| 引用本文:郑入文1 任 毅2 胡 慧1.温针灸治疗卒中后肩手综合征的临床观察[J].世界中医药,2014,9(11):. |
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| 温针灸治疗卒中后肩手综合征的临床观察 |
| Clinical Observation on Needle Warming Moxibustion Treating Post-stroke Shoulder-hand Syndrome |
| 投稿时间：2013-11-24 |
| DOI：10.3969/j.issn.1673-7202.2014.11.036 |
| 中文关键词: 肩手综合征 卒中 温针灸 |
| English Keywords:Shoulder-hand syndrome Stroke Needle warming moxibustion |
| 基金项目:北京中医药大学资助科研项目(编号:2008-y-005);北京中医药薪火传承“3+3”工程杨甲三名家研究室 |
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| 中文摘要: |
| 目的:对温针灸治疗卒中后肩手综合征的有效性进行评价。方法:将患者采用随机区组化分组,治疗组和对照组各30例,治疗组采用温针灸法,1次/d;对照组采用毫针法,1次/d,疗程均为20 d。结果:治疗前后2组在Fugl-Meyer上肢运动功能评分、VAS疼痛指数、手肿程度方面均有不同程度改善,(P<0.01)。2组间治疗前后的FMA差值及VAS差值差异均有统计学意义(P<0.05),2组间治疗前后的手肿程度差值差异无统计学意义(P=0.183)。结论:温针灸治疗卒中后肩手综合征是有效的,特别是在改善上肢运动功能和疼痛方面优于单纯针刺治疗。 |
| English Summary: |
| To evaluate the efficacy of needle warming moxibustion to treat post-stroke shoulder-hand syndrome. Methods: Sixty patients with post-stroke shoulder-hand syndrome were randomly divided into two groups. Patients in the treatment group received needle warming moxibustion as main intervention, and the control group applied acupuncture with normal needles. Patients in both groups were treated once daily, and the total duration of treatment was 20 days. Results: The changes of Fugl-Meyer Assessment (FMA) marks, VAS pain index and hand edema before and after treatments were all significant in both groups (P<0.01), and the differences between the two groups in terms of FMA marks change and pain index change before and after treatments became obvious (P<0.05), however the differences in terms of hand edema index between two groups was not obvious(P=0.183). Conclusion: The needle warming moxibustion has more significant effect than normal acupuncture in relieving pain and improving limb function of patients with shoulder-hand syndrome. |
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