透刺配合推拿治疗中风后肩-手综合征疗效观察

目的:观察透刺结合推拿治疗中风后肩-手综合征的临床疗效.方法:将86例确诊的中风后肩-手综合征患者随机分为观察组和对照组,每组43例.观察组在脑卒中入院常规治疗基础上予以透刺、推拿治疗；对照组在脑卒中入院常规治疗基础上予以与观察组相同的推拿治疗.6次为一个疗程,治疗4个疗程后评价疗效.结果:观察组总有效率88.4％,对照组总有效率69.8％,两组总有效率比较,x2=4.497,P＜0.05,表明观察组总有效率优于对照组.两组患者治疗后视觉疼痛模拟评分(Visual Analogue Scale,VAS)评分、Fugl-Meyer评价法(Fugl-Meyer Assessment,FMA)评分均较治疗前有明显改善,治疗前后比较差异均有统计学意义(P＜0.05或P＜0.01).治疗后观察组VAS评分、FMA评分与对照组比较差异均有统计学意义(P＜0.05).结论:透刺配合推拿治疗中风后肩-手综合征疗效肯定,值得进一步研究,并在临床推广使用.

Effect observation on point-through-point needling combined with tuina for post-stroke shoulder-hand syndrome

Objective:To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.Methods:Eighty-six cases with post-stroke shoulder-hand syndrome were randomly divided into an observation group and a control group,43 cases in each group.Patients in the observation group were treated by point-through-point needling combined with tuina therapy on the basis of the conventional treatment;while patients in the control group were treated by tuina therapy on the basis of conventional therapy.Six treatments constitute a course,and the efficacy was evaluated after 4 courses.Results:The total effective rate was 88.4% in the observation group,and it was 69.8% in the control group.And the comparison indicated that the observation group had a more efficient result than the control group did (χ 2 =4.497,P<0.05).The scores of visual analogue scale (VAS) and Fugl-Meyer assessment (FMA) were significantly improved after treatments in both groups (P<0.05 or P<0.01).After treatment,the scores of VAS and FMA of the observation group were significantly different from that in the control group (P<0.05).Conclusion:Because of the efficacy,point-through-point needling combined with tuina therapy for shoulder-hand syndrome after stroke is certainly worthy of further study,and can be used in clinical practice.