CAJ | 학술논문

目的:观察针灸推拿为主改善急性脑梗塞患肢肩关节活动度的作用.方法:选择急性脑梗塞惠者120名,按随机数字表法分为针灸推拿治疗组、西医对照组.针灸推拿组治疗取穴:涌泉、劳宫、后溪、公孙、风池、肩髑、曲池、合谷、环跳、足三里、太冲,项颞前斜线、顶颞后斜线;推拿采用滚揉放松,拿法、弹拔、摇法.西医对照组采用甘露醇+低分子右旋糖苷+胞二磷胆碱治疗.结果:针灸推拿治疗组与西医对照组比较,能显著提高患肢肩关节活动度和降低损伤百分率(P＜0.01),能显著提高临床效果(P＜0.05).结论:针灸推拿治疗方法能改善急性脑梗塞患肢肩关节的功能,提高临床疗效.
목적:관찰침구추나위주개선급성뇌경새환지견관절활동도적작용.방법:선택급성뇌경새혜자120명,안수궤수자표법분위침구추나치료조、서의대조조.침구추나조치료취혈:용천、로궁、후계、공손、풍지、견촉、곡지、합곡、배도、족삼리、태충,항섭전사선、정섭후사선;추나채용곤유방송,나법、탄발、요법.서의대조조채용감로순+저분자우선당감+포이린담감치료.결과:침구추나치료조여서의대조조비교,능현저제고환지견관절활동도화강저손상백분솔(P＜0.01),능현저제고림상효과(P＜0.05).결론:침구추나치료방법능개선급성뇌경새환지견관절적공능,제고림상료효.
Objective To observe the effects of acupuncture and massage to improve the mobility of affected shoulder joint caused by acute cerebral infarction.Methods 120 cases of acute cerebral infarction were randomized into two groups,named treatment group with acupuncture and massage and control group with western medicine.Acupoint selection of treatment group with acupuncture and massage:Yǒngquán(涌泉K11),Láogōng(劳宫 PC8),Hòuxī(后溪 SI3),Gōngsūn(公孙 SP4),Fēngchí(风池 GB20),Jiānyú(肩髃LI15),Qūchí(曲池 LI11),Hégǔ(合谷 LI4),Huántiào(环跳 GB30),Zúsānlǐ(足三里 ST36),Tàichōng(太冲 LR3),Anterior Oblique Line of Vertex-Temporal and Posterior Oblique Line of Vertex-Temporal.Massage techniques:roll for relax,hold and press,flick and fiddle,and shake.Control group with western medicine was treated with mannitol+low molecular weight dextran+CDP-choline.Results Compared with control group,treatment group could apparently improve the mobility of shoulder joint and lower the injury percentage (P＜0.01);and the therapeutic effect of treatment group is better than that of control group(P＜0.05)for treating acute cerebral infarction.Conclusion The therapy of acupuncture combined with massage could improve the function of the affected shoulder joint caused by acute cerebral infarction,and enhance therapeutic effect.