星状神经节阻滞配合间歇式气压治疗脑卒中后肩-手综合征  

Stellate Ganglion Block Combined with Intermittent Air Pressure in Treatment of Stroke Patients Complicated Shoulder-hand Syndrome

作　　者：刘经星[1] 王德利[1] 孙锋[1] 赵静[1] 周游[1] 杨翊[1] 

机构地区：[1]湖北医药学院附属人民医院康复科,湖北十堰442000

出　　处：《湖北医药学院学报》2012年第6期492-495,共4页Journal of Hubei University of Medicine

摘　　要：目的:探讨采用星状神经节阻滞配合间歇式气压治疗脑卒中致偏瘫患者肩-手综合征的临床疗效。方法:选取脑卒中后肩-手综合征偏瘫患者60例,随机分为两组(n=30),对照组患者采用药物及间歇式气压进行常规康复治疗,观察组在对照组基础上加用星状神经节阻滞。两组患者治疗前后用目测类比评分法(VAS)、Fugl-Meyer评分(FMA)、改良Barthel指数(MBI)评分和肿胀评定法,综合评定治疗效果。结果:两组患者治疗后疼痛、水肿程度,上肢运动功能和日常生活活动能力评分较治疗前均有明显改善(P<0.05),观察组优于对照组(P<0.05),且临床总有效率也优于对照组(P<0.05)。结论:星状神经节阻滞配合间歇式气压治疗脑卒中后肩-手综合征疗效优于常规气压治疗。Objective To investigate the clinical effects of intermittent pressure combined stellate ganglion block on the treatment of shoulder-hand syndrome in stroke patients with hemiplegia.Methods A total of 60 cases of stroke patients with hemiplegia that complicated with shoulder-hand syndrome were enrolled in this study.They were randomly divided into observation group and control group(n=30).All patients were underwent intermittent air pressure massage for conventional rehabilitation,meanwhile the patients in observation group were underwent stellate ganglion block additionally.The visual analog scale(VAS),Fugl-Meyer assessment(FMA),modified Barthel index(MBI) and swelling evaluation method were used to evaluate therapeutic effects.Results The levels of pain and swelling,motor function of upper limb,VAS,FMA,MBI were all improved after treatment,meanwhile the curative effects and effective rate in observation group were better than those in control group(all P<0.05).Conclusion The curative effect of intermittent air pressure combined stellate ganglion block in treating shoulder-hand syndrome of stroke patients is better than single air pressure treatment.

关 键 词：脑卒中 星状神经节阻滞 间歇式气压治疗 肩-手综合征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]