CAJ | 학술논문

[目的]观察中医定向透药配合温针治疗首次脑卒中后肩手综合征疼痛的临床疗效。[方法]将90例首次脑卒中后肩手综合征疼痛患者随机分为治疗组和对照组，治疗组采用中医定向透药配合温针治疗，对照组仅采用温针治疗。分别于治疗前、治疗后30天采用口述分级评分法(VRS)对2组患者患肢疼痛进行评定，并行统计学分析。[结果]治疗后，2组患者的患肢疼痛评分较治疗前均显著下降，差异有统计学意义(P﹤0.05)；治疗组较对照组下降更为明显，2组比较差异有统计学意义(P﹤0.05)。[结论]中医定向透药配合温针治疗和单用温针治疗都能明显地缓解首次脑卒中后肩手综合征疼痛患者患肢的疼痛程度，但中医定向透药配合温针疗效优于单用温针治疗，值得进一步观察研究。
[목적]관찰중의정향투약배합온침치료수차뇌졸중후견수종합정동통적림상료효。[방법]장90례수차뇌졸중후견수종합정동통환자수궤분위치료조화대조조，치료조채용중의정향투약배합온침치료，대조조부채용온침치료。분별우치료전、치료후30천채용구술분급평분법(VRS)대2조환자환지동통진행평정，병행통계학분석。[결과]치료후，2조환자적환지동통평분교치료전균현저하강，차이유통계학의의(P﹤0.05)；치료조교대조조하강경위명현，2조비교차이유통계학의의(P﹤0.05)。[결론]중의정향투약배합온침치료화단용온침치료도능명현지완해수차뇌졸중후견수종합정동통환자환지적동통정도，단중의정향투약배합온침료효우우단용온침치료，치득진일보관찰연구。
Objective]The clinical efficacy of TCM directed through drug treatment of pain for the first time with the temperature needle shoulder-hand syndrome after caused by stroke.[Methods]The 90 cases were randomly divided into treatment and control groups.The treatment group was directed through medicine with traditional Chinese medicine acupuncture treatment temperature ,the control group using only warm acupuncture.Respectively, before treatment, the first 30 days of oral grading score(VRS) was assessed for limb pain.[Results]After treatment ,the patient's limb pain scores were significantly lower than before treatment,treatment group decreased more significantly than the control group,the difference was statistically significant(P﹤0.05). [Conclusion]TCM directed through drug treatment and needle with warm warm acupuncture alone can significantly ease the pain of limb ,but TCM directed through drug treatment is better than warm needle acupuncture alone.