不同针刺法治疗肩手综合征52例疗效观察.pdfVIP

2008年第26卷第3期 四 ．atI 中 医 Vo1．26，No．3，2008 Journal of Siehuan of Traditional Chinese Medicine · 119 · 不 同针 刺 法 治 疗 肩 手 综 合 征 52例 疗 效 观 察 杨丽霞 周贤月 隆昌县人民医院康复科 (四川 隆昌642150) 摘要：目的：探讨不同针刺方法对脑卒中后肩手综合征疗效的影响。方法：将96例脑卒中后肩手综合征患者随 机分为治疗组和对照组，治疗组以上八邪 (电针)、十宣放血为主，配合普通针刺法；对照组以普通针刺为主，连续 治疗3个疗程。结果：经Fugl-meyer运动功能评价，治疗组上肢总积分与对照组相比有显著差异 (P0．05)；且治疗 组水肿的缓解也优于对照组 (P0．05)。结论：上八邪 (电针)、十宣放血能有效缓解肩手综合征的症状，提高上肢 运动功能，改善水肿程度，是治疗肩手综合征的有效方法。 关键词：肩手综合征 上八邪 十宣放血 针刺治疗 中图分类号：R746 文献标识码：B 文章编号：1000—3649(2008)03—0119—02 ClinicalObservation ofDifferentNeedlingMethods o11 52Caseswith Shoulder-hand Syndrome／YangLiMaff Department ofreha— bilitation。Longchangpeople’s hospital ofSichnan(Longchang Sichnan 642150，China) Abstract O~ecfive：To discuss the effect of different needling methods on cerebral stroke induced shoulder-hand syndrome (SHS)．Methods：96 cerebral stroke induced SHS pafien~were divided randomly into control group and therapy group．In therapy group,Shangbaxie(electroacupuncture)and Shixuan bleeding methods was taken，common acupuncture being applied as usua1． Meanwhile。 only colnmoil acupuncture was taken in control group． 3 cou were taken continuously． Results： Fugl-meyer motion function evaluationwastakeninthe experiment，thetotal score oftherapy group was si 曲caI1dy hisherthanthat ofcontrol group(P O．o5)and the remission of edema in therapy group excelled that in control group(PO．05)．Conclusion：The symptom ofSHS could be relieved by Sha~gbaxie(electroacupuncture)and Shixuan bleeding methods，at the same time the movement function of upper limb and edema could be improved．It suggested that Shangbaxie(electroaeupdneture)and Shixuan bleeding methods were．effective methods on curing SHS． Key words shouldeLhand syndrome，Shangbaxie method，Shixuan bleeding me