银质针结合系统康复治疗脑卒中后肩-手综合征的临床分析  

Effect of Silver Needle with Systematical Rehabilitation on Shoulder-hand Syndrome after Stroke

作　　者：农文军 段朝霞 安平 吴玉花 陆燕云 徐秀红 李彦清 

机构地区：[1]广西骨伤医院,广西南宁市530012

出　　处：《中国康复理论与实践》2012年第2期107-110,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：广西科学基金项目(桂科自0991229)

摘　　要：目的探讨银质针结合系统康复治疗脑卒中后肩-手综合征(SHS)患者的效果。方法 80例社区脑卒中后SHS患者,予以相同的基础治疗,随机分为观察组(n=40)和对照组(n=40)。观察组采用银质针治疗,对照组采用体针治疗。两组针后均进行系统康复训练治疗。以彩色超声多普勒测定患肢血流速度,以Fugl-Meyer评定法测定上肢综合运动功能,3周后比较两组疗效。结果两组治疗前及治疗后1个月上肢运动功能评分无显著性差异(P>0.05),3个月和6个月时有非常显著性差异(P<0.01)。治疗后,观察组患肢尺动脉、桡动脉、尺静脉、桡静脉和中指指间动脉血流速度明显优于对照组(P<0.01)。结论银质针结合系统康复训练能促进脑卒中后SHS患者的上肢动脉血流速度及静脉血流回流,改善微循环,有利于运动功能的恢复。Objective To explore the effects of silver needle with systematical on shoulder-hand syndrome（SHS） after stroke.Methods 80 stroke patients with SHS were randomly divided into silver needle group（obsevation group） and body acupuncture group（control group） with 40 cases each group.Both groups received same rountine treatment and rehabilitation exercises after acupuncture.The color Doppler flow imaging（CDFI） was used to measure the velocity of blood flow of the upper limbs,and the Fugl-Meyer Assessment was used to assess motor function of the upper limbs after 3 weeks.Results There was no significant difference between 2 groups before and 1 months after treatment（P〉0.05）,but there was significant difference 3 and 6 months after treatment（P〈0.01）.The velocity of blood flow of ulnar artery,radial artery,ulnar veins,radial veins and middle finger digital artery were higher in the observation group than in the control group（P 0.01）.Conclusion The silver needle combined with systematical rehabilitation can improve the velocity of blood flow of artery and veins of upper limb,and improve the motor function of upper limb.

关 键 词：肩-手综合征 脑卒中 银质针疗法 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]