世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
11期
1535-1537
,共3页
肩手综合征%卒中%温针灸
肩手綜閤徵%卒中%溫針灸
견수종합정%졸중%온침구
Shoulder-hand syndrome%Stroke%Needle warming moxibustion
目的：对温针灸治疗卒中后肩手综合征的有效性进行评价。方法：将患者采用随机区组化分组，治疗组和对照组各30例，治疗组采用温针灸法，1次／d；对照组采用毫针法，1次／d，疗程均为20 d。结果：治疗前后2组在 Fugl －Meyer 上肢运动功能评分、VAS 疼痛指数、手肿程度方面均有不同程度改善，（P ＜0.01）。2组间治疗前后的 FMA 差值及 VAS 差值差异均有统计学意义（P ＜0.05），2组间治疗前后的手肿程度差值差异无统计学意义（P ＝0.183）。结论：温针灸治疗卒中后肩手综合征是有效的，特别是在改善上肢运动功能和疼痛方面优于单纯针刺治疗。
目的：對溫針灸治療卒中後肩手綜閤徵的有效性進行評價。方法：將患者採用隨機區組化分組，治療組和對照組各30例，治療組採用溫針灸法，1次／d；對照組採用毫針法，1次／d，療程均為20 d。結果：治療前後2組在 Fugl －Meyer 上肢運動功能評分、VAS 疼痛指數、手腫程度方麵均有不同程度改善，（P ＜0.01）。2組間治療前後的 FMA 差值及 VAS 差值差異均有統計學意義（P ＜0.05），2組間治療前後的手腫程度差值差異無統計學意義（P ＝0.183）。結論：溫針灸治療卒中後肩手綜閤徵是有效的，特彆是在改善上肢運動功能和疼痛方麵優于單純針刺治療。
목적：대온침구치료졸중후견수종합정적유효성진행평개。방법：장환자채용수궤구조화분조，치료조화대조조각30례，치료조채용온침구법，1차／d；대조조채용호침법，1차／d，료정균위20 d。결과：치료전후2조재 Fugl －Meyer 상지운동공능평분、VAS 동통지수、수종정도방면균유불동정도개선，（P ＜0.01）。2조간치료전후적 FMA 차치급 VAS 차치차이균유통계학의의（P ＜0.05），2조간치료전후적수종정도차치차이무통계학의의（P ＝0.183）。결론：온침구치료졸중후견수종합정시유효적，특별시재개선상지운동공능화동통방면우우단순침자치료。
Objective:To evaluate the efficacy of needle warming moxibustion to treat post-stroke shoulder-hand syndrome.Methods:Sixty patients with post-stroke shoulder-hand syndrome were randomly divided into two groups.Patients in the treatment group received needle warming moxibustion as main intervention,and the control group applied acupuncture with normal needles.Patients in both groups were treated once daily,and the total duration of treatment was 20 days.Results:The changes of Fugl-Meyer Assessment (FMA)marks,VAS pain index and hand edema before and after treatments were all significant in both groups (P <0.01),and the differences between the two groups in terms of FMA marks change and pain index change before and after treatments became obvious (P<0.05),however the differences in terms of hand edema index between two groups was not obvious(P =0.183).Conclusion:The needle warming moxibustion has more significant effect than normal acupuncture in relieving pain and improving limb function of patients with shoulder-hand syndrome.
