Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1397-1401
ZHENG Qi, GAO Xia, CHAI Jie, HONG Feng. Clinical study of relaxing needling at meridian-muscle nodes combined with traditional Chinese medicine fumigation in the treatment of patients with shoulder-hand syndrome after stroke[J]. Chinese Journal of General Practice, 2023, 21(8): 1397-1401. doi: 10.16766/j.cnki.issn.1674-4152.003131
Citation: ZHENG Qi, GAO Xia, CHAI Jie, HONG Feng. Clinical study of relaxing needling at meridian-muscle nodes combined with traditional Chinese medicine fumigation in the treatment of patients with shoulder-hand syndrome after stroke[J]. Chinese Journal of General Practice, 2023, 21(8): 1397-1401. doi: 10.16766/j.cnki.issn.1674-4152.003131
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Clinical study of relaxing needling at meridian-muscle nodes combined with traditional Chinese medicine fumigation in the treatment of patients with shoulder-hand syndrome after stroke

doi: 10.16766/j.cnki.issn.1674-4152.003131
  • 1.

    Department of Acupuncture, the People ' s Hospital of Bozhou, Bozhou, Anhui 236800, China

Funds:

 2020zcyb06

  • Received Date: 2023-05-12
    Available Online: 2023-09-13
    Abstract
  •   Objective  Shoulder-hand syndrome (SHS) after stroke can lead to limb dysfunction, and the long-term efficacy of conventional drug therapy and functional training is not so ideal, this study investigates the clinical effects of relaxing needling at meridian-muscle nodes combined with traditional Chinese medicine (TCM) fumigation in the treatment of SHS.  Methods  A total of 80 patients with SHS after stroke who were admitted to the People ' s Hospital of Bozhou from May 2020 to July 2021 were selected and divided into experimental group (40 cases) and control group (40 cases) by random number table method. The control group was given conventional treatments, functional exercise of shoulder and hand joints and traditional Chinese medicine fumigation. On this basis, the experimental group was treated with relaxing needling at meridian-muscle nodes. The pain visual analogue scale (VAS) scores, Fugl-Meyer assessment (FMA) scores, shoulder joint range of motion, hemodynamic indicators, TCM syndrome scores and total response rate were compared between the two groups.  Results  After treatment, the VAS score of the experimental group was 2.87±0.65, which was significantly lower than 3.51±0.84 of the control group (t=3.811, P < 0.001); The FMA score was 54.28±6.17, which was significantly higher than 49.36±7.58 of the control group (t=3.184, P=0.002); The lifting motion of shoulder joint in test group [(40.72±3.16)°] was significantly higher than that in control group [(36.85±4.73)°, t=4.303, P < 0.001]; Abductive range of motion of shoulder joint in experimental group [(70.16±4.28)°] was significantly higher than that in control group [(66.59±5.34)°, t=3.299, P=0.002]. Whole blood high-shear viscosity, whole blood low-shear viscosity, plasma viscosity and TCM syndrome scores were significantly lower than those in the control group (all P < 0.05). The total clinical response rate in the experimental group (90.00%, 36/40) was significantly higher than that in the control group (67.50%, 27/40, χ2=6.050, P=0.014).  Conclusion  The treatment of SHS after stroke with relaxing needling at meridian-muscle nodes combined with traditional Chinese medicine fumigation can effectively relieve pain and improve limb motor function, shoulder joint range of motion and hemodynamics, with significant curative effect.

     

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