针药合用辅助康复锻炼对中风后肩手综合征患者Fugl-Meyer评分及生活质量的影响

发布时间：2018-03-23 20:49

本文选题：针灸　切入点：中药熏洗　出处：《中华中医药学刊》2017年08期

【摘要】：目的:研究针药合用辅助康复锻炼对中风后肩手综合征患者Fugl-Meyer评分及生活质量的影响。方法:选择2014年1月—2016年6月在医院接受治疗的中风后肩手综合征患者130例。用随机数表法分为对照组和观察组,每组各65例,对照组患者进行康复锻炼,观察组患者在对照组的基础上配合针灸和中药熏洗治疗。比较两组患者的疗效、VAS评分、FMA评分、SHSS评分、肿胀积分、BI评分和生活质量。结果:观察组患者的总有效率为89.23%,对照组患者的总有效率为75.38%,差异有统计学意义(P0.05)。治疗后观察组患者的SHSS评分为(3.89±1.36)分,低于对照组;FMA评分为(47.28±9.75)分,高于对照组,与治疗前两组相比均有明显改善,差异明显(P0.05)。观察组患者治疗后的VAS评分与肿胀积分分别为(1.42±0.56)、(1.05±0.92)分,均比对照组低;与治疗前相比,两组患者的评分均明显下降,差异显著(P0.05)。治疗后,两组患者的BI评分和生活质量评分均上升,观察组患者的BI评分为(78.43±10.35)分,生活质量评分为(214.86±28.14)分,上升幅度更明显,差异有统计学意义(P0.05)。结论:针药合用辅助康复锻炼可以提高中风后肩手综合征患者的疗效,提高上肢运动功能和日常生活能力,减轻手部肿胀程度和肩痛程度,提高患者的生活质量。
[Abstract]:Objective: to study the effect of acupuncture and medicine combined with auxiliary rehabilitation exercise on Fugl-Meyer score and quality of life of patients with shoulder hand syndrome after stroke. Methods: patients with shoulder hand syndrome after stroke who were treated in hospital from January 2014 to June 2016 were selected. The method was divided into two groups: the control group and the observation group. There were 65 patients in each group, the patients in the control group were treated with rehabilitation exercise, and the patients in the observation group were treated with acupuncture and Chinese medicine fumigation on the basis of the control group. The curative effect of the two groups was compared with VAS score and FMA score and SHSS score. Results: the total effective rate of the patients in the observation group was 89.23, the total effective rate in the control group was 75.38, the difference was statistically significant (P 0.05). After treatment, the SHSS score of the patients in the observation group was 3.89 卤1.36, which was lower than that in the control group (47.28 卤9.75). The VAS score and swelling score of the patients in the observation group after treatment were 1.42 卤0.56 and 1.05 卤0.92, respectively, which were lower than those in the control group, and the scores of the two groups were significantly lower than those of the control group. After treatment, the BI score and quality of life score of the two groups increased significantly, the BI score of the observation group was 78.43 卤10.35, and the quality of life score was 214.86 卤28.14, which was more obvious. Conclusion: the combination of acupuncture and medicine combined with rehabilitation exercise can improve the curative effect of patients with shoulder and hand syndrome after stroke, improve the upper limb motor function and daily life ability, reduce the degree of hand swelling and shoulder pain. Improve the quality of life of patients.
【作者单位】：鄂州职业大学医学院;鄂州市华仁康复医院;
【分类号】：R255.2

【相似文献】