中药泡洗结合针灸推拿康复治疗脑梗死后肩手综合征62例  

Clinical Observation of 62 Cases of Shoulder-hand Syndrome after Cerebral Infarction Treated by Herbal Soaking plus Acupuncture and Massage Therapy

作　　者：李乐军[1,2] 陈丽萍[1] 刘晓丽[1] 肖辉[1] 黄蓉[1] 常辉[1] 李玉梅[1] 杨崇河 

机构地区：[1]南京中医药大学连云港附属医院,江苏连云港222000 [2]江苏省沛县中医院脑病科,江苏沛县221600

出　　处：《南京中医药大学学报》2013年第3期283-286,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省中医药局专项课题(LZ11161)

摘　　要：目的观察中药泡洗结合针灸推拿康复治疗脑梗死后肩手综合征的临床疗效。方法将122例脑梗死后肩手综合征的患者随机分为治疗组62例和对照组60例。治疗组为中药泡洗结合针灸推拿康复的综合治疗方案,对照组为单纯康复治疗。分别于治疗前后进行临床疗效比较、简式Fugl-Meyer法进行上肢功能评分、疼痛数字评价量表(NRS)评分、Ashworth痉挛评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分以及脑梗死专用生活质量量表(SS-QOL)评定患者生活质量。结果 2组治疗前后比较,均能不同程度地提高临床疗效、改善上肢运动功能(P<0.05或P<0.01),以及缓解疼痛和改善上肢痉挛、提高认知功能评分和SS-QOL评分(P<0.05或P<0.01),且治疗组的改善作用优于对照组(P<0.05或P<0.01)。结论中药泡洗结合针灸推拿康复治疗可提高脑梗死后肩手综合征的治疗效果。OBJECTIVE To observe the clinical effects of herbal soaking plus acupuncture and massage therapy in the treat- ment of shoulder-hand syndrome after cerebral infarction. METHODS 122 cases of shoulder-hand syndrome after cerebral in- farction were randomly divided into the treatment group（62 cases） treated with herbal soaking plus acupuncture and massage therapy, and the control group（60 cases） treated with single rehabilitation therapy. After the treatment, observing the clinical effect by Fugl-Meyer, NPS, Ashworth, SAS, SDS as well as SS-QOL scores, thus evaluating the life qualities of patients. RESULTS Compared with pre-treatment, clinical effects of the two groups were remarkable to different degrees. Motor func- tion of upper limb had improved （P〈0.05, P〈0.01）. Symptoms （including pain and spasm of upper limb） were relieved and cognitive function as well as SS-QOD scores were improved （P〈 ~0.05, P〈0.01）. In terms of curative effect, the treatment group was superior to the control group. CONCLUSION Herbal soaking plus acupuncture and massage therapy can improve the curative effect of shoulder-hand syndrome after cerebral infarction.

关 键 词：脑梗死 肩手综合征 针灸推拿疗法 康复训练 生活质量 

分 类 号：R255.2[医药卫生—中医内科学]