大接经法与常规体针治疗法对脑卒中后肩痛治疗效果、神经功能、肩关节活动度等指标影响对比研究

Comparative Study of Effects of Large Connection Meridian Therapy and Conventional Body Acupuncture Therapy on Therapeutic Effect,Nerve Function and Range of Motion of Shoulder in Patients with Post-Stroke Shoulder Pain

目的探究大接经法与常规体针治疗法对脑卒中后肩痛患者治疗效果、神经功能、肩关节活动度等指标影响,并进行临床对比分析。方法研究共计纳入80例脑卒中后肩痛患者(2016年5月—2018年5月)随机分成两组,予以对照组患者(40例)常规体针治疗法,予以观察组患者(40例)大接经法治疗,比较两组患者疗效、治疗前后脑卒中后偏瘫恢复六阶段测评表(Brunnstrom)变化及改良Ashworth量表变化、疼痛量表(视觉模拟疼痛评分,VAS)评分变化、简化Fugl-Meyer运动功能量表评分变化、临床神经功能缺损评分变化、肩关节活动度变化、改良Barthel指数(MBI)变化。结果观察组患者治疗总有效率(97.50%,39/40)高于对照组患者(82.50%,33/40)(P<0.05);治疗前,两组患者脑卒中后偏瘫恢复六阶段测评表、改良Ashworth量表、VAS评分、Fugl-Meyer评分及临床神经功能缺损评分、改良Barthel指数及肩关节活动度比较,P>0.05,治疗后各组患者脑卒中后偏瘫恢复六阶段测评表、改良Ashworth量表、VAS评分、Fugl-Meyer评分及临床神经功能缺损评分、改良Barthel指数及肩关节活动度均改善,观察组患者治疗后脑卒中后偏瘫恢复六阶段测评表、改良Ashworth量表、VAS评分、Fugl-Meyer评分及临床神经功能缺损评分、改良Barthel指数及肩关节活动度优于对照组(P<0.05)。结论较常规体针治疗法,大接经法治疗脑卒中后肩痛效果更佳,患者治疗后疼痛缓解,肢体功能恢复良好,肩关节活动度扩伸,神经功能缺损情况改善,患者恢复较好。

Objective To explore the influence of large connection meridian therapy and conventional body acupuncture on the treatment effect,neurological function,shoulder joint range of motion and other indicators of patients with shoulder pain after stroke,and make a clinical comparative analysis.Method A total of 80 patients with shoulder pain after stroke(from May 2016 to may 2018)were randomly divided into two groups.Patients in the control group(40 cases)were treated with conventional body acupuncture,while those in the observation group(40 cases)were treated with large connection meridian therapy.The curative effect of the two groups,the changes of Brunnstrom and the changes of modified Ashworth scale before and after treatment,the changes of visual analogue pain scale(VAS),simplified Fugl Meyer motor function scale,clinical neurological deficit score,shoulder range of motion and modified Barthel Index(MBI)were compared.Result The total effective rate of the observation group(97.50%,39/40)was higher than that of the control group(82.50%,33/40)(P<0.05).Before treatment,the comparison of six-stage hemiplegia recovery scale,modified Ashworth scale,VAS score,Fugl Meyer score,clinical nerve function defect score,modified Barthel Index and shoulder range of motion between the two groups were not significant(P>0.05).After treatment,the hemiplegia of each group was improved.The six-stage recovery scale,modified Ashworth scale,VAS score,Fugl Meyer score,clinical neurological deficit score,modified Barthel Index and shoulder range of motion were improved in the observation group.After treatment,the six-stage recovery scale,modified Ashworth scale,VAS score,Fugl Meyer score,clinical neurological deficit score,modified Barthel index and shoulder range of motion were improved in the observation group.The motion range of shoulder joint was better than that of the control group(P<0.05).Conclusion Compared with the conventional body acupuncture therapy,large connection meridian therapy has a better effect on shoulder pain after stroke.After treatment,the pain is relieved,the limb function is recovered well,the motion range of shoulder joint is expanded,the neurological deficit is improved,and the patients recover well.