滋水涵木针法联合PNF治疗脑卒中后肩手综合征患者的效果研究

Effect of Zishui-Hanmu Acupuncture Combined with PNF on Patients with Shoulder-Hand Syndrome after Stroke

目的探讨在脑卒中后肩手综合征(SHS)患者中实施滋水涵木针法联合本体感觉神经肌肉促进技术(PNF)的效果。方法选取2022年1—12月佛山复星禅诚医院收治的62例脑卒中后SHS患者为研究对象,按随机数字表法将其分为A组和B组,各31例。两组均予以改善脑循环、降脂、抗血小板聚集类药物治疗,A组采用PNF治疗,B组在A组基础上联合滋水涵木针法治疗,两组均持续治疗30 d。比较两组的临床疗效、疼痛程度、运动功能、血管内皮细胞功能指标水平。结果B组治疗总有效率为96.77%,高于A组的80.65%,差异有统计学意义(P<0.05)。治疗第30天,B组疼痛视觉模拟评分低于A组,Fugl-Meyer运动功能评定量表评分高于A组,组间差异有统计学意义(P<0.05);B组内皮素-1水平高于A组,一氧化氮水平低于A组,组间差异有统计学意义(P<0.05)。结论采用滋水涵木针法联合PNF治疗脑卒中后SHS患者,有利于提高临床疗效,可减轻疼痛程度,改善运动功能及血管内皮细胞功能指标水平,值得推广。

Objective To explore the effect of Zishui-Hanmu acupuncture combined with proprioceptive neuromuscular facilitation(PNF)in patients with shoulder-hand syndrome(SHS)after stroke.Methods A total of 62 patients with SHS after stroke who were admitted to Foshan Fosun Chancheng Hospital from January to December 2022 were selected as the research objects,according to the random number table method,they were divided into a group A and a group B,with 31 cases in each group.Both groups were treated with drugs for improving cerebral circulation,lowering lipids,and anti-platelet aggregation.Group A was treated with PNF,and group B was treated with Zishui-Hanmu acupuncture on the basis of group A,both groups were continuously treated for 30 days.The clinical efficacy,pain degree,motor function and the level of vascular endothelial cell function indicators were compared between the two groups.Results The total effective rate of group B was 96.77%,which was higher than 80.65%of group A,the difference was statistically significant(P<0.05).On the 30th day of treatment,the Visual Analogue Scale score of pain in group B was lower than that in group A,and the Fugl-Meyer Assessment scale score was higher than that in group A,and the differences between the groups were statistically significant(P<0.05);the level of endothelin-1 in group B was higher than that in group A,and the level of nitric oxide was lower than that in group A,and the differences between the groups were statistically significant(P<0.05).Conclusion Zishui-hanmu acupuncture combined with PNF in the treatment of SHS patients after stroke is beneficial to improve the clinical efficacy,reduce the degree of pain,improve motor function and vascular endothelial cell function index levels,which is worthy of promotion.