刺络拔罐配合康复训练治疗偏瘫肩痛.docVIP

刺络拔罐配合康复训练治疗偏瘫肩痛(1.北京军区总医院,北京100100;2.湖南省体工大队医院) [摘要]目的:探讨刺络拔罐配合康复训练治疗偏瘫肩痛的疗效。方法:对26例偏瘫肩痛患者行刺络拔罐配合康复训练治疗,并对其肩痛程度和频度以及上肢Brunnstrom分级进行自身前后对照。结果:治疗后肩痛程度和频度积分均低于治疗前(P0.01),偏瘫患者上肢运动功能达Ⅳ级以上的也由15.4%提高到65.4%” 结论:刺络拔罐配合康复训练是一种可供选择的治疗偏瘫肩痛的较好方法。? [主题词]背痛/针灸疗法;偏瘫/针灸方法;拔罐;刺血疗法? Treatment of Shoulder Pain of Hemiplegia with Pricking Blood?Letting and Cupping Combined with Rehabilitation Exercises?Ouyang Qi?1,Huang Jianliang?2(1.General Hospital of Beijing Military Region,Beijing 100100;2.Hunan Provincial Sports General Team Hospital)? [Abstract]PurposeTo Probe into therapeutic effect of pricking blood?letting and cupping combined with rehabilitation excercises on shoulder pain of hemiplegia. MethodsPricking blood?letting and cupping combined with rehabilitation excercises were used to treat 26 cases of shoulder pain of hemiplegia and comparision of the extents and frequencies of shoulder pain and Brunnstrom grading of the upper limb before and after treatment was made.ResultsThe scores of the extent and the frequency of the shoulder pain after treatment were lower than those before treatment (P0.01),and the patient of hemiplegia with over grade Ⅳ of motor function of the upper limb increased from 15.4% to 65.4%.ConclusionPricking blood?letting and cupping combined with rehabilitation excercises is a better therapy for shoulder pain of hemiplegia.? [Key words]Back Pain/acup ther;Hemiplegia/acup ther;Cupping Therapy;Pricking Blood Therapy? 肩痛是偏瘫患者临床常见的继发症,据文献报道其发生率为5%～84%?[1～3]。肩痛不仅延缓上肢功能的恢复,而且对日常生活能力恢复也影响极大,但早期预防和正确治疗可以防治肩痛,继而为上肢功能的恢复以及生活能力的改善创造条件。 笔者自1998年3月～1999年8月采用刺络拔罐配合康复训练治疗了26例偏瘫肩痛患者,效果满意,现报告如下。? 1对象和方法? 1.1对象? 偏瘫肩痛患者26例,其中男18例,女8例;年龄27～75岁,平均年龄58.2岁;入院时病程10天～8个月,平均病程2.78±1.21个月,肩痛平均2.15±0.98个月;脑梗塞20例(其中2例2次以上脑梗塞),脑出血6例。全部病例的诊断都经头颅CT或MRI检查证实。右肩痛12例,左肩痛14例。其中伴有肩关节脱位10例,肩手综合征3例,肩胛骨粘连5例。? 1.2方法? (1)?刺络拔罐? 医者立于患者的患侧,双手循按患者肩部找出肩关节各方向活动(如外展、屈曲、外旋、内旋等)时的最痛点,作好标记,用三棱针点刺放血3～5滴,再用闪火法闪罐数次后,留罐10分钟,至瘀血流尽起罐,隔日1次,15次为一疗程,休息3～5天后开始下一疗程。 (2)?