李氏砭法刮痧对脑卒中后复杂性区域性疼痛综合征的影响研究

Study on the effect of Li’s flint acupuncture scraping on complex regional pain syndrome after stroke

目的观察李氏砭法刮痧对脑卒中后复杂性区域性疼痛综合征(CRPS)的疗效及患肢血流速度的影响。方法58例脑卒中后CRPS患者,随机分为治疗组及对照组,各29例。两组患者均给予脑卒中常规药物治疗,在此基础上,治疗组患者采用李氏砭法刮痧治疗,对照组患者进行康复训练。对比两组患者的临床疗效,治疗前后Barthel指数、Fugl-Meyer运动功能评定量表(FMA)、视觉模拟评分法(VAS)评分及患侧上肢动、静脉血流速度。结果治疗组总有效率86.2%高于对照组的62.1%,差异具有统计学意义(P<0.05)。治疗后,两组患者Barthel指数、FMA评分均较本组治疗前升高,VAS评分均较本组治疗前降低,且治疗组患者Barthel指数(54.05±10.16)分、FMA评分(57.38±10.48)分高于对照组的(40.23±8.72)、(44.07±10.31)分,VAS评分(3.47±0.53)分低于对照组的(6.03±1.04)分,差异具有统计学意义(P<0.05)。治疗后,治疗组患者患侧上肢肱动脉、尺动脉、桡动脉、肱静脉、尺静脉、桡静脉血流速度均较本组治疗前增快,差异具有统计学意义(P<0.05)。治疗后,对照组患者患侧上肢肱动脉、肱静脉、尺静脉、桡静脉血流速度较本组治疗前增快,差异具有统计学意义(P<0.05);治疗后,对照组患者患侧上肢尺动脉、桡动脉血流速度与本组治疗前比较,差异无统计学意义(P>0.05)。治疗后,治疗组患者患侧上肢肱动脉、尺动脉、桡动脉、肱静脉、尺静脉、桡静脉血流速度均快于对照组,差异具有统计学意义(P<0.05)。结论李氏砭法刮痧可显著改善脑卒中后CRPS患者的患肢血流速度、疗效显著、操作简便、经济实惠、患者容易接受,值得临床推广应用。

Objective To observe the efficacy of Li’s flint acupuncture scraping on complex regional pain syndrome(CRPS)after stroke,and its influence on blood flow velocity.Methods A total of 58 patients with CRPS after stroke were randomly divided into treatment group and control group,with 29 cases in each group.Both groups were given conventional drug treatment for stroke.On this basis,patients in the treatment group were treated with Li’s flint acupuncture scraping,and patients in the control group received rehabilitation training.Both groups were compared in terms of clinical efficacy,Barthel index,Fugl-Meyer assessment(FMA)score,visual analogue scale(VAS)score,and the arterial and venous blood flow velocity of the upper limb on the affected side before and after treatment.Results The total effective rate 86.2%of the treatment group was higher than 62.1%of the control group,and the difference was statistically significant(P<0.05).After treatment,the Barthel index and FMA score of the two groups were higher than those of this group before treatment,and the VAS score was lower than that of this group before treatment;the Barthel index(54.05±10.16)points and FMA score(57.38±10.48)points in the treatment group were higher than(40.23±8.72)and(44.07±10.31)points in the control group,and the VAS score(3.47±0.53)points was lower than(6.03±1.04)points in the control group;all the differences were statistically significant(P<0.05).After treatment,the blood flow velocity of the brachial artery,ulnar artery,radial artery,brachial vein,ulnar vein,and radial vein of the affected upper limb in the treatment group was faster than that before treatment in this group,and the difference was statistically significant(P<0.05).After treatment,the blood flow velocity of brachial artery,brachial vein,ulnar vein and radial vein of the affected upper limb in the control group was faster than that before treatment,and the difference was statistically significant(P<0.05).After treatment,there was no statistically significant difference between the blood flow velocity of the ulnar and radial arteries in the affected upper limbs in the control group compared with that before treatment in this group(P>0.05).After treatment,the blood flow velocity of brachial artery,ulnar artery,radial artery,brachial vein,ulnar vein and radial vein of the affected upper limb in the treatment group was faster than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Li’s flint acupuncture scraping can significantly improve the blood flow velocity of the affected limb in patients with CRPS after stroke.It is effective,easy to operate,economical and easily accepted by patients,and worthy of clinical promotion and application.