关刺及合谷刺法治疗脑卒中后肩手综合征疗效观察

目的:观察关刺及合谷刺法治疗脑卒中后肩手综合征的临床疗效。方法:60例按随机数字表法分为对照组和治疗组各30例。两组均常规内科治疗及康复推拿治疗,对照组加用常规针刺法治疗,治疗组加用关刺合谷针刺法治疗。结果:两组治疗后FMA评分、手部水肿分级评分均改善(P<0.01),两组VAS评分均下降(P<0.01),FMA评分均增高(P<0.05),手部水肿分级评分均下降(P<0.05),且治疗组变化大于对照组(P<0.05)。治疗组总有效率93.33%,对照组总有效率73.33%,两组比较差异有统计学意义(P<0.05)。结论:关刺及合谷刺法治疗脑卒中后肩手综合征疗效较好。

Objective:To observe the clinical efficacy of Guan puncture and Hegu puncture on shoulder-hand syndrome after stroke. Methods: According to the random number table method, 60 cases were divided into a control group and a treatment group, with 30 cases in each group. Both groups were treated with conventional medical treatment and rehabilitation massage. The control group were treated with conventional acupuncture while the treatment group were treated with Guan puncture and Hegu puncture. Results: After treatment, the FMA score and hand edema grading scores of the two groups improved(P<0.01). The VAS scores of the two groups decreased(P<0.01). The FMA scores increased(P<0.05),and the hand edema grading scores were decrease(P<0.05). The change in the treatment group was greater than that in the control group(P<0.05). The total effective rate of the treatment group was 93.33% while the total effective rate of the control group was 73.33%. The difference between the two groups was statistically significant(P<0.05). Conclusion: Guan puncture and Hegu puncture are effective in treating shoulder-hand syndrome after stroke.