Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients

ZHANG Huang-xia, LI Zhuang-miao, LUO Wen-nan, LI Xiu-xia, HUANG Hui-xiang, LIN Ying-xin

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (20) : 1-7.

PDF(1089 KB)
PDF(1089 KB)
Journal of Nursing ›› 2024, Vol. 31 ›› Issue (20) : 1-7. DOI: 10.16460/j.issn1008-9969.2024.20.001

Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients

  • ZHANG Huang-xia1, LI Zhuang-miao1, LUO Wen-nan1, LI Xiu-xia2, HUANG Hui-xiang1, LIN Ying-xin1
Author information +
History +

Abstract

Objective To observe the effects of sizi powder jiaozhen yuan-primary points application on pain, shoulder range of motion and upper limb motor function in patients with post-stroke hemiplegic shoulder pain. Methods A total of 128 hospitalized patients with hemiplegic shoulder pain after stroke from April to November 2023 were selected. The included patients were randomly divided into control group (group A), sizi powder yuan-primary points application group (group B), jiaozhen yuan-primary points application group (group C) and sizi powder jiaozhen yuan-primary points application group (group D), with 32 cases in each group. Group A received routine treatment, nursing and rehabilitation training for stroke. On this basis, group B was treated with sizi powder yuan-primary points application; group C with jiaozhen yuan-primary points application; group D with sizi powder jiaozhen yuan-primary points application. The degree of shoulder pain, shoulder range of motion and upper limb motor function of the four groups were evaluated before intervention, 2 weeks and 4 weeks after intervention. Results The degree of shoulder pain in group D was lower than that in group C, B and A after 4 weeks of intervention (P<0.05). The range of motion of shoulder flexion and shoulder abduction in group D was greater than that in group A after 4 weeks of intervention(P<0.05). The upper limb motor function of group D was better than that of group A after 2 weeks and 4 weeks of intervention (P<0.05). Conclusion Sizi powder jiaozhen yuan-primary points application can effectively reduce the degree of shoulder pain and improve the shoulder range of motion, the upper limb motor function in patients with post-stroke hemiplegic shoulder pain.

Key words

stroke / hemiplegic shoulder pain / sizi powder / jiaozhen yuan-primary points method / acupoint application

Cite this article

Download Citations
ZHANG Huang-xia, LI Zhuang-miao, LUO Wen-nan, LI Xiu-xia, HUANG Hui-xiang, LIN Ying-xin. Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients[J]. Journal of Nursing. 2024, 31(20): 1-7 https://doi.org/10.16460/j.issn1008-9969.2024.20.001

References

[1] 李梅,詹乐昌,潘锐焕,等.四子散热敷结合康复训练治疗脑卒中后肩手综合征疗效观察[J].康复学报,2019,29(3):60-65.DOI:10.3724/SP.J.1329.2019.03060.
[2] 李壮苗,燕文娟,刘芳,等.姜黄天灸膏穴位贴敷治疗脑卒中偏瘫肩痛临床疗效观察[J].中国针灸,2023,43(12):1373-1378.DOI:10.13703/j.0255-2930.20230130-0001.
[3] 陈晓枫,程熙,夏敏.穴位贴敷配合康复训练治疗脑卒中后肩痛50例[J].光明中医,2013,28(10):2111-2112.DOI:10.3969/j.issn.1003-8914.2013.10.059.
[4] 张忠,张建斌.承淡安角针原穴法[M].北京:中国中医药出版社,2022:5-68.
[5] 张丽文,王志峰,李平平.主客配穴针刺法治疗脑卒中偏瘫肩痛对疼痛程度和上肢运动功能的影响[J].实用中医药杂志,2021,37(10):1752-1753.
[6] 张崇毅. 黄帝内针结合新Bobath技术对脑卒中后偏瘫肩痛的疗效观察[D].南宁:广西中医药大学,2020.
[7] 彭斌,吴波.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.DOI:10.3760/cma.j.issn.1006-7876.2018.09.004.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J].中华神经科杂志, 2019(12):994-1005. DOI:10.3760/cma.j.issn.1006-7876.2019.12.003.
[9] Hao N, Zhang M, Li Y,et al.Risk factors for shoulder pain after stroke: a clinical study[J]. Pak J Med Sci,2022,38(1):145-149.DOI:10.12669/pjms.38.1.4594.
[10] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.国家标准《经穴名称与定位》[EB/OL].(2021-11-26)[2024-01-30].https://openstd.samr.gov.cn/bzgk/gb/newGbInfo?hcno=397548AE7248D3D87DD15E0AB8107185.
[11] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.国家标准《腧穴定位图》[EB/OL].(2008-07-02)[2024-01-30].https://openstd.samr.gov.cn/bzgk/gb/newGbInfo?hcno=06E8F67105CDAA25AE778E8200459B20.
[12] Stubbs DF.Visual Analogue Scales[J].Br J Clin Pharmacol,1979,7(1):124.DOI:10.1111/j.1365-2125.1979.tb00911.x.
[13] 万丽,赵晴,陈军,等.疼痛评估量表应用的中国专家共识(2020版)[J].中华疼痛学杂志,2020,16(3):177-187.DOI:10.3760/cma.j.cn101379-20190915-00075.
[14] 周媚媚,路微波,李放,等.脑卒中后早期偏瘫肩痛与肩关节被动活动度相关性分析[J].中国运动医学杂志,2015,34(8):798-800.DOI:10.16038/j.1000-6710.2015.08.015.
[15] Hernández ED,Galeano CP,Barbosa NE, et al.Intra-and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke[J].J Rehabil Med,2019,51(9):652-659.DOI:10.2340/16501977-2590.
[16] 中华中医药学会护理分会.关于公布中华中医药学会护理分会18项中医护理技术评分标准的通知[EB/OL].(2016-08-30)[2022-08-18].http://www.cacm.org.cn/zhzyyxh/tzgg/201608/d8e0b917505542a0a05552f28105bd21.shtml.
[17] 李壮苗,吴燕华,黄美玲,等.四子散盐熨手三阴经筋对脑卒中偏瘫患者上肢痉挛的影响[J].护理学杂志,2020,35(19):7-10.DOI:10.3870/j.issn.1001-4152.2020.19.007.
[18] 杨春启,连闻雨,王宇光,等.吴茱萸碱药理与毒理研究进展[J].中国中药杂志,2021,46(20):5218-5225.DOI:10.19540/j.cnki.cjcmm.20210518.602.
[19] 阮世发,乡世健,安佰超,等.白芥子挥发油促进冬病夏治方经皮渗透研究[J].中药新药与临床药理,2018,29(2):155-162.DOI:10.19378/j.issn.1003-9783.2018.02.006.
[20] 张良琦,李文姣,肖美凤.紫苏不同部位活性成分比较及其药理作用研究进展[J].中国中药杂志,2023,48(24):6551-6571.DOI:10.19540/j.cnki.cjcmm.20230813.201.
[21] 贾蔷,阴启明,李运伦,等.莱菔子化学成分及药理作用研究概况[J].山东中医药大学学报,2023,47(6):805-811.DOI:10.16294/j.cnki.1007-659x.2023.06.021.
[22] 顾琦,魏旭超,刘露,等.基于网络药理学探讨辛热中药挥发油外用的药效物质基础及潜在分子机制[J].中草药,2021,52(5):1383-1392.DOI:10.7501/j.issn.0253-2670.2021.05.019.
[23] 唐家威,谢芳.揿针疗法的临床应用研究进展[J].中医研究,2023, 36(1):92-96.DOI:10.3969/j.issn.1001-6910.2023.01.24.
[24] 吴偲,陈秀华.泗滨砭石作用机理探究[C]//中国针灸学会砭石与刮痧专业委员会.2016中国针灸学会砭石与刮痧专业委员会学术年会论文集.广州:广州中医药大学第二临床医学院,2016:93-95.
[25] 李壮苗,余梦婷,刘芳,等.艾盐包热熨手三阳经对脑卒中偏瘫患者上肢运动功能的影响[J].护理学报,2023,30(6):61-67.DOI:10.16460/j.issn1008-9969.2023.06.061.
PDF(1089 KB)

Accesses

Citation

Detail

Sections
Recommended

/