按揉结合治疗中风后肩关节半脱位的临床疗效分析  

Analysis of Clinical Efficacy of Massage （Pressing and Kneading） for the Treatment of Post-stroke Glenohumeral Joint Subluxation

作　　者：叶斌[1] 白玉龙[2] 孙莉敏[2] 汪箐峰 徐卿[1] 南向亮[1] 周磊[1] 徐国琴[1] 

机构地区：[1]复旦大学附属华山医院永和分院,上海200436 [2] 复旦大学附属华山医院,上海200040 [3] 复旦大学附属中山医院,上海200032

出　　处：《医学临床研究》2014年第1期26-27,30,共3页Journal of Clinical Research

基　　金：上海市闸北区卫生局科研课题计划资助（资助课题编号：2012ZY04）

摘　　要：[目的]观察按揉二步推拿手法对于改善中风后肩关节半脱位（GHS）的作用。[方法]将100例中风后GHS患者随机分为观察组（50例）和对照组（50例），对照组采用良肢位摆放和康复训练，观察组在对照组的基础上增加按揉二步推拿手法，治疗前后分别给予Fugl-Meyer运动量表（上肢部分）评估和肩峰至肱骨头间距（acromio-humeral interval ，AHI）测量，比较两组间疗效的差异。[结果]经过6周治疗后，观察组上肢部分Fugl-Meyer评分显著高于对照组（P＜0．01），患侧AHI显著小于对照组（P＜0．05），观察组显效率优于对照组，且两组相比较差异有显著性（P＜0．05）。[结论]按揉二步推拿手法操作简单，治疗中风后GHS具有较好疗效，值得临床应用推广。[Objective] To observe the effect of two-step massage（pressing and kneading ） on recovery of post-stroke glenohumeral joint subluxation（GHS） .[Methods]Totally 100 patients with GHS after stroke were randomly divided into observation group（ n=50） and control group（ n=50） .The control group received nor-mal limb positioning and rehabilitation training ,while the observation group was additionally given the two-step massage（pressing and kneading） based on the treatment of the control group .Fugl-Meyer exercise scale （upper limbs） for assessment was performed and acromio-humeral interval（AHI） were measured before and after the treatment .The efficacy was compared between two groups .[Results] After 6 weeks of treatment , Fugl-Meyer score for upper limbs in observation group was higher than that in control group （ P 〈 0 .01） , while AHI of the diseased sides was shorter than that in control group （ P〈0 .05） .The excellence rate of ob-servation group was superior to the control group （ P 〈0 .05） .[Conclusion]The two-step massage（pressing and kneading） is simple and effective for the treatment of post-stroke GHS .Therefore ,it is worthy of clinical promotion .

关 键 词：卒中 并发症 肩关节 肩脱位 

分 类 号：R743.3[医药卫生—神经病学与精神病学]