【目的】观察靳三针配合药线灸治疗中风后肩手综合征Ⅰ期的临床疗效。【方法】采取简单随机对照方法，将符合纳入标准的60例患者随机分为靳三针线灸组32例和普通针刺组28例。靳三针线灸组给予靳三针及药线灸治疗，普通针刺组给予常规针刺治疗，2组均每天治疗1次，每周连续治疗5次，3周为个1疗程。疗程结束后对2组临床疗效、上肢运动能力简化Fugl-Meyer评分及疼痛视觉模拟(VAS)评分进行观察比较。【结果】（1）在临床疗效方面：靳三针线灸组的总有效率为93.7%，普通针刺组为82.1%；靳三针线灸组的疗效优于普通针刺组（P＜0.05）。（2）在简化Fugl-Meyer评分方面：治疗后，2组上肢的运动功能均显著改善（P＜0.05或P＜0.01），且靳三针线灸组在改善上肢的运动功能方面优于普通针刺组（P＜0.05）。（3）在VAS评分方面：治疗后，2组上肢的疼痛程度均显著缓解（P＜0.05或P＜0.01），且靳三针线灸组在缓解上肢的疼痛程度方面优于普通针刺组（P＜0.05）。【结论】靳三针配合药线灸治疗中风后肩手综合征Ⅰ期效果显著，具有较好的临床疗效。%Objective To observe the therapeutic effect of Jin’s three-needle therapy plus medicated thread moxibustion for shoulder-hand syndrome at phaseⅠ. Methods By simple randomized controlled method, sixty qualified patients were randomized into observation group (N=32) and control group (N=28) . The observation group was given Jin’s three-needle therapy plus medicated thread moxibustion, and the control group was given conventional acupuncture therapy. Treatment was performed once a day for the two groups, 5 continuous times per week, and one course covered 3 weeks. At the end of the treatment, therapeutic effect, simplified Fugl-Meyer scores for upper limb motor ability, and pain visual analog scale ( VAS) scores were compared between the two groups. Results (1) The total effective rate was 93.7% in the observation group and was 82.1% in the control group, the difference being significant ( P<0.05). ( 2) Fugl-Meyer scores were improved in the two groups after treatment (P<0.05 or P<0.01), and the improvement of the observation group was superior to that of the control group ( P<0.05). ( 3) The results of VAS scoring showed that the pain in the upper limb was much relieved in both groups after treatment ( P<0.05 or P<0.01) , and the relief of pain was more obvious in the observation group ( P<0.05). Conclusion Jin’s three-needle therapy plus medicated thread moxibustion exerts certain therapeutic effect for shoulder-hand syndrome at phaseⅠ.
展开▼
