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腕踝针预防急性脑梗死后肩手综合征的效果

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目的 观察腕踝针预防急性脑梗死后肩手综合征(SHS)的临床效果。方法 选取2021年2月至2023年3月安徽中医药大学第一附属医院脑血管介入科收治的60例急性脑梗死患者作为研究对象,按照随机数字表法分为对照组(30例)与腕踝针组(30例),对照组进行常规的神经内科药物治疗和患肢神经功能康复训练,腕踝针组在对照组的基础上加用腕踝针治疗,共连续治疗14 d。比较两组患者在发病14 d,发病1、3个月后SHS的发生情况,同时比较两组中发生SHS患者的视觉模拟评分法(VAS)和Fugl-Meyer上肢运动功能(FMA)量表评分。结果 腕踝针组发病14 d,发病1、3个月的SHS发生率低于对照组,差异有统计学意义(P<0。05)。腕踝针组发病14 d,发病1、3个月的VAS评分低于对照组,FMA评分高于对照组,差异有统计学意义(P<0。05)。结论 腕踝针可有效预防急性脑梗死后SHS的发生,同时对发生SHS患者的患肢疼痛程度的缓解和运动功能的改善均具有显著的疗效。
Effect of wrist ankle acupuncture in the prevention of shoulder-hand syndrome after acute cerebral infarction
Objective To observe the clinical effect of wrist and ankle acupuncture on prevention of shoulder-hand syn-drome(SHS)after acute cerebral infarction.Methods Sixty patients with acute cerebral infarction admitted to the Depart-ment of Cerebrovascular Intervention,the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from February 2021 to March 2023 were selected as the study objects,and they were divided into control group(30 cases)and wrist and ankle acupuncture group(30 cases)according to random number table method.The control group received con-ventional neurological drug treatment and nerve function rehabilitation training of the affected limb,and the wrist and ankle acupuncture group was treated with wrist and ankle acupuncture on the basis of the control group,for a total of 14 days.The occurrence of SHS 14 days after onset,1 and 3 months after onset were compared between the two groups,and the visual analogue scale(VAS)of pain and Fugl-Meyer assessment(FMA)scores of patients with SHS were compared between the two groups.Results The incidences of SHS 14 days after onset,1,3 month after onset in the wrist-ankle acupuncture group were lower than those in the control group,and the differences were statistically significant(P<0.05).VAS scores 14 days,1 and 3 months after the onset of the disease in the wrist and ankle acupuncture group were lower than those in the control group,and FMA scores were higher than those in the control group,with statistical significances(P<0.05).Conclusion Carpal and ankle acupuncture can effectively prevent the occurrence of shoulder-hand syndrome after acute cerebral infarc-tion,and at the same time,it has significant efficacy in relieving the pain level of the affected limbs and improving the motor function of patients who developed shoulder-hand syn-drome.

Wrist ankle acupunctureAcute cerebral in-farctionShoulder-hand syndromeEffectiveness

周兰兰、夏昆

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安徽中医药大学第一附属医院脑血管介入科,安徽合肥 230031

安徽中医药大学神经病学研究所附属医院神经内科,安徽合肥 230031

腕踝针 急性脑梗死 肩手综合征 疗效

安徽中医药大学第一附属医院临床科学研究项目

2020yfyzc57

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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