Effect of Acupuncture plus Rehabilitation Training on Shoulder-hand Syndrome Due to Ischemic Stroke  

针刺结合康复训练对缺血性中风后肩手综合征的影响(英文)

作　　者：孙远征 王玉珏 王薇 洪珏(译) 

机构地区：[1]No.2 Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine,Harbin 150001,E R.China [2]Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,P.R.China [3]Institute of Acupuncture and Moxibustion,Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,E R.China [4]不详

出　　处：《Journal of Acupuncture and Tuina Science》2012年第2期109-113,共5页针灸推拿医学（英文版）

摘　　要：Objective：To observe the clinical effect of acupuncture plus rehabilitation training in treating early-stage shoulder-hand syndrome due to ischemic stroke.Methods：Sixty patients were randomized into an observation group and a control group,30 in each.The observation group was intervened by acupuncture plus rehabilitation training,and the control group only received rehabilitation training.After 3 treatment courses,the scores of visual analogue scale （VAS） and Fugl-Meyer assessment scale （FMA）,and the clinical effect were compared between the two groups.Results：The two groups both obtained significant improvements in VAS and FMA scores after treatment （P〈0.05 or P〈0.01）.After treatment,it showed marked differences in comparing VAS and FMA scores between the observation group and the control group （P〈0.05）.The total effective rate was 86.7% in the observation group,versus 63.3% in the control group,and the difference was statistically significant （P〈0.05）.Conclusion：The result of acupuncture plus rehabilitation training in treating early-stage shoulder-hand syndrome due to ischemic stroke is superior to rehabilitation training alone.目的:观察针刺配合康复训练治疗缺血性脑卒中后早期肩手综合征的临床疗效。方法:将 60 例患者随机分为观察组和对照组,每组 30 例。观察组给予针刺加康复训练治疗,对照组单纯进行康复训练。治疗 3 个疗程后比较两组患者视觉模拟评分(Visual Analogue Scale,VAS)、Fugl-Meyer上肢运动功能评分(Fugl-MeyerAssessment Scale, FMA)及临床疗效。结果:与本组治疗前比较,两组患者治疗后VAS评分、FMA评分均明显改善,治疗前后比较差异均有统计学意义(P<0.05 或P<0.01)。治疗后,观察组VAS评分、FMA评分与对照组比较差异有统计学意义(P<0.05)。观察组总有效率 86.7%,对照组总有效率 63.3%,两组患者总有效率差异有统计学意义(P<0.05)。结论:针刺结合康复训练治疗缺血性脑卒中后早期肩手综合征的疗效优于单纯康复训练。

关 键 词：Reflex Sympathetic Dystrophy Shoulder Pain STROKE COMPLICATIONS Acupuncture Therapy Scalp Acupucnture Rehabilitation 

分 类 号：R246.6[医药卫生—针灸推拿学]