Objective To evaluate the therapeutic effect of scalp acupuncture and body acupuncture in combination with rehabilitation exercise for hemiplegia and shoulder pain after stroke. Methods Sixty cases were randomly divid...Objective To evaluate the therapeutic effect of scalp acupuncture and body acupuncture in combination with rehabilitation exercise for hemiplegia and shoulder pain after stroke. Methods Sixty cases were randomly divided into an acupuncture rehabilitation group （33 cases） and a routine treatment group （27 cases）. Both two groups received rehabilitation exercise, acupuncture rehabilitation group was treated with scalp acupuncture and body acupuncture, and in body acupuncture, Pishu（脾俞 BL 20）, Weishu （胃俞 BE 21）, Zusanli （足三里 ST 36）, Fenglong （丰隆 ST 40）, Xuehai （血海 SP 10）, and accompanying points according to the symptoms were selected; in scalp acupuncture, Baihui （百会 GV 20）, Sishencong （四神聪EX-HN 1）, motor area, vascular dilation and constriction area were selected. Routine treatment group was treated with western drugs, including dehydration with mannitol to reduce intracranial pressure, control blood pressure, and brain cell protective agent was given, triamcinolone acetate solution for shoulder pain or cortisone acetate solution for blocking treatment. The treatment was given once a day, four weeks were one course, and four courses were given in all. The hemorheological indices and the clinical effect of two groups were compared. Results The effective rate of acupuncture rehabilitation group was 90.9% （30/33）, better than that of 70.4% （19/27） in routine treatment group （P〈0.05）; whole blood viscosity low shear and middle shear, plasma viscosity and hematocrit after the treatment became lowered than those before the treatment in acupuncture rehabilitation group （all P〈0.05）; whole blood viscosity and plasma viscosity after the treatment was also lowered than those before the treatment in routine treatment group （both P〈0.05）; whole blood viscosity low shear and middle shear, plasma viscosity and hematocrit after the treatment in acupuncture rehabilitation group were obviously lowered than those of routine treatment group （all P〈0.05）. Conclusion With good therapeutic effect and better efficacy than routine medical treatment, scalp acupuncture and body acupuncture in combination with rehabilitation exercise can improve the movement, sensation and hemorheology of extremities of patients with hemiplegia and shoulder pain after stroke.展开更多
目的:观察防痉挛针刺法联合肩胛带控制训练治疗脑卒中偏瘫肩痛的临床疗效。方法:选择2020年10月至2021年10月成都市中西医结合医院住院治疗的脑卒中患者80例,伴有偏瘫肩痛、运动受限,所有受试者均为右利手,按照随机数字表法分为对照组...目的:观察防痉挛针刺法联合肩胛带控制训练治疗脑卒中偏瘫肩痛的临床疗效。方法:选择2020年10月至2021年10月成都市中西医结合医院住院治疗的脑卒中患者80例,伴有偏瘫肩痛、运动受限,所有受试者均为右利手,按照随机数字表法分为对照组和治疗组,每组40例。对照组给予肩胛带控制训练治疗,治疗组给予防痉挛针刺法联合肩胛带控制训练治疗。观察两组疼痛视觉模拟评分(visual analogue scale,VAS)、改良Ashworth评分、被动关节活动度(passive range of motion,PROM)、简化Fugl-Meye运动功能量表上肢部分(Fugl-Meyer motor function assessment upper limb,FMA-UE)和改良Barthel指数(modified barthel index,MBI)变化情况。结果:治疗组治疗后VAS评分、Ashworth评分低于对照组,PROM、FMA-UE评分及MBI评分高于对照组,差异有统计学意义(P<0.05)。结论:防痉挛针刺法联合肩胛带控制训练治疗脑卒中偏瘫肩痛,能明显减轻患者偏瘫肩痛,平衡肌张力,改善患肩关节活动度、提高上肢运动功能。展开更多
文摘Objective To evaluate the therapeutic effect of scalp acupuncture and body acupuncture in combination with rehabilitation exercise for hemiplegia and shoulder pain after stroke. Methods Sixty cases were randomly divided into an acupuncture rehabilitation group （33 cases） and a routine treatment group （27 cases）. Both two groups received rehabilitation exercise, acupuncture rehabilitation group was treated with scalp acupuncture and body acupuncture, and in body acupuncture, Pishu（脾俞 BL 20）, Weishu （胃俞 BE 21）, Zusanli （足三里 ST 36）, Fenglong （丰隆 ST 40）, Xuehai （血海 SP 10）, and accompanying points according to the symptoms were selected; in scalp acupuncture, Baihui （百会 GV 20）, Sishencong （四神聪EX-HN 1）, motor area, vascular dilation and constriction area were selected. Routine treatment group was treated with western drugs, including dehydration with mannitol to reduce intracranial pressure, control blood pressure, and brain cell protective agent was given, triamcinolone acetate solution for shoulder pain or cortisone acetate solution for blocking treatment. The treatment was given once a day, four weeks were one course, and four courses were given in all. The hemorheological indices and the clinical effect of two groups were compared. Results The effective rate of acupuncture rehabilitation group was 90.9% （30/33）, better than that of 70.4% （19/27） in routine treatment group （P〈0.05）; whole blood viscosity low shear and middle shear, plasma viscosity and hematocrit after the treatment became lowered than those before the treatment in acupuncture rehabilitation group （all P〈0.05）; whole blood viscosity and plasma viscosity after the treatment was also lowered than those before the treatment in routine treatment group （both P〈0.05）; whole blood viscosity low shear and middle shear, plasma viscosity and hematocrit after the treatment in acupuncture rehabilitation group were obviously lowered than those of routine treatment group （all P〈0.05）. Conclusion With good therapeutic effect and better efficacy than routine medical treatment, scalp acupuncture and body acupuncture in combination with rehabilitation exercise can improve the movement, sensation and hemorheology of extremities of patients with hemiplegia and shoulder pain after stroke.
文摘目的:观察防痉挛针刺法联合肩胛带控制训练治疗脑卒中偏瘫肩痛的临床疗效。方法:选择2020年10月至2021年10月成都市中西医结合医院住院治疗的脑卒中患者80例,伴有偏瘫肩痛、运动受限,所有受试者均为右利手,按照随机数字表法分为对照组和治疗组,每组40例。对照组给予肩胛带控制训练治疗,治疗组给予防痉挛针刺法联合肩胛带控制训练治疗。观察两组疼痛视觉模拟评分(visual analogue scale,VAS)、改良Ashworth评分、被动关节活动度(passive range of motion,PROM)、简化Fugl-Meye运动功能量表上肢部分(Fugl-Meyer motor function assessment upper limb,FMA-UE)和改良Barthel指数(modified barthel index,MBI)变化情况。结果:治疗组治疗后VAS评分、Ashworth评分低于对照组,PROM、FMA-UE评分及MBI评分高于对照组,差异有统计学意义(P<0.05)。结论:防痉挛针刺法联合肩胛带控制训练治疗脑卒中偏瘫肩痛,能明显减轻患者偏瘫肩痛,平衡肌张力,改善患肩关节活动度、提高上肢运动功能。
