中西医结合康复治疗中风后肩手综合征40例疗效观察  

Observations on the Efficacy of Chinese Herb Prescription Lotion Plus Rehabilitation Training in Treating Postapoplectic Shoulder-Hand Syndrome

作　　者：詹乐昌[1] 陈红霞[1] 谢仁明[1] 欧海宁[1] 

机构地区：[1]广东省中医院康复科,广东广州510120

出　　处：《中华中医药学刊》2010年第12期2526-2527,共2页Chinese Archives of Traditional Chinese Medicine

基　　金：国家高技术研究发展计划(863)资助项目(2007AA02C4B2)

摘　　要：目的:观察中西医结合康复治疗中风后并发肩手综合征(SHS)的临床疗效。方法:将40例患者进行中西医结合康复治疗,治疗前后采用Fugl—Meyer运动功能量表(上肢部分)评定患侧上肢的运动功能,视觉模拟评分法(VAS)评定患侧肩痛,改良的Barthel指数评定日常生活活动能力。结果:治疗后Fugl—Meyer运动功能评分、改良的Barthel指数均较治疗前提高,视觉模拟类比评分(VAS)较治疗前降低,差异均有显著性意义。结论:中西医结合康复治疗SHS可有效缓解疼痛,促进患肢运动功能及日常生活能力的恢复。Objective： To investigate the efficacy of Chinese herb prescription lotion plus rehabilitation training in the treatment ofshoulder-hand syndrome（SHS）following stroke.Methods： 40 post stroke patients with SHS were recruited in the study.The patients were randomly divided into two groups;Chinese herb prescription lotion combined rehabilitation training（treatment group）and simply rehabilitation training（control group）.The shoulder pain was assessed by Visual Analogue Scale（VAS）,Fugle-Meyer Assessment（FMA）and modified Bathel index（MBI）at the baseline,3-weeks after treatment.Results：The sores of VAS,FMA and MBI after 3 weeks differents between treatment group and control group significantly.（P0.05）Patients in treatment group were better than control group.Both groups improved on VAS.FMA.MBI.post-treatment.Conclusion Chinese herb prescription lotion plus Rehabilitation Training is likely to be an effective technique to treat shoulder-hand syndrome,which is better than rehabilitation training simply.

关 键 词：中风后肩手综合征 中西医结合 康复治疗 

分 类 号：R255.2[医药卫生—中医内科学]