四子散角针原穴敷贴对脑卒中后偏瘫肩痛患者的影响

Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients

目的观察四子散角针原穴敷贴对脑卒中后偏瘫肩痛患者的疼痛程度、关节活动度和上肢运动功能的影响。方法选取2023年4—11月脑卒中后偏瘫肩痛住院患者128例,随机分为常规组(A组)、四子散原穴敷贴组(B组)、角针原穴敷贴组(C组)和四子散角针原穴敷贴组(D组),每组各32例,A组进行脑卒中常规治疗、护理及康复训练;B组在A组基础上进行四子散原穴敷贴;C组在A组基础上进行角针原穴敷贴;D组在A组基础上进行四子散角针原穴敷贴。在干预前、干预2周末及干预4周末评估4组患者的肩痛程度、肩关节活动度及上肢运动功能。结果D组的肩关节疼痛程度在干预4周末均低于C组、B组、A组(P<0.05);D组的肩前屈、肩外展关节活动度在干预4周末均大于A组(P<0.05);D组的上肢运动功能在干预2周末和干预4周末优于A组(P<0.05)。结论四子散角针原穴敷贴能够缓解脑卒中后偏瘫肩痛患者的疼痛程度,增加肩关节活动度,改善其上肢运动功能。

Objective To observe the effects of sizi powder jiaozhen yuan-primary points application on pain,shoulder range of motion and upper limb motor function in patients with post-stroke hemiplegic shoulder pain.Methods A total of 128 hospitalized patients with hemiplegic shoulder pain after stroke from April to November 2023 were selected.The included patients were randomly divided into control group(group A),sizi powder yuan-primary points application group(group B),jiaozhen yuan-primary points application group(group C)and sizi powder jiaozhen yuan-primary points application group(group D),with 32 cases in each group.Group A received routine treatment,nursing and rehabilitation training for stroke.On this basis,group B was treated with sizi powder yuan-primary points application;group C with jiaozhen yuan-primary points application;group D with sizi powder jiaozhen yuan-primary points application.The degree of shoulder pain,shoulder range of motion and upper limb motor function of the four groups were evaluated before intervention,2 weeks and 4 weeks after intervention.Results The degree of shoulder pain in group D was lower than that in group C,B and A after 4 weeks of intervention(P<0.05).The range of motion of shoulder flexion and shoulder abduction in group D was greater than that in group A after 4 weeks of intervention(P<0.05).The upper limb motor function of group D was better than that of group A after 2 weeks and 4 weeks of intervention(P<0.05).Conclusion Sizi powder jiaozhen yuan-primary points application can effectively reduce the degree of shoulder pain and improve the shoulder range of motion,the upper limb motor function in patients with post-stroke hemiplegic shoulder pain.