针刺夹脊穴配合推拿治疗偏瘫后肩关节半脱位的临床观察

目的探讨针刺夹脊穴配合推拿对偏瘫患者肩关节半脱位及上肢运动功能恢复的影响.方法60例偏瘫患者随机分为针刺夹脊穴配合推拿组和传统康复组,治疗后2个月测定患者肩关节半脱位与上肢运动功能.结果两组肩关节半脱位与上肢运动功能均较治疗前有改善（P＜0.01）,且针刺夹脊穴配合推拿组在缓解疼痛和治愈率方面改善更明显（P＜0.01）.结论针刺夹脊穴配合推拿应用于治疗偏瘫患者的患侧上肢,可改善患侧肩关节半脱位和上肢的运动功能.

Effects of Acupuncture Combined with Massage on Shoulder Subluxation after Hemiplegia

ObjectiveTo observe the effects of acupuncture combined with massage on shoulder subluxation and motor function recovery of the upper extremities in patients with hemiplegia after stroke.Methods60 hemiplegic patients were randomly divided into two groups for treatment with acupuncture cooperates with massage or usual rehabilition, respectively. The recovery of the patient's shoulder subluxation and movement function of upper extremities were evaluated 2 months after treatment. ResultsThe shoulder subluxation and movement function of the upper extremities were improved after treatment with both therapies (P<0.01), and acupuncture cooperates with massage showed better effect (P<0.01). ConclusionAcupuncture cooperates with massage can facilitate the recovery of shoulder subluxation and motor function of the upper extremities after hemiplegia.