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Effect observation on point-through-point needling combined with tuina for post-stroke shoulder-hand syndrome

透刺配合推拿治疗中风后肩-手综合征疗效观察

  • Clinical Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

摘要

目的

观察透刺结合推拿治疗中风后肩-手综合征的临床疗效。

方法

将86 例确诊的中风后肩-手综合征患者随机分为观察组和对照组, 每组43 例。 观察组在脑卒中入院常规治疗基础上予以透刺、 推拿治疗; 对照组在脑卒中入院常规治疗基础上予以与观察组相同的推拿治疗。 6 次为一个疗程, 治疗4 个疗程后评价疗效。

结果

观察组总有效率88.4%, 对照组总有效率69.8%, 两组总有效率比较, χ2=4.497, P<0.05, 表明观察组总有效率优于对照组。 两组患者治疗后视觉疼痛模拟评分(Visual Analogue Scale, VAS)评分、 Fugl-Meyer评价法(Fugl-Meyer Assessment, FMA)评分均较治疗前有明显改善, 治疗前后比较差异均有统计学意义(P<0.05 或P<0.01)。 治疗后观察组VAS评分、 FMA评分与对照组比较差异均有统计学意义 (P<0.05)。

结论

透刺配合推拿治疗中风后肩-手综合征疗效肯定, 值得进一步研究, 并在临床推广使用。

Abstract

Objective

To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.

Methods

Eighty-six cases with post-stroke shoulder-hand syndrome were randomly divided into an observation group and a control group, 43 cases in each group. Patients in the observation group were treated by point-through-point needling combined with tuina therapy on the basis of the conventional treatment; while patients in the control group were treated by tuina therapy on the basis of conventional therapy. Six treatments constitute a course, and the efficacy was evaluated after 4 courses.

Results

The total effective rate was 88.4% in the observation group, and it was 69.8% in the control group. And the comparison indicated that the observation group had a more efficient result than the control group did (χ2=4.497, P<0.05). The scores of visual analogue scale (VAS) and Fugl-Meyer assessment (FMA) were significantly improved after treatments in both groups (P<0.05 or P<0.01). After treatment, the scores of VAS and FMA of the observation group were significantly different from that in the control group (P<0.05).

Conclusion

Because of the efficacy, point-through-point needling combined with tuina therapy for shoulder-hand syndrome after stroke is certainly worthy of further study, and can be used in clinical practice.

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Authors and Affiliations

  1. Atlantic Institute of Oriental Medicine, Fort Lauderdale, Florida, USA

    Xin Tong  (佟欣)

  2. Heilongjiang University of Traditional Chinese Medicine, Harbin, 150040, P. R. China

    Dan-dan Liu  (刘丹丹), Tian-song Yang  (杨添淞) & Li-da Qiao  (乔立达)

  3. No.2 Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine, Harbin, 150001, P. R. China

    Yan Wei  (卫彦) & Ji-you Kou  (寇吉友)

Authors
  1. Xin Tong  (佟欣)
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  2. Dan-dan Liu  (刘丹丹)
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  3. Yan Wei  (卫彦)
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  4. Ji-you Kou  (寇吉友)
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  5. Tian-song Yang  (杨添淞)
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  6. Li-da Qiao  (乔立达)
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Corresponding author

Correspondence to Yan Wei  (卫彦).

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Tong, X., Liu, Dd., Wei, Y. et al. Effect observation on point-through-point needling combined with tuina for post-stroke shoulder-hand syndrome. J. Acupunct. Tuina. Sci. 10, 104–108 (2012). https://doi.org/10.1007/s11726-012-0582-0

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  • DOI: https://doi.org/10.1007/s11726-012-0582-0

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