths of superficial needling in treating hemiplegic shoulder pain after stroke, to find the optimal needle-retaining length for hemiplegic shoulder pain after stroke. Method A total of 120 patients with hemiplegic shoulder pain after stroke were randomized into group A, group B, group C and group D, 30 cases in each group. The four groups were intervened by superficial needling. The needle-retaining lengths were 10 minutes in group A, 20 minutes in group B, 30 minutes in group C and 40 minutes in group D. The treatment was given once a day, 10 times as a treatment course, for 2 treatment courses in total. The scores of the Visual Analogue Scale（VAS）, the upper limb Fugl-Meyer Assessment（FMA） and the Modified Barthel Index（MBI） were observed before and after the treatment in the four groups. Result There were statistically significant differences in comparing the scores of the VAS, FMA and MBI among the four groups（P0.01）. After the treatment, the scores of the VAS, FMA and MBI were in decreasing trend. After 10 and 20 days of treatment, the improvements of the VAS scores in group C and group D were superior to those in group A and group B（P0.01, P0.05）. Conclusion Superficial needling can obviously alleviate pain, and 30 min needle-retaining can produce the optimal clinical efficacy.