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[平衡针灸治疗脑卒中后肩痛的临床观察]

[Clinical observation on post-stroke shoulder pain treated with balance acupuncture].

作者信息

Bai Qiang

机构信息

Acupuncture-Moxibustion Department, The Affiliated Hospital of Liaoning University of TCM, Shenyang 110032, China.

出版信息

Zhongguo Zhen Jiu. 2010 Nov;30(11):921-3.

PMID:21246849
Abstract

OBJECTIVE

To observe the difference of therapeutic effect on post-stroke shoulder pain between balance acupuncture and conventional acupuncture.

METHODS

Sixty cases were randomly divided into two groups, 30 cases in each one. In balance acupuncture group, the balance technique of acupuncture was used on Jiantong point. In conventional acupuncture group, the conventional acupuncture was applied to Shuigou (GV 26), Neiguan (PC 6), Tongli (HT 5), Zusanlti (ST 36), Xuanzhong (GB 39) and others, combined with the points on the affected meridians. The Visual Analogue Scale (VAS) was adopted to evaluate the efficacy.

RESULTS

Separately, before and after the 1st treatment, VAS scores were 5.62 +/- 0.46 and 5.00 +/- 0.31 in balance acupuncture group (P < 0.01), and those were 5.52 +/- 0.65 and 5.22 +/- 0.29 in conventional acupuncture group (P < 0.05). The improvement in balance acupuncture group was superior to that in conventional acupuncture group (P < 0.05). After 10 treatments (one course of treatment), VAS score was 3.75 +/- 0.67 in balance acupuncture group and was 3.77 +/- 0.62 in conventional acupuncture group, which reduced significantly as compared with those before treatment (both P < 0.01), the difference between two groups was not significant (P > 0.05).

CONCLUSION

Either balance acupuncture or conventional acupuncture has significant analgesia on post-stroke shoulder pain. But, the instant analgesia of balance acupuncture is superior to that of conventional acupuncture.

摘要

目的

观察平衡针灸与传统针灸治疗脑卒中后肩痛的疗效差异。

方法

将60例患者随机分为两组,每组30例。平衡针灸组采用平衡针法针刺肩痛穴;传统针灸组针刺水沟(GV 26)、内关(PC 6)、通里(HT 5)、足三里(ST 36)、悬钟(GB 39)等穴位,并结合患侧经络上的穴位。采用视觉模拟评分法(VAS)评估疗效。

结果

平衡针灸组第1次治疗前、后VAS评分分别为5.62±0.46、5.00±0.31(P<0.01);传统针灸组分别为5.52±0.65、5.22±0.29(P<0.05)。平衡针灸组改善情况优于传统针灸组(P<0.05)。10次治疗(1个疗程)后,平衡针灸组VAS评分为3.75±0.67,传统针灸组为3.77±0.62,与治疗前相比均显著降低(均P<0.01),两组间差异无统计学意义(P>0.05)。

结论

平衡针灸和传统针灸对脑卒中后肩痛均有显著镇痛作用,但平衡针灸的即时镇痛效果优于传统针灸。

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