CAJ | 학술논문

目的：观察针刺运动疗法联合动态干扰电治疗偏瘫肩痛的临床疗效。方法将60例偏瘫肩痛患者随机分为2组，治疗组30例予针刺运动疗法联合动态干扰电治疗，对照组30例予常规康复治疗。2组均10 d 为1个疗程，治疗2个疗程。比较2组疗效及治疗后疼痛、关节活动度及手肿改善率，观察2组治疗前后疼痛视觉模拟评分（VAS）变化。结果2组总有效率比较差异有统计学意义（P ＜0．05），治疗组疗效优于对照组。2组改善率比较差异均有统计学意义（P ＜0．05），治疗组治疗后疼痛、关节活动度及手肿改善情况优于对照组。2组治疗后 VAS 评分均较本组治疗前降低（P ＜0．05），且治疗组降低更明显（P ＜0．05）。结论针刺运动疗法联合动态干扰电治疗对偏瘫肩痛具有较好的临床疗效。
목적：관찰침자운동요법연합동태간우전치료편탄견통적림상료효。방법장60례편탄견통환자수궤분위2조，치료조30례여침자운동요법연합동태간우전치료，대조조30례여상규강복치료。2조균10 d 위1개료정，치료2개료정。비교2조료효급치료후동통、관절활동도급수종개선솔，관찰2조치료전후동통시각모의평분（VAS）변화。결과2조총유효솔비교차이유통계학의의（P ＜0．05），치료조료효우우대조조。2조개선솔비교차이균유통계학의의（P ＜0．05），치료조치료후동통、관절활동도급수종개선정황우우대조조。2조치료후 VAS 평분균교본조치료전강저（P ＜0．05），차치료조강저경명현（P ＜0．05）。결론침자운동요법연합동태간우전치료대편탄견통구유교호적림상료효。
Objective To observe the clinical effects of Acupuncture kinetotherapy combined with dynamic interferential electrotherapy on hemiplegic omodynia .Methods 60 patients with hemiplegic omodynia were random -ly divided into two groups.30 patients in treatment were treated by Acupuncture kinetotherapy combined with dynam -ic interferential electrotherapy .30 patients in control group were received routine rehabilitation treatment .The course was 10 d in two groups.The clinical effects,the improvements rate of pain,range of motion and hand edema after two courses were compared between two groups .The changes of visual analogue scales before and after treatment were ob -served in two groups.Results There were significant difference between two groups on total effective rate (P <0.05),the curative effect in treatment group was superior to that in control group .The improvement rates of pain, range of motion and hand edema after treatment in treatment group were superior to those in control group (P <0.05).The score of VAS after treatment was decreased in two groups (P <0.05),and the decrease in treatment group was more obvious as compared with that in control group (P <0.05).Conclusion Acupuncture kinetothera-py combined with dynamic interferential electrotherapy has a better curative effect on hemiplegic omodynia .