摘要
目的:探讨针刺联合外用瑶药对脑卒中肩手综合征(SHS)患者功能恢复及疼痛的干预效果。方法:采用随机数字表法将2022年1月至2023年12月乳源瑶族自治县中医医院收治的80例脑卒中SHS患者分为两组,各40例。对照组患者予常规针刺,观察组患者予常规针刺联合外用瑶药治疗,均连续治疗4周。比较两组患者临床疗效、疼痛程度、上肢功能、中医证候积分、肌电图指标、水肿评分及安全性。结果:观察组患者治疗总有效率高于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者视觉模拟评分法(VAS)评分比对照组低,Fugl–Meyer评定量表(FMA)评分比对照组高,差异具有统计学意义(P<0.05);治疗后观察组患者中医证候主症、次症及总分比对照组低,差异具有统计学意义(P<0.05);治疗后观察组患者正中神经的感觉、运动神经传导速度比对照组高,水肿评分比对照组低,差异具有统计学意义(P<0.05);两组患者均未见明显不良反应。结论:针刺联合外用瑶药治疗脑卒中SHS患者安全有效,利于减轻患者肩部疼痛、水肿,改善其上肢运动功能。
Objective To explore the intervention effect of acupuncture combined with external use of Yao medicine on functional recovery and pain in stroke patients with shoulder-hand syndrome (SHS). Methods From January 2022 to December 2023, 80 stroke SHS patients admitted to Ruyuan Yao Autonomous County Hospital of Traditional Chinese Medicine were randomly divided into two groups, 40 cases in each group. The control group received conventional acupuncture, while the observation group received conventional acupuncture combined with external use of Yao medicine, both for 4 weeks. The clinical efficacy, pain level, upper limb function, traditional Chinese medicine (TCM) syndrome score, electromyography indicators, edema score, and safety were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, with a statistically significant difference (P < 0.05). After treatment, the visual analogue scale (VAS) score of the observation group was lower than that of the control group, and the Fugl-Meyer assessment (FMA) score was higher than that of the control group, with statistically significant differences (P < 0.05). After treatment, the main symptoms, secondary symptoms, and total score of TCM syndrome in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). After treatment, the sensory and motor nerve conduction velocity of the median nerve in the observation group was higher than that in the control group, and the edema score was lower than that in the control group, with statistically significant differences (P < 0.05). No significant adverse reactions were observed in both groups. Conclusion Acupuncture combined with external use of Yao medicine is safe and effective in treating stroke patients with SHS, which is beneficial for reducing shoulder pain and edema, and improving upper limb motor function.
作者
文胜
蔡章健
王冠铃
WEN Sheng;CAI Zhangjian;WANG Guanling(Ruyuan Yao Autonomous County Hospital of Traditional Chinese Medicine,Guangdong Ruyuan 512799;Ruyuan Yao Autonomous County People’s Hospital,Guangdong Ruyuan 512799)
出处
《深圳中西医结合杂志》
2024年第18期25-29,共5页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
韶关市卫生健康科研立项项目(Y24199)。
关键词
脑卒中
肩手综合征
针刺
瑶药
Stroke
Shoulder-hand syndrome
Acupuncture
Yao medicine
