电针治疗中风后肩手综合征临床及机制研究进展
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摘要
通过检索近年来以电针为主治疗中风后肩手综合征的临床研究文献,并进行归纳分析,以了解近年来以电针为主治疗中风后肩手综合征的临床研究,提高临床疗效。单纯电针以及电针结合艾灸、中药、康复、理疗、穴位注射、刺络拔罐、穴位热敷、中药熏蒸等综合疗法均能有效治疗中风后肩手综合征。以电针为主的疗法可降低交感神经过度兴奋性,缓解血管痉挛,促进血液循环,消除炎症水肿,刺激肌肉收缩,改善肌张力,松解粘连,镇静止痛,恢复患肢神经功能活动,提高患者生活质量,临床上值得推广。
In recent years,the clinical research literature on the treatment of poststroke SHS by electroacupuncture was performed,and the analysis was conducted,to understand the clinical study of electroacupuncture on shoulder hand syndrome(SHS)after stroke in recent years to improve clinical efficacy. The pure electric acupuncture and electroacupuncture combined with moxibustion,traditional Chinese medicine,rehabilitation,physical therapy,acupuncture point injection,coning cupping therapy,acupuncture point hot compress,such as traditional Chinese medicine fumigation comprehensive therapy can effectively treat SHS after stroke. Electroacupuncture-based therapy can reduce excessive sympathetic nerve excitability,relieving vasospasm,promote the blood circulation,eliminate inflammation,oedema,stimulate muscle contraction,improve muscle tension,release the conglutination,calm pain,restore limb nerve function,improve the patients quality of life,is worth promoting clinically.
In recent years,the clinical research literature on the treatment of poststroke SHS by electroacupuncture was performed,and the analysis was conducted,to understand the clinical study of electroacupuncture on shoulder hand syndrome(SHS)after stroke in recent years to improve clinical efficacy. The pure electric acupuncture and electroacupuncture combined with moxibustion,traditional Chinese medicine,rehabilitation,physical therapy,acupuncture point injection,coning cupping therapy,acupuncture point hot compress,such as traditional Chinese medicine fumigation comprehensive therapy can effectively treat SHS after stroke. Electroacupuncture-based therapy can reduce excessive sympathetic nerve excitability,relieving vasospasm,promote the blood circulation,eliminate inflammation,oedema,stimulate muscle contraction,improve muscle tension,release the conglutination,calm pain,restore limb nerve function,improve the patients quality of life,is worth promoting clinically.
引文
[1]叶祥明.脑卒中后肩手综合征的发病机制及综合康复治疗研究进展[J].实用老年医学,2015,29(6):452-456.
[2]徐述.电针配合穴位敷贴治疗中风后肩手综合征的效果观察[J].内蒙古中医药,2017,36(6):126.
[3]韦莉.脑卒中后肩手综合征针灸治疗研究进展[J].实用中医药杂志,2016,32(12):1252-1253.
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[5]李飞,姜天鑫.针刀结合电针和温针灸治疗脑卒中后肩手综合征疗效观察[J].安徽中医药大学学报,2018,37(3):35-38.
[6]盛国滨,王玲,霍金.电针针刺经筋结点治疗中风后肩手综合征的疗效观察[J].中医药信息,2009,26(3):63-64.
[7]彭伟,张晓蓓.齐刺加电针治疗中风后肩手综合征42例[J].中医外治杂志,2013,22(3):46.
[8]黄乃好,徐基民,杨帆,等.电针围刺法治疗脑卒中后肩手综合征临床观察[J].安徽中医药大学学报,2017,36(5):53-56.
[9]张玉红.针刺加电针治疗脑卒中后肩手综合征疗效观察[J].吉林中医药,2010,30(5):421-422.
[10]李伟伟,雷正权,孙玲莉.平衡针灸法联合电针治疗脑卒中后肩手综合征90例疗效观察[J].临床医学研究与实践,2017,2(2):137-138.
[11]王明明,魏宝强,蔡圣朝,等.电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期临床观察[J].针灸临床杂志,2018,34(2):12-15.
[12]朱永刚,苏清伦,赵秦,等.电针结合艾灸治疗中风后肩手综合征30例[J].广西中医药,2011,34(6):25-26.
[13]吴翠萍,于白莉.电针配合穴位注射治疗中风肩手综合征疗效观察[J].山西中医,2014,30(3):22-23.
[14]朱现民,陈煦,胡兴旺.电针结合穴位注射治疗中风后肩手综合征76例[J].甘肃中医,2010,23(11):42-43.
[15]刘晓丽.穴位热敷疗法联合电针治疗风痰阻络型缺血性中风后肩手综合征32例疗效观察[J].海南医学,2011,22(1):28-30.
[16]陆红梅,丁松.电针配合梅花针叩刺后拔罐治疗肩手综合征疗效观察[J].实用中医药杂志,2009,25(5):320-321.
[17]谢晶军,李金霞.电针联合康复训练治疗中风后肩手综合征疗效观察[J].上海针灸杂志,2016,35(12):1423-1425.
[18]尤阳.电针疏密波配合作业疗法治疗脑卒中后肩手综合征的疗效观察[J].中国疗养医学,2014,23(6):509-511.
[19]韦莉.微波结合电针治疗脑卒中后肩手综合征的疗效观察[J].湖北中医杂志,2017,39(6):53-54.
[20]郭光明,李俊.电针结合空气波压力疗法对脑卒中后肩手综合征的康复疗效观察[J].滨州医学院学报,2016,39(4):258-260,268.
[21]吴珏灿,孟祥博,石焱.活血化瘀方联合电针治疗脑卒中后肩手综合征疗效观察[J].新中医,2015,47(9):193-195.
[22]郑书全.电针配合中药治疗肩手综合征疗效分析[J].实用中医药杂志,2010,26(9):598-599.
[23]崔会民,徐晓霞.培补肾阳法联合电针治疗中风后肩手综合征临床研究[J].四川中医,2018,36(5):131-133.
[24]曹少玲,宋晓勤,何洁茹.中药熏蒸配合电针治疗卒中后肩手综合征45例疗效观察[J].甘肃中医学院学报,2012,29(2):42-43.
[25]郭晶,吴金香.中药薰蒸结合电针对预防脑卒中患者肩手综合征的疗效观察[J].护士进修杂志,2018,33(9):823-825.
[26]梁楠,刘宪彤.电针结合康复训练治疗脑卒中后肩手综合征的临床疗效观察[J].中国医药指南,2016,14(25):200-201.
[27]王永正.中药、电针联合康复训练治疗肩手综合征临床疗效观察[J].医学理论与实践,2013,26(16):2182-2183.
[28]蔡琛,孙秋芳,王卫丽,等.斜角肌松解配合颈椎操及电针治疗脑卒中后肩手综合征的疗效[J].齐齐哈尔医学院学报,2017,38(12):1444-1446.
[29]陈慧杰,蔡玉梅,王艳,等.颈夹脊电针结合康复训练对脑卒中后肩手综合征的疗效观察[J].针灸临床杂志,2014,30(5):13-14.
[30]黄小丽,周莹,罗亚晶,等.电针结合手法按摩护理治疗肩手综合征的疗效观察[J].内蒙古中医药,2014,33(13):45-46.
[31]刘姿瑶.康复护理对卒中后肩手综合征发生率影响评价[J].辽宁中医药大学学报,2017,19(6):196-198.
[2]徐述.电针配合穴位敷贴治疗中风后肩手综合征的效果观察[J].内蒙古中医药,2017,36(6):126.
[3]韦莉.脑卒中后肩手综合征针灸治疗研究进展[J].实用中医药杂志,2016,32(12):1252-1253.
[4]杨惠雯.火针配合电针治疗中风后肩手综合征的临床研究[D].广州:广州中医药大学,2016.
[5]李飞,姜天鑫.针刀结合电针和温针灸治疗脑卒中后肩手综合征疗效观察[J].安徽中医药大学学报,2018,37(3):35-38.
[6]盛国滨,王玲,霍金.电针针刺经筋结点治疗中风后肩手综合征的疗效观察[J].中医药信息,2009,26(3):63-64.
[7]彭伟,张晓蓓.齐刺加电针治疗中风后肩手综合征42例[J].中医外治杂志,2013,22(3):46.
[8]黄乃好,徐基民,杨帆,等.电针围刺法治疗脑卒中后肩手综合征临床观察[J].安徽中医药大学学报,2017,36(5):53-56.
[9]张玉红.针刺加电针治疗脑卒中后肩手综合征疗效观察[J].吉林中医药,2010,30(5):421-422.
[10]李伟伟,雷正权,孙玲莉.平衡针灸法联合电针治疗脑卒中后肩手综合征90例疗效观察[J].临床医学研究与实践,2017,2(2):137-138.
[11]王明明,魏宝强,蔡圣朝,等.电针结合药饼灸治疗脑卒中后肩手综合征Ⅰ期临床观察[J].针灸临床杂志,2018,34(2):12-15.
[12]朱永刚,苏清伦,赵秦,等.电针结合艾灸治疗中风后肩手综合征30例[J].广西中医药,2011,34(6):25-26.
[13]吴翠萍,于白莉.电针配合穴位注射治疗中风肩手综合征疗效观察[J].山西中医,2014,30(3):22-23.
[14]朱现民,陈煦,胡兴旺.电针结合穴位注射治疗中风后肩手综合征76例[J].甘肃中医,2010,23(11):42-43.
[15]刘晓丽.穴位热敷疗法联合电针治疗风痰阻络型缺血性中风后肩手综合征32例疗效观察[J].海南医学,2011,22(1):28-30.
[16]陆红梅,丁松.电针配合梅花针叩刺后拔罐治疗肩手综合征疗效观察[J].实用中医药杂志,2009,25(5):320-321.
[17]谢晶军,李金霞.电针联合康复训练治疗中风后肩手综合征疗效观察[J].上海针灸杂志,2016,35(12):1423-1425.
[18]尤阳.电针疏密波配合作业疗法治疗脑卒中后肩手综合征的疗效观察[J].中国疗养医学,2014,23(6):509-511.
[19]韦莉.微波结合电针治疗脑卒中后肩手综合征的疗效观察[J].湖北中医杂志,2017,39(6):53-54.
[20]郭光明,李俊.电针结合空气波压力疗法对脑卒中后肩手综合征的康复疗效观察[J].滨州医学院学报,2016,39(4):258-260,268.
[21]吴珏灿,孟祥博,石焱.活血化瘀方联合电针治疗脑卒中后肩手综合征疗效观察[J].新中医,2015,47(9):193-195.
[22]郑书全.电针配合中药治疗肩手综合征疗效分析[J].实用中医药杂志,2010,26(9):598-599.
[23]崔会民,徐晓霞.培补肾阳法联合电针治疗中风后肩手综合征临床研究[J].四川中医,2018,36(5):131-133.
[24]曹少玲,宋晓勤,何洁茹.中药熏蒸配合电针治疗卒中后肩手综合征45例疗效观察[J].甘肃中医学院学报,2012,29(2):42-43.
[25]郭晶,吴金香.中药薰蒸结合电针对预防脑卒中患者肩手综合征的疗效观察[J].护士进修杂志,2018,33(9):823-825.
[26]梁楠,刘宪彤.电针结合康复训练治疗脑卒中后肩手综合征的临床疗效观察[J].中国医药指南,2016,14(25):200-201.
[27]王永正.中药、电针联合康复训练治疗肩手综合征临床疗效观察[J].医学理论与实践,2013,26(16):2182-2183.
[28]蔡琛,孙秋芳,王卫丽,等.斜角肌松解配合颈椎操及电针治疗脑卒中后肩手综合征的疗效[J].齐齐哈尔医学院学报,2017,38(12):1444-1446.
[29]陈慧杰,蔡玉梅,王艳,等.颈夹脊电针结合康复训练对脑卒中后肩手综合征的疗效观察[J].针灸临床杂志,2014,30(5):13-14.
[30]黄小丽,周莹,罗亚晶,等.电针结合手法按摩护理治疗肩手综合征的疗效观察[J].内蒙古中医药,2014,33(13):45-46.
[31]刘姿瑶.康复护理对卒中后肩手综合征发生率影响评价[J].辽宁中医药大学学报,2017,19(6):196-198.