周星 虎文翠

【摘 要】 目的：观察温针灸治疗中风后肩手综合征的临床效果。方法：选取76例中风后肩手综合征患者为研究对象，采用交替分组法将其分为对照组和观察组各38例。对照组采用常规针刺治疗;观察组采用温针灸治疗，治疗1个月后，比较两组临床疗效、运动功能及疼痛评分。结果：观察组总有效率高于对照组，差异有统计学意义（P<0.05）;两组治疗后FMA评分均高于治疗前，且观察组高于对照组，差异有统计学意义（P<0.05）;两组治疗后VAS评分均低于治疗前，且观察组低于对照组，差异有统计学意义（P<0.05）。结论：温针灸治疗中风后肩手综合征效果较好，可有效提高其肢体运动能力，降低疼痛感，疗效显著。

【关键词】 中风后肩手综合征;温针灸;疼痛程度;运动功能

【中图分类号】R245.31+5   【文献标志码】 A    【文章编号】1007-8517（2021）19-0098-03

Clinical Observation of Warming Acupuncture in the Treatment of 38 Cases of Shoulder-hand Syndrome After Stroke

ZHOU Xing1 HU Wencui2

1.Department of Internal Medicine， Zhengzhou First Peoples Hospital， Zhengzhou 450000， China;2.Department of Traditional Chinese Medicine， Zhengzhou First Peoples Hospital， Zhengzhou 450000， China

Abstract：Objective To explore the clinical effect of warming acupuncture in the treatment of 38 cases of shoulder-hand syndrome after stroke.Methods 76 patients with shoulder-hand syndrome after stroke were selected as the research subjects. According to the alternate grouping method， they were divided into 2 groups， with 38 cases in the control group and the observation group. The control group was treated with conventional acupuncture and the observation group was treated with warming acupuncture and moxibustion. After 1 month of treatment， the clinical efficacy， motor function and pain scores of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）; the FMA scores of both groups after treatment were higher than those before treatment， and the observation group was higher than the control group， the difference was statistically significant （P<0.05）; the VAS scores of both groups after treatment were lower than those before treatment， and the observation group was lower than the control group， the difference was statistically significant （P<0.05）.Conclusion Warming acupuncture and moxibustion is effective in treating shoulder-hand syndrome after stroke. It can effectively improve the motor function of the limbs， reduce the degree of pain， and the efficacy is significant.

Key words：Shoulder-hand Syndrome after Stroke; Warming Acupuncture and Moxibustion; Pain Degree; Motor Function

中風后肩手综合征主要指脑卒中后出现肩部、手部疼痛、肿胀现象，导致肩手活动受限，如不及时救治，极易导致病情迁延，诱发手部肌肉萎缩，甚至手指关节畸形，严重影响机体手部功能[1]。目前，西医针对该病并无特效疗法，一般采用物理康复治疗，但其疗效并不显著。针灸具有疏通经络、活血化瘀、止痛的效果，而温针灸对血管收缩能力具有较好的改善作用，可有效消除水肿，缓解肌肉痉挛，缓解止痛，从而有效改善肢体活动能力[2]。本研究观察温针灸治疗中风后肩手综合征患者的临床效果。现报告如下。

1 资料与方法

1.1 一般资料 选取2018年12月至2020年1月郑州市第一人民医院内科收治的76例中风后肩手综合征患者作为研究对象，经医学伦理委员会批准，采用交替分组法将其分为2组，对照组和观察组各38例。对照组男13例，女25例;年龄为55～78岁，平均年龄为（66.81±6.29）岁;病程15～53 d，平均（33.32±12.65）d;其中脑梗死33例，脑出血5例。观察组男15例，女23例;年龄为56～76岁，平均年龄为（66.34±6.69）岁;病程13～52 d，平均（33.52±12.59）d;其中脑梗死31例，脑出血7例。……