基于病变经络应用温和灸治疗脑卒中后肩手综合征I期疗效观察

田兴; 王慧洁; 郝红梅; 于啸; 李春红

doi:10.16025/j.1674-1307.2024.01.011

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基于病变经络应用温和灸治疗脑卒中后肩手综合征I期疗效观察

临床研究 | 更新时间：2024-03-04

- 基于病变经络应用温和灸治疗脑卒中后肩手综合征I期疗效观察
- Efficacy research on post-stroke patients with Phase Ⅰ Shoulder-Hand-Syndrome (SHS) intervened by affected channel care with mild moxibustion
- 北京中医药 2024年43卷第1期页码：53-57
- 作者机构：
  
  1.北京中医药大学附属护国寺中医医院针灸三病区，北京 100035
  2.北京中医药大学附属护国寺中医医院内科病房，北京 100035
  3.北京中医药大学附属护国寺中医医院护理部，北京 100035
- 作者简介：
  
  田兴，女，34岁，大学本科，主管护师。研究方向：卒中患者的中医临床护理。
  李春红，E-mail：lichunhonghuguosi@163.com
- 基金信息：
  
  首都卫生发展科研专项项目(首发2022-3-7028);北京市西城区优秀人才个人骨干项目（2021-XCRC-区卫健工委）;北京市西城区财政科技专项项目(XCSTS-SD2022-11)
- DOI：10.16025/j.1674-1307.2024.01.011
  中图分类号：
- 纸质出版日期：2024-01-25，
  
  收稿日期：2023-03-02，
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田兴，王慧洁，郝红梅，等.基于病变经络应用温和灸治疗脑卒中后肩手综合征I期疗效观察［J］.北京中医药，2024，43（1）：53-57.

TIAN Xing,WANG Hui-jie,HAO Hong-mei,et al.Efficacy research on post-stroke patients with Phase Ⅰ Shoulder-Hand-Syndrome (SHS) intervened by affected channel care with mild moxibustion[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(01):53-57.
田兴，王慧洁，郝红梅，等.基于病变经络应用温和灸治疗脑卒中后肩手综合征I期疗效观察［J］.北京中医药，2024，43（1）：53-57. DOI： 10.16025/j.1674-1307.2024.01.011.

TIAN Xing,WANG Hui-jie,HAO Hong-mei,et al.Efficacy research on post-stroke patients with Phase Ⅰ Shoulder-Hand-Syndrome (SHS) intervened by affected channel care with mild moxibustion[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(01):53-57. DOI： 10.16025/j.1674-1307.2024.01.011.

摘要

目的

观察基于病变经络应用温和灸治疗对脑卒中后肩手综合征（SHS）I期患者上肢运动功能的影响。

方法

选择2018年9月—2021年3月北京中医药大学附属护国寺中医医院针灸科收治的98例SHSⅠ期患者，用随机数字表法分为对照组和观察组，各49例。2组均给予药物控制基础病、针灸治疗及常规护理。采用单盲法，2组均在常规治疗基础上使用经络诊察法确定病经后，观察组使用温和灸对病变经络进行治疗，而对照组利用假温和灸对非经非穴区进行治疗。疗程均为6周。对比2组穴位局部皮温、PM

质量浓度、疗效，治疗前、治疗后及治疗结束后8周随访时视觉模拟量表（VAS）评分、上肢Fugl-Meyer评分（FMA）、Barthel指数（BI）评分。

结果

观察组穴位局部皮温高于对照组（

0.05），PM

质量浓度高于对照组（

0.05）。观察组总有效率高于对照组（

0.05）。治疗后、随访时，2组VAS评分均较治疗前降低（

0.05），且观察组VAS评分低于对照组（

0.05）。治疗后、随访时，2组FMA、BI评分均较治疗前升高（

0.05），且观察组FMA、BI评分高于对照组（

0.05）。

结论

基于病变经络应用温和灸治疗可显著改善SHS I期患者疼痛，提升患侧关节运动功能，减轻残疾程度。

Abstract

关键词

经络诊察温和灸脑卒中康复肩手综合征

Keywords

references

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