腕踝针配合运动疗法治疗卒中后肩痛疗效观察

摘要

ObjectiveTo investigate the clinical efficacy of wrist-ankle acupuncture plus continuous exercise therapy for post-stroke shoulder pain.MethodsEighty patients with post-stroke shoulder pain were randomly allocated to treatment and control groups, 40 cases each. The control group received continuous exercise training with an upper limb multi-joint rehabilitation training instrument and the treatment group, wrist-ankle acupuncture in addition. The affected limb SEP N9 and N13 latency values, shoulder pain severity (the VAS score) and the upper limb motor function score were observed in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.ResultsThe total efficacy rate was 90.0% in the treatment group and 75.0% in the control group; there was a statistically significant difference between the two groups (P<0.05). There was a statistically significant pre-/post-treatment difference in SEP N9-N13 wave interval on the affected side in the two groups (P<0.01). There was a statistically significant post-treatment difference in SEP N9-N13 wave interval on the affected side between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the VAS score and the Fugl-Meyer score in the two groups (P<0.01). There were statistically significant post-treatment differences in the VAS score and the Fugl-Meyer score between the treatment and control groups (P<0.01).ConclusionsWrist-ankle acupuncture plus continuous exercise therapy is an effective way to treat post-stroke shoulder pain.%目的：观察腕踝针配合持续运动疗法治疗卒中后肩痛的临床疗效。方法将80例卒中后肩痛患者随机分为治疗组和对照组，每组40例。对照组采用上肢多关节康复训练治疗仪进行持续运动训练，治疗组在对照组治疗基础上采用腕踝针治疗。观察两组治疗前后患肢SEP N9、N13潜伏期数值及肩痛程度(VAS评分)、上肢运动功能积分，比较两组临床疗效。结果治疗组总有效率为90.0%，对照组为75.0%，两组比较差异具有统计学意义(P＜0.05)。两组治疗后患侧SEP N9～N13波间期与同组治疗前比较，差异均具有统计学意义(P＜0.01)。治疗组治疗后患侧SEP N9～N13波间期与对照组比较，差异具有统计学意义(P＜0.05)。两组治疗后VAS评分及Fugl-Meyer评分与同组治疗前比较，差异均具有统计学意义(P＜0.01)。治疗组治疗后VAS评分及Fugl-Meyer评分与对照组比较，差异均具有统计学意义(P＜0.01)。结论腕踝针配合持续运动疗法是一种治疗卒中后肩痛的有效方法。