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透刺配合电针治疗中风后肩手综合征的临床观察
引用本文:薛立文,李群,孙敬青. 透刺配合电针治疗中风后肩手综合征的临床观察[J]. 中国针灸, 2007, 27(7): 491-493
作者姓名:薛立文  李群  孙敬青
作者单位:1. 首都医科大学附属北京中医医院针灸科,北京,100010
2. 云南省昆明市中医医院
摘    要:目的:探索提高治疗中风后肩手综合征临床疗效的方法。方法:将80例中风后肩手综合征患者随机分为治疗组和对照组,每组40例。治疗组采用透刺加电针法,对照组采用常规针刺加电针法。两组均每日治疗1次,每周5次,共治疗4周。观察临床症状、关节活动度及疼痛评分变化情况。结果:治疗组痊愈19例,显效10例,有效6例,无效5例,总有效率87.5%;对照组痊愈9例,显效14例,有效9例,无效8例,总有效率80.0%。两组比较,疗效差异有显著性意义(P<0.05);两组治疗后,上肢关节活动度评分及上肢疼痛评分均较治疗前提高,但治疗组较对照组提高更明显,两组比较,差异有显著性意义(P<0.05)。结论:透刺法和常规针刺法均可有效缓解肩手综合征所致的疼痛,改善运动功能,减轻水肿,但透刺法优于常规针刺法。

关 键 词:电针  透针  中风后遗症/针灸疗法  反射性交感神经营养障碍/针灸疗法
文章编号:0255-2930(2007)07-0491-02
收稿时间:2007-03-15
修稿时间:2007-03-15

Clinical observation on penetration needling combined with electroacupuncture for treatment of poststroke shoulder-hand syndrome
XUE Li-wen,LI Qun,SUN Jing-qing. Clinical observation on penetration needling combined with electroacupuncture for treatment of poststroke shoulder-hand syndrome[J]. Chinese acupuncture & moxibustion, 2007, 27(7): 491-493
Authors:XUE Li-wen  LI Qun  SUN Jing-qing
Affiliation:Section of Acupuncture & Moxibustion, Beijing Hospital of TCM Affiliated to Capital Medical University, Beijing 100010, China. xueliwen@sina.com
Abstract:Objective To probe a method for increasing clinical therapeutic effect of poststroke shoulder-hand syndrome. Methods Eighty cases of poststroke shoulder-hand syndrome were randomly divided into a treatment group and a control group, 40 cases in each group. The treatment group were treated by penetration needling combined with electroacupuncture, and the control group with routine acupuncture combined with electroacupuncture, once daily, 5 sessions each week, for 4 weeks. Changes of clinical symptoms, articular mobility and pain score were observed. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P<0.05). Conclusion Penetration needling combined with electroacupuncture, or routine acupuncture combined with electroacupuncture can effectively alleviate pain, improve motion function and reduce edema, but the penetration needling is better than the routine acupuncture for treatment of poststroke shoulder-hand syndrome.
Keywords:Electroacupuncture  Point-through-point Method  Poststroke Syndrome/am ther  Reflex Sympathetic Dystrophy/am ther
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