Objective To compare the differences in the clinical effect on post-stroke shoulder hand syndrome(SHS) stage Ⅰ between the along-meridian trochar acupuncture therapy and the routine acupuncture therapy with filiform needles. Me-thods A total of 80 patients with post-stroke SHS stage I were divided into a treatment group(41 cases) and a control group(39 cases) according to the random number table. In the control group

the common filiform needles were used to stimulate Jianyu(LI15)

Jianliao(TE14)

Jianzhen(SI9)

Jianzhongshu(SI15)

Jianwaishu(SI14)

5 times a week

3 weeks as 1 course. In the treatment group

along-meridian trochar acupuncture therapy was applied

3 times a week

3 weeks as 1 course. The patients in both groups were all treated with basic medications and routine rehabilitation training. Pain degree

edema degree

upper limb motor function and activity of daily living were observed in the two groups before the treatment

at the end of the treatment and in follow-up. At the end of treatment and in follow-up

the therapeutic effect was evaluated respectively in the patients of the two groups. Results Compared with the values before treatment

the VAS score of the upper limb was reduced obviously(P< 0.001)

the score of the upper limb motor function and Barthel index were increased obviously(P<0.001

P<0.05) in the patients of the two groups

the score of edema degree of the affected limb was reduced after treatment in the patients of the treatment group(P<0.001). Compared with the control group

VAS score of the upper limb and the score of edema degree of the affected limb were obviously lower(P<0.001)

and the score of the upper limb motor function and Barthel index were obviously higher in the treatment group(P<0.001). The total effective rate was 66.7%(26/39) after treatment and was 74.4%(29/39) in follow-up in the treatment group and they were 20.5%(8/39) and 28.2%(11/39) respectively in the control group. The total effective rates after treatment and in follow-up in the treatment group were all obviously higher than those in the control group respectively(P<0.001). Conclusion The along-meridian trochar acupuncture therapy remarkably relieves pain and edema and improves the upper limb motor function and the activity of daily living in the patients with post-stroke shoulder hand syndrome and its clinical therapeutic effect is definite.