电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期临床观察

摘要

Objective:To observe the clinical efficacy of electro-acupuncture combined with medicated cake moxibustion treating post-stroke shoulder-hand syndrome (SHS) of phase I. Methods:86 post-stroke patients with SHS of phase I were randomly divided into the treatment group and the control group, with 43 cases in each group; the control group was given conventional acupuncture treatment, the treatment group was treated with electro-acupuncture combined with medicated cake moxibustion. Scores of VAS, hand edema, and FMA, as well as clinical efficacy were observed and compared between the two groups. Results:Scores of hand edema and VAS were significantly lowered after the treatment than those before the treatment in the two groups (P ＜0. 05), of which the treatment group improved more than the control group(P＜0. 05). In terms of FMA score, it was significantly increased after the treatment in the two groups(P ＜0. 05), it was increased more in the treatment group than that in the control group(P ＜0. 05). In terms of the total effective rate, it was higher in the treatment group than that in the control group, the difference was statistically significant (P ＜0. 05). Conclusion:Electro-acupuncture combined with medicated cake moxibustion has a significant curative effect on post-stoke SHS of phase I, which is superior to single acupuncture.%目的:观察电针结合药饼灸治疗脑卒中后肩手综合征I期的临床疗效.方法:将86例脑卒中后肩手综合征I期患者按照随机数字表法分为治疗组和对照组,各43例,对照组给予常规针刺治疗,治疗组给予电针结合药饼灸治疗.观察两组疼痛视觉模拟法(VAS)评分、手部水肿分级评分、上肢简化Fugl-Meyer运动量表(FMA)评分与临床疗效.结果:两组治疗后手部水肿分级评分、VAS评分均较治疗前显著降低(P＜0. 05),治疗组治疗后手部水肿分级评分、VAS评分较对照组降低更显著(P＜0. 05);两组治疗后上肢简化Fugl-Meyer运动量表(FMA)评分较治疗前显著升高(P＜0. 05),治疗组治疗后FMA评分较对照组升高更显著(P＜0. 05);两组临床总有效率比较,治疗组总有效率优于对照组,差异有统计学意义(P＜0. 05).结论:电针结合药饼灸治疗脑卒中后肩手综合征I期疗效显著,优于单纯针刺治疗.