主客原络配穴法联合康复训练治疗卒中后肩手综合征Ⅰ期的临床观察

The clinical observation on the treatment of the combination of Yuan-primary and Luo-connecting points for post-apoplexy shoulder and hand syndrome stage Ⅰ

目的观察主客原络配穴法联合康复训练治疗肩手综合征Ⅰ期患者的疗效。方法2016年6月至2019年7月符合纳入标准肩手综合征I期患者72例,随机分为观察组(主客原络组)和对照组(传统针刺组),每组各36例,两组均给予神经内科常规治疗和综合康复训练。在治疗前及治疗后4周分别评估两组视觉模拟评分(VAS)、Fugl-meyer上肢运动功能评分(FMA-UE)、肩关节活动度、改良Barthel指数评分(MBI)及安全性评估。结果两组患者治疗后VAS评分、FMA评分、肩关节活动度、MBI评分均较治疗前改善(P<0.05);治疗后观察组VAS评分低于对照组(P<0.05),FMA评分、肩关节活动度及MBI评分均高于对照组(P<0.05),两组未见明显的针刺不良事件。结论主客原络配穴法联合康复训练可以改善卒中后肩手综合征患者肩痛程度、上肢运动功能、肩关节活动度及日常生活活动能力。

Objective To observe the effect of Combination of Yuan-primary and Luo-connecting points combined with Rehabilitation for Post-stroke Shoulder-hand Syndrome stage.Methods 72 patients met the inclusion criteria were randomly divided into treatment group(Yuan-primary and Luo-connecting group)and control group(traditional acupuncture group),36 patients in each group accepted routine treatment of Neurology and rehabilitation.Visual analogue score(VAS),Fugl-Meyer Assessment of Upper Extremity(FMA-UE),Shoulder mobility,improved Barthel index score(MBI)and Safety assessment were observed before and after 4 weeks'treatment.Results VAS,FMA-UE,Shoulder mobility,MBI were improved in the same group after treatment,compared with before(all P<0.05).After treatment,VAS of treatment group was lower than AVS of control treatment(P<0.05),FMA-UE,Shoulder mobility and MBI were higher than the control group(P<0.05).There was no obvious adverse event of acupuncture in the two groups.Conclusion Combination of Yuan-primary and Luo-connecting points combined with Rehabilitation can improve the degree of shoulder pain,upper extremity motor function,shoulder mobility and ability of daily life activiries.