头针联合空气压力波治疗脑卒中后肩手综合征的疗效观察

目的将传统针刺疗法中的头皮针结合空气压力波治疗仪联合现代康复运动疗法与单纯采用现代康复运动疗法治疗脑卒中后肩手综合征的疗效进行对比研究。方法入选90例脑卒中并发肩手综合征患者,用随机数字法分为对照组与治疗组,每组45例;对照组:常规用药+康复训练;治疗组:在对照组的治疗基础上加用头皮针和空气压力波治疗仪的联合治疗,30 d为1个疗程,1个疗程后将两组的观察结果进行统计和对照分析;观察指标:(1)手功能试验(Carroll评分法);(2)疼痛分级指数(pain rating index,PRI评分);(3)手掌围度(使用软尺测量)。结果对照组45例脑卒中并发肩手综合征患者中,疗程结束后总有效28例,无效17例;治疗组45例脑卒中并发肩手综合征患者中,疗程结束后总有效39例,无效6例。两组疗效比较,治疗组中有效患者明显高于对照组,差异有统计学意义(P<0.01)。治疗组脑卒中并发肩手综合征患者手功能试验Carroll评分(57.71±34.34比较46.56±24.08)与疼痛分级指数PRI评分(8.09±3.56vs.17.31±6.08)显著高于对照组脑卒中并发肩手综合征患者,差异有统计学意义(P<0.05)。治疗组脑卒中并发肩手综合征患者手掌围度有效改善率91.1%明显高于对照组脑卒中并发肩手综合征患者57.8%,差异有统计学意义(P<0.01)。结论头针联合空气压力波结合康复训练是一种治疗脑卒中后肩手综合征行之有效的方法,尤其是在缓解肢体肿胀程度上较常规康复疗法显著。

Efficacy of scalp acupuncture combined with air pressure wave therapy in the treatment of shoulder-hand syndrome after stroke

Objective To compare the therapeutic effect of scalp acupuncture with air pressure wave therapy apparatus combined with modern rehabilitation exercise therapy and simple rehabilitation exercise therapy on shoulder-hand syndrome after stroke.Methods A total of 90 stroke patients with shoulder-hand syndrome were randomly divided into a control group and a treatment group,with 45 cases in each group.The control group was given routine medication with rehabilitation training;and the treatment group was given scalp acupuncture and air pressure wave therapy on the basis of the control group.The treatment lasted for 30 days as one course of treatment.After one course,the therapeutic effects of the two groups were observed and compared.The scores were observed:1.hand function test(Carroll score);2.pain rating index(PRI score).3.palm circumference(measured with soft tape).Results In the control group,28 cases were effective and 17 cases were ineffective after the treatment;in the treatment group,39 cases were effective and 6 cases were ineffective after the treatment.The effective rate of the treatment group were significantly higher than that of the control group,with statistical significance(P<0.01).The Carroll score(57.71±34.34 v.s.46.56±24.08)and the PRI score(8.09±3.56vs.17.31±6.08)in the treatment group were significantly higher than those in the control group,with statistical significance(P<0.05).The effective improvement of palm circumference in the treatment group(91.1%)was significantly higher than that in the control group(57.8%),with statistical significance(P<0.01).Conclusion Scalp acupuncture combined with air pressure wave and rehabilitation training is effective for shoulder-hand syndrome after stroke,especially in alleviating limb swelling,and the effect is more significant than conventional rehabilitation therapy.