浮刺结合功能训练治疗肩手综合征疗效观察

目的观察浮刺结合功能训练治疗脑卒中后肩手综合征（肩部疼痛）的临床疗效。方法将40例脑卒中后肩手综合征患者,随机分为两组,每组20例,在功能训练的基础上,治疗组给予浮刺治疗,对照组给予美洛昔康药物治疗。两组分别于治疗前、1个疗程、2个疗程后采用视觉模拟评分法（VAS）和高岸肩关节功能评定法评定。治疗前两组比较差异均无统计学意义（均P〉0.05）;治疗2个疗程后尤其在第1疗程后治疗组肩部VAS评分、肩关节功能积分明显高于对照组（P〈0.01）。结论浮刺结合功能训练治疗脑卒中后肩手综合征疗效显著。

Clinical Observations on the Efficacy of Superficial Needling plus Functional Training in Treating Shoulder-hand Syndrome

Objective To investigate the clinical efficacy of superficial needling plus functional training in treating post-stroke shoulder-hand syndrome （shoulder pain）. Methods Forty patients with post-stroke shoulder-hand syndrome were randomly allocated to two groups,20 cases each. In addition to functional training,the treatment group received superficial needling and the control group took medication with meloxicam. The evaluation was made using the Visual Analog Scale （VAS） and the Takagishi shoulder joint function assessment in the two groups before treatment and after one and two courses of treatment. There were no statistically significant pre-treatment differences between the two groups （both P0.05）. The VAS score and the shoulder point function score increased significantly more after two courses of treatment,especially after the first course in the treatment group than in the control group （P0.01）. Conclusion Superficial needling plus functional training has a marked therapeutic effect on post-stroke shoulder-hand syndrome.