缪刺巨刺针刺联合Bobath疗法治疗中风后肩手综合征患者的疗效分析

The effects of the Miuci Juci acupuncture plus Bobath therapy on shoulder-hand syndrome after stroke

目的:分析缪刺巨刺针刺联合Bobath疗法治疗中风后肩手综合征(Should-hand Syndrome,SHS)患者的疗效。方法:选取2017年10月-2019年11月益阳市第一中医院中风后SHS患者96例,按随机数字表法分为研究组(48例)与对照组(48例),对照组采用Bobath疗法,研究组在对照组基础上采用缪刺巨刺针刺。对比两组疗效及治疗前后视觉模拟评分法(Visual Analogue Scale,VAS)评分、上肢功能评定表(Disability of Arm Shoulder and Hand,DASH)评分、日常生活能力量表(Activity of Daily Living,ADL)评分、Fugl-Meyer运动功能测评法(Fugl-Meyer Assessment of Motor Function,FMA)评分、运动传导速度。结果:研究组的总有效率明显高于对照组(P<0.05);治疗后,研究组的VAS评分、DASH评分较对照组低(P<0.05),研究组的ADL评分较对照组低,FMA评分较对照组高(P<0.05)。治疗后,研究组的运动传导速度大于对照组(P<0.05)。结论:缪刺巨刺针刺联合Bobath疗法应用于中风后SHS患者中可提高康复效果,减轻肩痛和患肢症状严重程度,有效改善上肢运动功能,提高日常生活能力。

Objective:To analyze the curative effects of the Miuci Juci acupuncture(缪刺巨刺针刺疗法)plus Bobath therapy on should-hand syndrome after stroke.Methods:96 cases were selected and divided into the study group(with 48 cases)and the control group(with 48 cases).The control group was treated by Bobath therapy,and the study group received the Bobath therapy plus the Miuci Juci acupuncture.Results:The total efficiency in the study group was significantly higher than the control group(P<0.05).After treatment,the VAS scores,DASH scores and the ADL scores in the study group were lower than the control group(P<0.05).FMA scores in the study group were higher than the control group(P<0.05).After treatment,the motor conduction velocity in the study group was greater than the control group(P<0.05).Conclusion:The Miuci Juci acupuncture plus Bobath therapy on SHS after stroke can improve rehabilitation effect,reduce the severity of shoulder pain and symptoms of the affected limb,effectively improve motor function of the upper limb,and improve the daily living ability.