针刺联合康复技术治疗中风后肩关节半脱位的临床研究

摘要

Objective:To study the effect of acupuncture combined rehabilitation technology treating shoulder joint subluxation after stroke. Method:120 patients with shoulder joint subluxation after stroke were selected as the research object from January 2012 to December 2014. According to random number table method 120 patients were randomly divided into three groups,40 cases in each group.Group A(combined group) was given acupuncture with rehabilitation therapy.Group B(rehabilitation group) was given rehabilitation treatment.Group C(acupuncture group) was given acupuncture cure.The curative effect,the degree of shoulder joint subluxation,shoulder joint activity function,degree of nerve function defect were compared in three groups.Result:Compared with before treatment,after treatment the degree of shoulder joint subluxation of three group were improved(P<0.05),but shoulder joint subluxation extent in group A improved the sharpest,the difference was statistically significant(P<0.05).Compared with before treatment,after treatment the shoulder joint activity function were improved in three groups(P<0.05),but function of shoulder joint activity in group A improved most,the difference was statistically significant(P<0.05).Compared with before treatment,three groups of nerve function defect were improved after treatment(P<0.05),but neurologic deficits in group A improved most,the difference was statistically significant(P<0.05).Clinical efficacy of group A was better than that of group B and group C,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined rehabilitation technology in the treatment of shoulder joint subluxation after stroke has more obvious advantages than acupuncture or rehabilitation technology treatment alone.It can effectively improve the patients' clinical symptoms,improve the effect of treatment.%目的:探讨针刺联合康复技术治疗中风后肩关节半脱位的疗效.方法:选择2012年1月-2014年12月120例中风后肩关节半脱位患者为研究对象.将120例患者按照随机数字表法随机分为三组,各40例.A组(联合组)给予针刺联合康复治疗;B组(康复组)给予康复治疗;C组(针刺组)给予针刺治.统计三组疗效、肩关节半脱位程度、肩关节活动功能、神经功能缺损程度.结果:与治疗前比较,治疗后三组肩关节半脱位程度均获改善(P<0.05),但A组肩关节半脱位程度改善幅度最大,差异有统计学意义(P<0.05);与治疗前比较,治疗后三组肩关节活动功能均获改善(P<0.05),但A组肩关节活动功能改善程度最大,差异有统计学意义(P<0.05);与治疗前比较,治疗后三组神经功能缺损均获改善(P<0.05),但A组神经功能缺损改善程度最大,差异有统计学意义(P<0.05);A组临床疗效优于B组和C组,差异有统计学意义(P<0.05).结论:采取针刺联合康复技术对中风后肩关节半脱位进行辨证施治,较单用针刺或康复技术治疗优势明显,可有效改善患者临床症状,提高治疗效果.