【摘要】 目的 观察刘氏毫火针结合骨骼肌冲击波治疗卒中后肩手综合征（SHS）的临床疗效。方法 将90例卒中后SHS患者按照随机数字表法分为毫火针组、冲击波组和联合组。3组均接受常规治疗，在此基础上，3组分别采用刘氏毫火针治疗、骨骼肌冲击波治疗和刘氏毫火针与骨骼肌冲击波联合治疗，均治疗1个月。治疗前和治疗1个月时分别采用改良Rankin量表（mRS）、脑卒中生活质量量表（SS-QOL）、数字等级评定量表（NRS）和肩关节被动活动度（PROM）评估临床疗效。结果 治疗1个月后，联合组的总有效率（96.67%）明显优于毫火针组（80.00%）、冲击波组（73.33%）(P <0.05)。联合组的mRS、SS-QOL、NRS评分及肩关节PROM优于冲击波组（P <0.05），联合组mRS、SS-QOL、NRS评分及肩关节外展PROM优于毫火针组（P <0.05），肩关节前屈PROM与毫火针组差异不明显（P> 0.05）。结论 刘氏毫火针联合骨骼肌冲击波治疗卒中后SHS能有效减轻疼痛和改善肩关节功能，提高患者的生活质量。更多还原

【Abstract】 Objective:To explore the clinical efficacy of Liu′s filiform-heated needling combined with skeletalmuscle shock wave for the treatment of post-stroke shoulder-hand syndrome(SHS). Methods:Totally 90 patients with post-stroke SHS were randomly divided into 3 groups using a random number table method:the Liu′s filiform-heated needling group,the shock wave group and the combined treatment group. 3 groups all received conventional treatment,among which the Liu′s filiform-heated needling group received Liu′s filiform-heated needling,the shock wave group received skeletal-muscle shock wave treatment,and the combined treatment group received a combination of Liu′s filiform-heated needling and skeletal-muscle shock wave treatment,lasting for 1 month.The condition of 3 groups was evaluated using the Modified Rankin Scale(mRS),stroke quality of life scale(SS-QOL),numerical rating scale(NRS),and shoulder passive range of motion(PROM) before treatment and 1months after treatment. Results:After 1 month of treatment,the total effective rate of the combined treatment group(96.67%)was significantly better than that of the Liu′s filiform-heated needling group(80.00%)and the shock wave group(73.33%)(P < 0.05). The m RS,SS-QOL,NRS scores,and shoulder joint PROM of the combined treatment group were better than those of the shock wave group(P < 0.05),while the m RS,SS-QOL,NRS scores,and shoulder joint abduction PROM of the combined treatment group were better than those of the Liu’s filiformheated needling group(P < 0.05). There was no significant difference in shoulder joint flexion PROM between the combined treatment group and the Liu′s filiform-heated needling group(P > 0.05). Conclusion:The therapy of Liu′s filiform-heated needling combined with skeletal-muscle shock wave for post-stroke SHS can make good performance on alleviating pain,improving shoulder joint function and the quality of patients′ daily life.更多还原