利脑通络针刺法结合中频药透治疗中风后肩手综合征疗效观察

Observation on the Therapeutic Effect of Linao Tongluo Acupuncture Combined with Intermediate Frequency Drug Transfusion in Treating Shoulder Hand Syndrome after Stroke

摘要: 目的：观察利脑通络针刺法结合中频药透对中风后肩手综合征I期患者患侧上肢疼痛、肿胀程度和运动功能的影响。方法：选择100例中风后肩手综合征I期患者，随机分为对照组和利脑通络组各50例，对照组采用常规针刺后结合电脑中频药透治疗，利脑通络组在对照组基础上加用快针治疗，连续治疗4周，随访12周，观察治疗前后患肢肿胀、疼痛程度及运动功能评分。结果：两组在干预4周后及随访12周的各项指标均比治疗前明显进步(P < 0.01)，利脑通络组较对照组改善明显(P < 0.05)；治疗后4周的疗效比较两组无显著差异(P > 0.05)，在随访12周后，利脑通络组疗效较对照组明显(P < 0.05)。结论：利脑通络针刺法治疗中风后肩手综合征的长期疗效优于常规针刺法。

Abstract: Objective: To observe the effect of acupuncture combined with Linao Tongluo combined with in-termediate frequency drug on the pain, swelling degree and motor function of upper limbs in pa-tients with stage I shoulder syndrome after stroke. Methods: One hundred patients with stage I stroke and shoulder-hand syndrome were randomly divided into control group and Linao Tongluo group. The control group was treated with conventional acupuncture combined with computerized intermediate frequency drug therapy. The Linao Tongluo group was treated with fast needle on the basis of the control group. The patients were treated for 4 weeks and followed up for 12 weeks. The swelling, pain and motor function scores of the affected limbs were observed before and after treatment. Results: The indexes of the two groups after 4 weeks of intervention and 12 weeks of follow-up were significantly improved compared with those before treatment (P < 0.01). Linao Tongluo group improved significantly compared with the control group (P < 0.05). There was no significant difference between the two groups in the efficacy of 4 weeks after treatment (P > 0.05). After 12 weeks of follow-up, the effect of the Linao Tongluo group was significantly higher than that of the control group (P < 0.05). Conclusion: The long-term effect of Linao Tongluo acupuncture on shoulder-hand syndrome after stroke is better than conventional acupuncture.