穴位点按联合虚拟情景训练在脑卒中患者肩关节半脱位伴疼痛的应用研究

Application of acupoint pressing combined with virtual scene training in shoulder subluxation with pain in stroke patients

目的:探讨穴位点按联合虚拟情景训练在脑卒中后肩关节半脱位伴疼痛中的临床应用。方法:将60例脑卒中肩关节半脱位伴疼痛患者,按照随机方式分成2组:对照组30例给予穴位点按(点按肩贞、肩井、肩髃等穴位)疗法联合常规康复治疗,治疗组30例在对照组基础上增加虚拟情景训练,治疗周期为4周,2组患者于治疗前和治疗后均进行肩峰与肱骨头X线测量间距(AHI)、目测类比量表法(VAS)、上肢运动功能量表(FMA)评估。结果:治疗4周后,2组患者AHI、VAS均低于治疗前(P<0.05),FMA高于治疗前(P<0.05)。治疗后,治疗组AHI、VAS评分低于对照组(P<0.05),FMA评分高于对照组(P<0.05)。结论:治疗组的穴位点按联合虚拟情景训练可以缓解脑卒中后肩关节半脱位伴疼痛的症状和半脱位上肢的运动功能,值得临床推广。

Objective:To explore the clinical application of point pressing combined with virtual scene training in the treatment of shoulder subluxation with pain after stroke.Methods:All 60 patients with stroke shoulder subluxation with pain were randomly divided into two groups.The 30 patients in the control group were treated with acupoint tapping(tapping points such as shoulder Zhen,shoulder Jing and shoulder Qi)combined with conventional rehabilitation treatment,and 30 patients in the treatment group were treated with conventional treatment combined with acupoint tapping,and virtual scene training was added.The treatment cycle was 4 weeks.Before and after treatment,X-ray measurement interval(AHI),visual analogue scale(VAS)and upper limb motor function scale(FMA)were performed in both groups.Results:After 4 weeks of treatment,AHI and VAS in the two groups decreased,and FMA scores increased as compared with those before treatment(all P<0.05).After treatment,AHI and VAS scores in the treatment group were significantly lower,and FMA scores were significantly higher than those in the control group(all P<0.05).Conclusion:The point pressing combined with virtual scene training in the treatment group can significantly alleviate the symptoms of shoulder subluxation with pain and improve the function of subluxated upper limbs after stroke,which is worthy of clinical promotion.