[1]曹 勇,韩新源,李 晴.靳三针肩三针加减治疗卒中后肩手综合征临床研究[J].陕西中医,2023,(8):1137-1140.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.033]
　CAO Yong,HAN Xinyuan,LI Qing.Clinical effect of modified Jin's three-needle and shoulder three-needle therapy in the adjuvant treatment of shoulder-hand syndrome after stroke[J].,2023,(8):1137-1140.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.033]
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靳三针肩三针加减治疗卒中后肩手综合征临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年8期
页码:
1137-1140
栏目:
针灸经络
出版日期:
2023-08-05

文章信息/Info

Title:
Clinical effect of modified Jin's three-needle and shoulder three-needle therapy in the adjuvant treatment of shoulder-hand syndrome after stroke
作者:
曹 勇1; 韩新源2; 李 晴2
(1.陕西省第四人民医院康复医学科,陕西 西安 710043; 2.陕西省人民医院康复医学科,陕西 西安 710068)
Author(s):
CAO Yong; HAN Xinyuan; LI Qing
(Department of Rehabilitation Medicine,Shaanxi Fourth People's Hospital,Xi'an 710043,China)
关键词:
卒中;  肩手综合征;  靳三针;  肩三针;  上肢运动功能
Keywords:
Stroke;  Shoulder-hand syndrome;  Jin's three-needle;  Shoulder three-needle;  Motor function of upper limb
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2023.08.033
文献标志码:
A
摘要:
目的:探讨靳三针肩三针加减辅助治疗卒中后肩手综合征(SHS)临床疗效。方法:选择74例卒中后SHS患者为研究对象,随机分为对照组和治疗组,每组37例。对照组予以常规内科治疗联合康复治疗,治疗组在对照组基础上予以靳三针肩三针加减治疗。比较治疗后两组患者的临床疗效。比较两组治疗前和治疗后Fugl-Meyer上肢运动功能评定量表(FMA-UE)评分、视觉模拟量表(VAS)评分和全血高切黏度(HBV)、全血低切黏度(LBV)、血小板聚集率(PAR)、红细胞比容(HCT)和血浆黏度(PV)水平。结果:治疗后,治疗组总有效率为91.89%,高于对照组的72.97%(P<0.05); 治疗后,两组FMA-UE评分升高,治疗组FMA-UE评分高于对照组(均P<0.05); 治疗后,两组VAS评分降低,治疗组VAS评分低于对照组(均P<0.05); 治疗后两组HBV、LBV、PAR、HCT和PV低于治疗前,且治疗组HBV、LBV、PAR、HCT和PV低于对照组(均P<0.05)。结论:靳三针肩三针加减辅助治疗卒中后SHS临床疗效显著,可以增强上肢运动功能,减轻上肢疼痛,改善血液流变学。
Abstract:
Objective:To explore the clinical effect of modified Jin's three-needle and shoulder three-needle therapy in the adjuvant treatment of shoulder-hand syndrome(SHS)after stroke.Methods:A total of 74 patients with post-stroke SHS were enrolled as the research objects.They were randomly divided into control group and treatment group,37 cases in each group.The control group was given routine internal medical treatment and rehabilitation treatment,while treatment group was additionally given modified Jin's three-needle and shoulder three-needle therapy.The clinical curative effect after treatment,scores of Fugl-Meyer assessment upper extremity scale(FMA-UE)and visual analogue scale(VAS)before and after treatment,and levels of high-shear blood viscosity(HBV),low-shear blood viscosity(LBV),platelet aggregation rate(PAR),hematocrit(HCT)and plasma viscosity(PV)before and after treatment were compared between the two groups.Results:After treatment,total response rate in treatment group was higher than that in control group(P<0.05).The differences in FMA-UE scores between the two groups were statistically significant after treatment(all P<0.05),which were higher in treatment group than control group(P<0.05).The differences in VAS scores between the two groups were statistically significant after treatment(P<0.05),which in treatment group were lower than control group(all P<0.05).After treatment,HBV,LBV,PAR,HCT and PV in both groups were decreased,which were lower in treatment group than control group(all P<0.05).Conclusion:Clinical effect of modified Jin's three-needle and shoulder three-needle therapy is good in the adjuvant treatment of SHS after stroke,which can enhance motor function of upper limbs,relieve upper limb pain and improve hemorheology.

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备注/Memo

备注/Memo:
基金项目:陕西省中医药管理局科研课题(2019-GJ-LC012)
更新日期/Last Update: 2023-08-10