强化肩胛带训练及早期康复治疗对经针灸治疗脑卒中后偏瘫肩痛的临床疗效

The Clinical Effect of Strengthening Scapular Girdle Training and Early Rehabilitation on the Treatment of Hemiplegic Shoulder Pain after Stroke by Acupuncture

目的分析脑卒中后偏瘫肩痛经针灸治疗中早期康复治疗及强化肩胛带训练的临床疗效。方法于2019年5月—2020年2月选取脑卒中后偏瘫肩痛患者60例,根据其就诊单双号组别,单号30例为控制组,双号30例为试验组。控制组应用针灸治疗+一般训练,基于此试验组应用早期康复治疗及强化肩胛带训练。比较两组FMA、VAS等评分变化及生活质量。结果两组治疗后FMA、VAS等评分均明显优于各组治疗前,且试验组(45.6±3.5)、(1.8±0.2)分明显优于控制组(25.6±3.4)分、(3.1±0.6)分,差异有统计学意义(t=16.310、4.855,P<0.05)。两组社会、躯体、情绪、生理等功能评分对比,试验组分别为(81.3±2.6)、(78.4±3.1)分、(81.6±3.5)分、(79.2±2.4)分,均高于控制组(72.3±2.5)分、(61.5±2.2)分、(62.4±3.9)分、(63.2±3.1)分,差异有统计学意义(t=7.412、6.958、8.124、6.104,P<0.05)。结论脑卒中后偏瘫肩痛经针灸治疗中早期康复治疗及强化肩胛带训练的疗效确切,即可有效缓解患者疼痛症状,且可改善其肢体功能,并能提升其生活质量。

Objective To analyze the clinical effects of acupuncture and moxibustion treatment of post-stroke hemiplegia with shoulder dysmenorrhea in the middle and early rehabilitation treatment and strengthened shoulder girdle training.Methods From May 2019 to February 2020,60 patients with hemiplegic shoulder pain after stroke were selected.According to their single and even number group,30 patients with single number were the control group and 30 patients with double number were the test group.The control group applied acupuncture treatment+general training.Based on this test group,early rehabilitation treatment and strengthened shoulder girdle training were applied.Compare the changes in FMA and VAS scores and quality of life between the two groups.Results The scores of FMA and VAS after treatment in the two groups were significantly better than those before treatment,and the test group(45.6±3.5)points and(1.8±0.2)points were significantly better than the control group(25.6±3.4)points and(3.1±0.6)points,the difference was statistically significant(t=16.310,4.855,P<0.05);the social,physical,emotional,physiological and other functional scores of the two groups were compared.The test group was(81.3±2.6)points,(78.4±3.1)points,(81.6±3.5)points,and(79.2±2.4)points,all higher than the control group(72.3±2.5)points,(61.5±2.2)points,(62.4±3.9)points,(63.2±3.1)points,the difference was statistically significant(t=7.412,6.958,8.124,6.104,P<0.05).Conclusion Acupuncture and moxibustion for treatment of post-stroke hemiplegia with shoulder dysmenorrhea is effective in early rehabilitation and strengthened shoulder girdle training,which can effectively relieve the pain symptoms of patients,improve their limb function,and improve their quality of life.