“小醒脑针法”联合超声波定向透药治疗中风后肩手综合征（痰瘀阻络证）患者疗效研究

Abstract
Figure/Table
References
Related Citation (2)

Download: PDF (3040 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy in the treatment of patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome). Methods A total of 120 patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome) who were admitted to Zhangjiakou First Hospital from June 2021 to February 2022 were enrolled in this study. They were randomly assigned to two groups.60 patients in the control group were given ultrasonic directional drug penetration therapy, while 60 patients in the experimental group were treated with Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy. The two groups were compared on therapeutic effects, traditional Chinese medicine syndrome scores, upper limb motor function, activities of daily living, and serum levels of substance P (SP) and calcitonin gene-related peptide (CGRP). Results The response rate of the experimental group was 95.00%, higher than 81.67% of the control group. After treatment, traditional Chinese medicine syndrome scores of both groups decreased, and the experimental group had lower scores. The Fugl-Meyer Assessment Scale (FMA) scores for motor function, Barthel index scores in different dimensions and total scores of both groups increased. Compared with the control group, the experimental group had higher scores. After treatment, there were decreases in serum SP levels in both groups, and serum SP level in the experimental group was lower than that in the control group. There were increases in CGRP levels, and CGRP level in the experimental group was higher than that in the control group. Conclusion Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy can significantly improve the therapeutic effect on patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome), improve traditional Chinese medicine syndrome scores and upper limb motor function, enhance activities of daily living, and improve serum SP and CGRP levels.

Key words： post-stroke shoulder-hand syndrome Xiaoxingnao acupuncture method ultrasonic directional drug penetration therapy

Received: 21 March 2024

PACS:

R24

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Jing
	SUN Guangyang
	ZHAO Jinfeng
	ZHANG Yiwei

Cite this article:

XU Jing,SUN Guangyang,ZHAO Jinfeng等. Effect of Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy in the treatment of patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome)[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(3): 115-119.

URL:

http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I3/115

[1] PAN R, LING S, YANG H, et al.Clinical Study of Qingpeng Ointment Treating Shoulder-hand Syndrome After Cerebral Hemorrhage During the Rehabilitation Period[J]. Comb Chem High Throughput Screen, 2021, 24(7): 968-975.
[2] 薛开禄, 洪盈盈, 王玉龙, 等. 体外冲击波治疗对肩手综合征患者肩关节功能的影响[J]. 陕西医学杂志, 2020, 49(6): 720-723.
[3] 赵汉清, 张霞, 席婉妤. 乙癸愈风汤联合针灸治疗脑卒中恢复期临床研究[J]. 陕西中医, 2022, 43(2): 244-247.
[4] 罗庆会, 宋川, 杨智, 等. 经筋结点恢刺法联合表面肌电生物反馈疗法治疗中风后肩手综合征的临床疗效观察[J]. 世界中西医结合杂志, 2022, 17(10): 2052-2056.
[5] 李倩. "醒脑开窍"针刺法对脑中风后遗症患者血清炎症因子及血管内皮功能的影响[J]. 陕西中医, 2022, 43(1): 114-117.
[6] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682.
[7] 李平, 吴钟璇, 张云如, 等. 中风病诊断与疗效评定标准 (试行)[J]. 北京中医药大学学报, 1996, 19(1): 55-56.
[8] 缪鸿石, 朱镛连. 脑卒中的康复评定和治疗[M]. 北京: 华夏出版社, 1996.
[9] 王茂斌. 偏瘫的现代评价与治疗[M]. 北京: 华夏出版社, 1990: 226-331.
[10] 毕胜, 纪树荣, 顾越, 等. Fugl-Meyer上肢运动功能评分与上肢运动功能状态评分的响应性研究[J]. 中国康复医学杂志, 2006, 21(2): 118-120.
[11] 李峰, 陈劲松, 涂美. 浮刺联合巨刺针法治疗脑卒中后肩手综合征的疗效及对ET-1和CGRP水平影响[J]. 针灸临床杂志, 2020, 36(7): 42-45.
[12] MONSOUR M, RODRIGUEZ RA, SHEIKH A, et al.Patient tolerability of suprascapular and median nerve blocks for the management of pain in post-stroke shoulder-hand syndrome[J]. Neurol Sci, 2021, 42(3): 1123-1126.
[13] 吴丹丹, 李丽霞. 李丽霞治疗中风后肩手综合征经验[J]. 长春中医药大学学报, 2022, 38(9): 968-971.
[14] 童桂秀, 吴彩虹, 彭天强. 中药塌渍联合揿针治疗中风后肩手综合征的疗效观察[J]. 浙江临床医学, 2022, 24(7): 987-989.
[15] 罗庆会, 宋川, 杨智, 等. 经筋结点恢刺法联合表面肌电生物反馈疗法治疗中风后肩手综合征的临床疗效观察[J]. 世界中西医结合杂志, 2022, 17(10): 2052-2056.
[16] 邵妍, 鞠庆波, 刘建平, 等. 眼针结合熥疗治疗356例中风后肩手综合征的平行随机对照研究[J]. 北京中医药大学学报, 2020, 43(7): 599-605.
[17] 任媛媛, 杨柳, 张小霜. 方氏头针结合醒脑开窍针法治疗中风后运动性失语临床研究[J]. 陕西中医, 2022, 43(1): 118-120.
[18] 刘健辉, 黄慧仪, 吕苏好, 等. 醒脑开窍联合五门十变针法治疗缺血性中风后失眠疗效及对患者脑血管反应性的影响[J]. 陕西中医, 2022, 43(1): 121-123.
[19] 张冲, 刘光勇, 萧抒蓉,等. 中医定向透药配合超声波治疗脑卒中后肩手综合征Ⅰ期的疗效观察[J]. 中国医药科学, 2019, 9(05): 51-53.
[20] 徐亭亭, 黄茂, 张珊, 等. 通督醒脑针法联合有氧康复运动治疗小儿脑瘫的疗效研究[J]. 世界中医药, 2022, 17(22): 3225-3228.
[21] 杨霞, 易小琴, 路璐, 等. 醒脑开窍针刺法配合本体感觉训练治疗脑梗死后偏瘫疗效观察[J]. 现代中西医结合杂志, 2022, 31(24): 3468-3471.
[22] 李庆兵, 刘沂潍, 卢景康. 针推调神醒脑法治疗脑卒中后睡眠倒错疗效观察[J]. 现代中西医结合杂志, 2021, 30(24): 2650-2654.