微创医学

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皮肤交感反应（SSR）和体感诱发电位（SEP）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和对照组，各80例，对照组予以常规康复治疗，治疗组在对照组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。观察两组治疗前后患侧上肢SSR、SEP N9、SEP N20的潜伏期和波幅的变化，并比较其临床疗效。结果治疗后，两组SSR、SEP N9及SEP N20潜伏期均明显短于治疗前，两组SSR及治疗组SEP N20波幅明显大于治疗前，且治疗组优于对照组（均P＜0.05）；治疗组临床疗效优于对照组（P＜0.05）。结论星状神经节为主的穴位埋线联合常规康复可缩短SSR、SEP N9及N20的潜伏期，提高SSR、SEP N20的波幅, 有效改善卒中后肩手综合征患者的肢体功能。

ObjectiveTo explore the effects of stellate ganglion mainly embedded at the acupoint catgut combined with conventional rehabilitation on skin sympathetic response (SSR) and somatosensory evoked potential (SEP) 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 conventional rehabilitation treatment, based on which the treatment group was treated additionally with stellate ganglion mainly embedded at the acupoint catgut, for a four-week treatment in both groups. The pre- and post-treatment changes of latency and amplitude of SSR, SEP N9 and SEP N20 in affected upper limb were observed, and the clinical efficacy was compared. ResultsThe latency of SSR, SEP N9 and SEP N20 in both groups was significantly shorter after treatment than before treatment, whereas the amplitude of SSR in both groups, and of SEP N20 in the treatment group was greater after treatment than before treatment, with the changes in the treatment group more obvious (all P＜0.05).The clinical efficacy in the treatment group was superior to that in the control group (P＜0.05). ConclusionThe stellate ganglion mainly embedded at the acupoint catgut combined with conventional rehabilitation can shorten the latency of SSR, SEP N9 and SEP N20, increase the amplitude of SSR and SEP N20, and effectively improve the limb function in patients with post-stroke shoulder-hand syndrome.