体外冲击波穴位促通技术对脑卒中患者偏瘫肩痛的临床疗效
Clinical observation of extracorporeal shock wave acupoint promotion technology for shoulder pain in hemiplegic stroke patients
赵金凤 1王凌毅2
作者信息
- 1. 066199 河北省秦皇岛市,河北省康复医院
- 2. 秦皇岛市第一医院
- 折叠
摘要
目的 观察体外冲击波穴位促通技术对脑卒中患者偏瘫肩痛的临床治疗效果.方法 选取 2023 年 5 月-2024 年 5 月河北省康复医院和秦皇岛市第一医院收治的 60 例脑卒中偏瘫肩痛患者为研究对象.根据组间基线特征匹配的原则,采用随机数字表法分为观察组和对照组,每组 30 例.在现代常规康复训练的基础上,观察组患者应用体外冲击波穴位促通技术进行治疗,对照组应用指压穴位刺激法进行治疗.两组持续治疗 6 周,并分别在治疗前、治疗后3周和治疗后6周,测定患者肩关节各个方向的活动度,数字疼痛及MRC肌力.结果 两组患者治疗3周、6周后,肩关节各个方向的活动度、数字疼痛及MRC肌力均明显改善,并且患者的肩关节各个方向的活动度、数字疼痛及MRC肌力明显优于对照组,差异均具有统计学意义(P<0.05).结论 体外冲击波穴位促通技术能有效改善脑卒中患者偏瘫肩痛程度,提高脑卒中患者上肢的运动功能.
Abstract
Objective To observe the clinical therapeutic effect of extracorporeal shock wave acupoint facilitation technique on shoulder pain in stroke hemiplegia.Methods A total of 60 patients with stroke,hemiplegia and shoulder pain who were admitted to Hebei Rehabilitation Hospital and Qinhuangdao First Hospital from May 2023 to May 2024 were selected as the research subjects.According to the principle of baseline feature matching between groups,the random number table method was used to divide the observation group and the control group,with 30 cases in each group.On the basis of modern conventional rehabilitation training,the patients in the observation group were treated with extracorporeal shock wave acupoint stimulation technology,and the control group was treated with acupressure acupoint stimulation method.The two groups continued to be treated for 6 weeks,and the range of motion,numerical pain and MRC muscle strength of the shoulder joint were measured in all directions before,3 weeks and 6 weeks after treatment,respectively.Results After continuous treatment for 3 and 6 weeks,the range of motion,digital pain measurement,and MRC muscle strength measurement of the shoulder joint in all directions were significantly improved in both groups of patients compared to before treatment(P<0.05);Inter group comparison showed that after treatment,the range of motion,digital pain measurement,and MRC muscle strength measurement of the shoulder joint in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Extracorporeal shock wave acupoint stimulation technology can effectively improve the problem of hemiplegic shoulder pain in stroke patients,while also enhancing the upper limb motor function of stroke patients.
关键词
体外冲击波/穴位促通/脑卒中/偏瘫肩痛Key words
Extracorporeal shock wave acupoint promotion/Acupoint promotion technology/Stroke/Hemiplegia shoulder pain引用本文复制引用
基金项目
秦皇岛市科学技术局市级科技技术研究与发展计划课题(202301A098)
出版年
2024
NETL
NSTL
万方数据