Clinical Effect Observation On Bee-sting Therapy For Pain With Shoulder-hand Syndrome After Stroke

Shoulder-hand syndrome (shoulder hand syndrome, SHS), also known as reflex sympathetic dystrophy (reflex sympathetic dystrophy, RSD), is a common complication of stroke in patients, often occurs during 3-16 weeks after stroke sudden or slow, occult disease,60 years old were more common. Pain, limited mobility, muscular atrophy, loss of function or exercise of the ill upper limb is the main clinical features of such performance. Shoulder-hand syndrome is one of the important element of influence on neurological dysfunction in patients with limb.Chinese medicine has long been recognized in this disease, both its e tiology and pathogenesis and symptoms were expounded in ancient medical w orks. The treatment include mainly Chinese Herbs,fumigation, acupuncture, massage and so on. Bee-sting is a new method of treatment for shoulder-h and syndrome after stroke, based on its anti-inflammatory, analgesic effec ts have been confirmed. Bee-sting therapy set needles, medicine, moxibust ion on the whole, the role of both acupuncture and also the pharmacologic al effects of bee venom. The burning sensation when Bee-sting tail into t he human body is similar the effects with acupuncture and moxibustion, to play warm the meridians, blood-based stasis, swelling pain of power.The t herapy can mitigate pain and swelling, and promote the rehabilitation of stroke. Objective clinical observation for its effectiveness and safety, i n order to open up a new, fast road for the shoulder-hand syndrome post-s troke.Objective:This topic use a randomized controlled trial research metho d, explore the safe and effective treatment of the stroke, the way have h igher value on reducing the morbidity of shoulder hand syndrome after cer ebralpoplexy, further improve the quality of survival in patients with ce rebral apoplexy and the clinical study.Method:72 cases were observed from hospitalized patients, stroke recovery, shoulder-hand syndrome with stageâ… , simply random allocated to treatment group and control group. By randomized single-blind, controlled clinical research method. Treatment group:Using live bee thrust straightly on the acupoints, first put the allergy test. If the skin test is negative, may carry out treatment. Take the affected side acupoints, select the acupoint per pain, meridians and patten of symdrome:Ashi points, JianYu, JianNiao, BiNao, JianQian, Tianjing, WaiGuan, YangChi, HeGu, BaXie. Alternatly,1 to 3acupoints each time. The first time use one bee, after then gradually to 3; one bee per acupoint, leaving needle 10 seconds to 1 minute, once every other day,3 times per week, rest one day follow-up for the next course of treatment,9 times were treated. Control group:Acupoints are the same as the treatment group, Alternatly,8 to 10 acupoints each time. Select lobal brand with 30,1.5-inch needle, run the needle in reducing method combining with inserting,twisting and turning, shutdown when have a strong local sense of soreness and radiation to the upper and lower joints, retented for 30 minutes. Manipulate needle every time 10 minutes, once every day,6 times per week, rest one day follow-up for the next course of treatment,18 times were treated.The treatment group and control group were given rehabilitation training and basic treatment:once daily for rehabilitation training, every 45min, six times a week,18 times were treated. Basic treatment:Citicoline 0.75g in 5% glucose injection or saline injection 250ml, intravenous infusion, day 1, treatment for 21 days. Symptomatic treatment are given on hypertension, diabetes, hyperlipidemia, etc. Respectively assessed pain and analyzed statistically for the two groups before treatment and after.Result:For the bee venom allergy test is positive, put out 6 cases, and 66 cases fall into the statistical analysis.The results are as follows:1. The treatment group that were excellent 20 cases, effective 10 cases and ineffective 2 cases, the total effective rate is 93.75%. The controlgroup were 10 cases,15 cases,9 cases, total effective rate is 73.53%. The total effective rate in treatment group was significantly effective than the control (P<0.05).2. Compared with the gender, age, course of the two group patients by statistical analysis, all P>0.05, the difference was not statistically significant. The two groups compared before treatment VAS points P>0.05, the difference was not statistically significant. The two groups compared before treatment, pain degree integral method points P>0.05, the difference was not statistically significant.3. The treatment group compared with before and after treatment VAS points P<0.01, the difference was statistically significant. The contro 1 group compared with before and after treatment VAS P<0.01, statistica lly significant difference. Comparing with the two groups after treatmen t VAS points P<0.01, the difference was statistically significant.4. The treatment group compared with before and after treatment the pain degree integral method points P<0.01, the difference was statistica lly significant. The control group, compared with before and after treat ment the pain degree integral method points P<0.01, the difference was s tatistically significant. Comparing with the two groups after treatment the pain degree integral method points P<0.01, the difference was statis tically significant.5. During observation, serious adverse bee venom reactions and obvious damage to liver and kidney function were unfound in the two groups patients.Conclusion:Bee-sting therapy for pain with shoulder-hand syndrome after stroke is significant, more better than ordinary acupuncture methed, and no serious adverse reactions, fewer acupoints, rapid effect, low cost, simple operation, and is worth worthy of popularizing.