冰红酒剂配合康复训练对缺血性脑卒中后肩手综合征早期的临床研究
发布时间：2018-08-04 14:20
【摘要】：目的:通过观察冰红酒剂配合康复训练对缺血性脑卒中后肩手综合征早期(热壅血瘀证)患者治疗前后肿胀、疼痛和上肢运动功能指标、中医证候积分的变化,初步探讨冰红酒剂配合康复训练治疗脑卒中后肩手综合征早期的临床疗效及安全性,从而选择更有效、简便及安全的综合方法应用于临床。方法:从河南中医药大学第一附属医院脑病医院住院病人中收集符合纳入标准的病例60例,按简单随机数字表法随机分为两组,即治疗组和对照组,每组各30例,治疗组给予基础治疗+康复训练+冰红酒剂,对照组给予基础治疗+康复训练,共治疗2周,治疗前后用肿胀程度评分、目测类比疼痛评分(VAS)、Fugl-Meyer简化上肢运动功能评分量表评分(FMA)、中医证候积分来比较两组治疗前后在肿胀、疼痛、上肢运动功能及中医证候等方面的积分变化,同时观察治疗前后治疗方案的总体临床疗效及安全性。结果:1.两组病人一般资料比较(年龄、性别、神经功能缺损评分)均无明显差异(P0.05),表明具有可比性。治疗组显效12例,好转15例,无效3例,总有效率90.00%;对照组显效3例,好转20例,无效7例,总有效率76.67%。两组总体疗效比较,冰红酒剂组与康复训练组比较有显著性差异(P0.05)。结果表明,冰红酒剂组疗效明显优于康复训练组。2.对于肿胀评分:两组治疗前肿胀评分比较无显著差异(P0.05),治疗后两组均较治疗前有显著差异(P0.05),治疗后治疗组与对照组间有统计学差异(P0.05)。3.对于疼痛评分:两组治疗前VAS评分比较无显著差异(P0.05)。两组治疗后与治疗前比较皆有显著性差异(P0.05),且治疗组的降低疼痛效果优于对照组(P0.05)。4.对于上肢运动功能评分:治疗前各组间上肢简化FMA评分比较无显著性差异(P0.05)。两组治疗后上肢简化FMA评分与治疗前比较均有显著性差异(P0.05)。治疗后冰红酒剂组FMA评分与康复训练组比较有显著性差异(P0.05)。5.对于中医证候积分:治疗前两组中医证候积分比较无显著差异(P0.05),具有可比性,治疗后两组中医证候积分均较治疗前有统计学差异(P0.05),两组治疗后中医证候积分比较,治疗组较对照组有显著差异(P0.05)。结论:对中风后肩手综合征早期(热壅血瘀证)患者采取冰红酒剂配合康复训练及康复训练均能有效减轻其水肿、疼痛程度,改善其上肢运动功能、改善临床症状。冰红酒剂组疗效明显优于康复训练组,冰红酒剂配合康复训练在中风后肩手综合征早期的治疗中具有良好的协同作用,可以提高临床综合疗效、同时安全可靠。
[Abstract]:Objective: To observe the early clinical effect of ice red liquor and rehabilitation training on the early stage of shoulder hand syndrome after stroke by observing the changes of swelling, pain and upper limb movement function and TCM syndrome score before and after the treatment of the early stage of the shoulder hand syndrome after the treatment of ischemic stroke. To select more effective, simple and safe comprehensive methods used in clinical. Methods: 60 cases of hospitalized patients in the First Affiliated Hospital of Henan University of traditional Chinese medicine were collected and randomly divided into two groups according to the simple random digital table method, that is, the treatment group and the control group, each group of 30 cases, the treatment group was given the basis. Base therapy + rehabilitation training + ice red wine, the control group was given basic treatment plus rehabilitation training for 2 weeks. After treatment, the swelling degree score, visual analogue pain score (VAS), Fugl-Meyer simplified upper limb motor function score scale score (FMA), TCM syndrome score were used to compare the swelling, pain, upper limb movement function and middle of the two groups before and after treatment. The overall clinical efficacy and safety of the treatment plan before and after treatment were observed and the overall clinical efficacy and safety were observed before and after treatment. Results: 1. the general data of the two groups (age, sex, nerve function defect score) had no significant difference (P0.05), indicating that there were 12 cases in the treatment group, 15 cases improved, 3 cases ineffective, and the total effective rate of 90%; The results were 3 cases, 20 cases improved, 7 cases were invalid, the total effective rate of 76.67%. two group was compared, the ice red wine group and the rehabilitation training group had significant difference (P0.05). The results showed that the effect of ice red wine group was obviously better than that of the rehabilitation training group (.2.) for swelling score: there was no significant difference between the two groups before treatment (P0.05), after treatment, the treatment group had no significant difference (P0.05). There was significant difference between the two groups before the treatment (P0.05). There was a statistical difference between the treatment group and the control group (P0.05).3. for the pain score: there was no significant difference between the two groups before the treatment (P0.05). The two groups were significantly different from those before the treatment (P0.05), and the effect of the treatment group was better than the control group (P0.05).4.. There was no significant difference (P0.05) in the simplified FMA score of upper limbs between the groups before treatment (P0.05). There was significant difference between the two groups after treatment and before treatment (P0.05). The FMA score of the ice red wine group after treatment was significantly different from that of the rehabilitation training group (P0.05).5. for TCM syndrome score: treatment and treatment. There was no significant difference (P0.05) between the two groups of TCM syndrome scores before treatment. The scores of TCM syndromes in the two groups after treatment were significantly different than before treatment (P0.05). Compared with the control group after the two groups, the treatment group had a significant difference (P0.05). Conclusion: the patients in the early stage of the shoulder hand syndrome after apoplexy (heat congestion and blood stasis syndrome) were collected. Ice and red wine combined with rehabilitation training and rehabilitation training can effectively reduce the edema, the degree of pain, improve the function of the upper limb and improve the clinical symptoms. The effect of ice red wine agent group is obviously better than that of the rehabilitation training group. Ice red wine and rehabilitation training have good synergy in the treatment of the early stage of shoulder hand syndrome after apoplexy. High clinical comprehensive curative effect, at the same time safe and reliable.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7
本文编号：2164152
[Abstract]:Objective: To observe the early clinical effect of ice red liquor and rehabilitation training on the early stage of shoulder hand syndrome after stroke by observing the changes of swelling, pain and upper limb movement function and TCM syndrome score before and after the treatment of the early stage of the shoulder hand syndrome after the treatment of ischemic stroke. To select more effective, simple and safe comprehensive methods used in clinical. Methods: 60 cases of hospitalized patients in the First Affiliated Hospital of Henan University of traditional Chinese medicine were collected and randomly divided into two groups according to the simple random digital table method, that is, the treatment group and the control group, each group of 30 cases, the treatment group was given the basis. Base therapy + rehabilitation training + ice red wine, the control group was given basic treatment plus rehabilitation training for 2 weeks. After treatment, the swelling degree score, visual analogue pain score (VAS), Fugl-Meyer simplified upper limb motor function score scale score (FMA), TCM syndrome score were used to compare the swelling, pain, upper limb movement function and middle of the two groups before and after treatment. The overall clinical efficacy and safety of the treatment plan before and after treatment were observed and the overall clinical efficacy and safety were observed before and after treatment. Results: 1. the general data of the two groups (age, sex, nerve function defect score) had no significant difference (P0.05), indicating that there were 12 cases in the treatment group, 15 cases improved, 3 cases ineffective, and the total effective rate of 90%; The results were 3 cases, 20 cases improved, 7 cases were invalid, the total effective rate of 76.67%. two group was compared, the ice red wine group and the rehabilitation training group had significant difference (P0.05). The results showed that the effect of ice red wine group was obviously better than that of the rehabilitation training group (.2.) for swelling score: there was no significant difference between the two groups before treatment (P0.05), after treatment, the treatment group had no significant difference (P0.05). There was significant difference between the two groups before the treatment (P0.05). There was a statistical difference between the treatment group and the control group (P0.05).3. for the pain score: there was no significant difference between the two groups before the treatment (P0.05). The two groups were significantly different from those before the treatment (P0.05), and the effect of the treatment group was better than the control group (P0.05).4.. There was no significant difference (P0.05) in the simplified FMA score of upper limbs between the groups before treatment (P0.05). There was significant difference between the two groups after treatment and before treatment (P0.05). The FMA score of the ice red wine group after treatment was significantly different from that of the rehabilitation training group (P0.05).5. for TCM syndrome score: treatment and treatment. There was no significant difference (P0.05) between the two groups of TCM syndrome scores before treatment. The scores of TCM syndromes in the two groups after treatment were significantly different than before treatment (P0.05). Compared with the control group after the two groups, the treatment group had a significant difference (P0.05). Conclusion: the patients in the early stage of the shoulder hand syndrome after apoplexy (heat congestion and blood stasis syndrome) were collected. Ice and red wine combined with rehabilitation training and rehabilitation training can effectively reduce the edema, the degree of pain, improve the function of the upper limb and improve the clinical symptoms. The effect of ice red wine agent group is obviously better than that of the rehabilitation training group. Ice red wine and rehabilitation training have good synergy in the treatment of the early stage of shoulder hand syndrome after apoplexy. High clinical comprehensive curative effect, at the same time safe and reliable.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7
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