针刺、中药熏洗结合康复训练治疗缺血性脑卒中后Ⅰ期肩手综合征的临床研究
发布时间：2019-07-09 20:08
【摘要】：目的：评价针刺、中药熏洗结合康复训练治疗缺血性脑卒中后Ⅰ期肩手综合征的临床疗效及可行性,为临床治疗脑卒中后肩手综合征综合方案的优化提供参考。方法：将60例缺血性脑卒中后Ⅰ期肩手综合征患者按简单随机方法分为治疗组和对照组,每组30例。在西医常规内科治疗的基础上,对照组采用单纯康复训练治疗,治疗组在对照组的基础上加用针刺、中药熏洗治疗。共治疗4周,分别于治疗前、治疗2周、4周后及治疗结束1个月后随访时进行简式上肢FMA评分、VAS评分、肿胀评分、BⅠ评分以评价肩手综合征改善情况。结果：1.治疗前两组简式上肢FMA评分组间比较无显著差异(P0.05),具有可比性。治疗结束后,与治疗前组内比较及两组组间比较均有显著差异(P0.05),治疗组优于对照组。2.治疗前两组VAS评分组间比较无显著差异(P0.05),具有可比性。治疗结束后,与治疗前组内比较及两组组间比较均有显著差异(P0.05),治疗组优于对照组。3.治疗前两组肿胀评分组间比较无显著差异(P0.05),具有可比性。治疗结束后,两组评分组间比较无显著差异(P0.05),但治疗组评分变化趋势优于对照组；与治疗前比较两组内均有显著差异(P均0.05)。4.治疗前两组BI评分组间比较无显著差异(P0.05),具有可比性。治疗结束后,两组评分组间比较无显著差异(P0.05),但治疗组评分变化趋势优于对照组；与治疗前比较两组内均有显著差异(P均0.05)。5.治疗结束1个月后随访,两组患者在简式上肢FMA、VAS、肿胀及BI评分上,与治疗结束时比较,均无明显差异(P均0.05),病情相对稳定,即两种治疗方案均有着较好的远期临床疗效。结论：1.对缺血性脑卒中后Ⅰ期肩手综合征患者采取针刺、中药熏洗结合康复训练或单纯康复训练治疗均能有效减轻其患肢疼痛、肿胀程度,改善上肢运动功能,提高日常生活能力,并均有较理想的长期疗效。2.采取针刺、中药熏洗结合康复训练治疗缺血性脑卒中后工期肩手综合征在减轻患肢疼痛程度,改善上肢运动功能方面明显优于单纯康复训练治疗：在减轻患肢肿胀、提高患者日常生活能力方面比单纯康复训练治疗更具优势,且治疗时间越久,优势越为明显。3.针刺、中药熏洗结合康复训练治疗缺血性脑卒中后工期肩手综合征的安全性高,疗效可靠。
[Abstract]:Objective: to evaluate the clinical efficacy and feasibility of acupuncture, traditional Chinese medicine fumigation and washing combined with rehabilitation training in the treatment of stage I shoulder-hand syndrome after ischemic stroke, and to provide reference for the optimization of comprehensive scheme for clinical treatment of shoulder-hand syndrome after stroke. Methods: sixty patients with stage I shoulder-hand syndrome after ischemic stroke were randomly divided into treatment group (n = 30) and control group (n = 30). On the basis of routine medical treatment in western medicine, the control group was treated with simple rehabilitation training, and the treatment group was treated with acupuncture and traditional Chinese medicine fumigation and washing on the basis of the control group. A total of 4 weeks of treatment were performed to evaluate the improvement of shoulder-hand syndrome by simple upper limb FMA score, VAS score, swelling score and B 鈪，
本文编号：2512413
[Abstract]:Objective: to evaluate the clinical efficacy and feasibility of acupuncture, traditional Chinese medicine fumigation and washing combined with rehabilitation training in the treatment of stage I shoulder-hand syndrome after ischemic stroke, and to provide reference for the optimization of comprehensive scheme for clinical treatment of shoulder-hand syndrome after stroke. Methods: sixty patients with stage I shoulder-hand syndrome after ischemic stroke were randomly divided into treatment group (n = 30) and control group (n = 30). On the basis of routine medical treatment in western medicine, the control group was treated with simple rehabilitation training, and the treatment group was treated with acupuncture and traditional Chinese medicine fumigation and washing on the basis of the control group. A total of 4 weeks of treatment were performed to evaluate the improvement of shoulder-hand syndrome by simple upper limb FMA score, VAS score, swelling score and B 鈪，
本文编号：2512413
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