分经辨证针刺结合毫火针治疗脑卒中后肩手综合征Ⅰ期的临床效果

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Abstract Objective To investigate the related indexes and clinical effect of acupuncture based on meridians differentiation and fire needle in the treatment of stage Ⅰshoulder-hand syndrome after stroke.Methods A total of 78 patients with stage Ⅰshoulder-hand syndrome after stroke from the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from December 2018 to December 2020 were selected as study subjects.They were divided into treatment group and control group by random number table method,with 39 cases in each group.The control group was treated with rehabilitation training,and the treatment group was treated with rehabilitation training plus acupuncture based on meridians differentiation and fire needle.Both groups were treated for 4 weeks.The total effective rate was compared between the two groups after 4 weeks of treatment.The shoulder function,edema scores and serum inflammatory factors were compared between the two groups before and after treatment for 4 weeks.Results At the end of the treatment session,the total effective rate of the treatment group was 93.31%,which was higher than that of the control group (71.79%),the difference was statistically significant (P<0.05).The Constant-Murley scale of shoulder function (CMS) scores of the two groups after treatment were higher than those before treatment,the differences were statistically significant (P<0.05).After treatment,the shoulder-hand syndrome scale (SHSS) and edema scores in the two groups were lower than those before treatment,and the differences were statistically signific ant (P<0.05).The CMS score of the treatment group was higher than that of the control group,and the difference was statistically significant (P<0.05).SHSS and edema scores in the treatment group were lower than those in the control group after treatment,the differences were statistically significant (P<0.05).The levels of serum interleukin-6 (IL-6),tumor necrosis factor-α (TNF-α) and high-sensitivity C-reactive protein (hs-CRP) in the two groups after treatment were lower than those before treatment,the differences were statistically significant (P<0.05).After treatment,the levels of IL-6,TNF-α and hs-CRP in the treatment group were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion Acupuncture based on meridians differentiation and fire needle has obvious clinical effect on stage Ⅰshoulder-hand syndrome after stroke,and has obvious effect on improving shoulder joint function and reducing inflammatory reaction.

Key words： Meridians differentiation Acupuncture Fire needle Stroke Shoulder-hand syndrome

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	LIN Qin
	JIANG Jingjing
	HUANG Guirong

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LIN Qin,JIANG Jingjing,HUANG Guirong. Clinical effect of acupuncture based on meridians differentiation and fire needle in the treatment of stage Ⅰshoulder-hand syndrome after stroke[J]. 中国当代医药, 2022, 29(14): 18-21.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I14/18

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