中医药信息
中醫藥信息
중의약신식
INFORMATION ON TRADITIONAL CHINESE MEDICINE
2015年
3期
107-109
,共3页
针刺%肩髎%臂臑穴%偏瘫肩
針刺%肩髎%臂臑穴%偏癱肩
침자%견료%비노혈%편탄견
Acupuncture%Jianliao point%Binao point%Hemiplegic shoulders
目的：观察针刺肩髎、臂臑穴结合康复治疗脑卒中患者偏瘫肩的临床疗效。方法：符合纳入标准的脑卒中偏瘫肩患者60例随机分为治疗组和对照组，每组30例。两组均给予常规康复治疗（使用PNF运动模式和技术），治疗组加用针刺肩髎、臂臑穴疗法。采用神经功能康复疗效评估法评定神经功能缺损程度；Fugl－Meyer运动积分（ FMA）和日常生活活动量（ ADL）评分评定治疗前后上肢运动功能；视觉模拟评分（ VAS）的方法评定偏瘫肩患者的疼痛治疗效果。结果：治疗4周后，神经功能康复疗效方面治疗组总有效率为96．7％，对照组为86．7％。通过两组治疗前后FMA运动积分及ADL评分表明，在改善患者肩关节的运动功能方面两组均明显提高，差异具有统计学意义（P＜0．05），治疗组优于对照组。视觉模拟评分（VAS）方面治疗组为90．0％，对照组为76．7％。结论：针刺肩髎、臂臑穴结合康复治疗脑卒中患者偏瘫肩优于单纯常规康复治疗方法。
目的：觀察針刺肩髎、臂臑穴結閤康複治療腦卒中患者偏癱肩的臨床療效。方法：符閤納入標準的腦卒中偏癱肩患者60例隨機分為治療組和對照組，每組30例。兩組均給予常規康複治療（使用PNF運動模式和技術），治療組加用針刺肩髎、臂臑穴療法。採用神經功能康複療效評估法評定神經功能缺損程度；Fugl－Meyer運動積分（ FMA）和日常生活活動量（ ADL）評分評定治療前後上肢運動功能；視覺模擬評分（ VAS）的方法評定偏癱肩患者的疼痛治療效果。結果：治療4週後，神經功能康複療效方麵治療組總有效率為96．7％，對照組為86．7％。通過兩組治療前後FMA運動積分及ADL評分錶明，在改善患者肩關節的運動功能方麵兩組均明顯提高，差異具有統計學意義（P＜0．05），治療組優于對照組。視覺模擬評分（VAS）方麵治療組為90．0％，對照組為76．7％。結論：針刺肩髎、臂臑穴結閤康複治療腦卒中患者偏癱肩優于單純常規康複治療方法。
목적：관찰침자견료、비노혈결합강복치료뇌졸중환자편탄견적림상료효。방법：부합납입표준적뇌졸중편탄견환자60례수궤분위치료조화대조조，매조30례。량조균급여상규강복치료（사용PNF운동모식화기술），치료조가용침자견료、비노혈요법。채용신경공능강복료효평고법평정신경공능결손정도；Fugl－Meyer운동적분（ FMA）화일상생활활동량（ ADL）평분평정치료전후상지운동공능；시각모의평분（ VAS）적방법평정편탄견환자적동통치료효과。결과：치료4주후，신경공능강복료효방면치료조총유효솔위96．7％，대조조위86．7％。통과량조치료전후FMA운동적분급ADL평분표명，재개선환자견관절적운동공능방면량조균명현제고，차이구유통계학의의（P＜0．05），치료조우우대조조。시각모의평분（VAS）방면치료조위90．0％，대조조위76．7％。결론：침자견료、비노혈결합강복치료뇌졸중환자편탄견우우단순상규강복치료방법。
Objective:To observe the clinically curative effect of acupuncture treatment combined with routine rehabilitation therapy on stroke patients with hemiplegic shoulders.Methods:60 stroke patients with hemiple-gic shoulders were randomly divided into two groups, a treatment group and a control group.30 cases were in each group.Both groups were given routine rehabilitation therapy ( using PNF motion patterns and technolo-gy) .Besides,the treatment group received acupuncture at Jianliao point and Binao point as the extra therapy. The neurologically functional rehabilitation effect was used to evaluate the patients'degree of nervous functional defects.Before and after treatment, the upper limb movement function was evaluated by Fugl-Meyer motor function assessment ( FMA) and activities of daily living ( ADL) assessment in two groups.And visual ana-logue scale ( VAS) assessment was used to evaluate the therapeutic effects of pain.Results:After four weeks’ treatment, the total effective rate was 96.7%in the treatment group and 86.7%in the control group according to neurologically functional rehabilitation effects.Both groups were improved more obviously than before treat-ment by the results of FMA and ADL assessments.The treatment group was much better than the control group (P<0.05).The total effective rate was 90.0%in the treatment group, and 76.7%in the control group by VAS assessment.Conclusion:The acupuncture treatment at Jianliao point and Binao point combined with rou-tine rehabilitation therapy for stroke patients with hemiplegic shoulders is better than the routine rehabilitation therapy only.
