目的探讨星状神经节为主的穴位埋线联合常规康复对卒中后肩手综合征患者疼痛、上肢运动功能、血清细胞炎性因子的影响。方法将160例卒中后肩手综合征患者随机分为治疗组及对照组,各80例,对照组运用常规康复治疗进行干预,治疗组在常规康复的基础上予以星状神经节为主的穴位埋线治疗,两组均治疗4周。观察两组治疗前后视觉模拟评分(VAS)、改良Fugl-Meyer评定量表(FMA)和改良Barthel指数(MBI)、血清白细胞介素-1(IL-1)、肿瘤坏死因子-α(TNF-α)水平的变化。结果治疗后,两组VAS评分、血清IL-1和TNF-α水平均降低,且治疗组低于对照组;两组FMA、MBI评分均升高,且治疗组高于对照组(均P<0.05)。结论星状神经节为主的穴位埋线联合常规康复治疗卒中后肩手综合征,能改善患者上肢运动功能,降低VAS评分,有效抑制细胞炎性反应,从而减轻卒中后肩手综合征患者的关节水肿和疼痛。
ObjectiveTo explore the effects of acupoint catgut embedding mainly in stellate ganglion combined with conventional rehabilitation on pain, upper limbs motor function and serum inflammatory factors in patients with post-stroke shoulder-hand syndrome. MethodsA total of 160 patients with post-stroke shoulder-hand syndrome were randomly divided into treatment group or control group, with 80 cases in each group. The control group received routine rehabilitation treatment, based on which the treatment group was treated with acupoint catgut embedding mainly in stellate ganglion, with a course of four-week for both groups. The changes in visual analogue scale (VAS) score, modified Fugl-Meyer assessment (FMA) score , modified Barthel index (MBI), as well as serum interleukin-1 (IL-1) and tumor necrosis factor-α (TNF-α) level were observed in both groups before and after treatment. ResultsAfter treatment, the VAS scores and the serum levels of IL-1 and TNF-α decreased in both group, and the score and levels were lower in the treatment group than in the control group; the FMA and MBI scores in both groups increased, and the scores were higher in the treatment group than in the control group (all P<0.05). ConclusionAcupoint catgut embedding mainly in stellate ganglion combined with conventional rehabilitation can improve the upper limbs motor function, reduce the VAS score, inhibit effectively the cellular inflammatory response, and thus reduce the edema and pain of the joint in patients with post-stroke shoulder-hand syndrome.