康复训练对脑梗死后肩手综合征患者生活质量及心理影响分析  

Effect of Rehabilitation on the Quality of Life and Psychological Status of Cerebral Infarction Patients with Shoulder Hand Syndrome

作　　者：郭瑞 黄霞 商世杰 刘悦 

机构地区：[1]辽宁省沈阳市中医药大学附属第二医院内科,沈阳110034

出　　处：《世界中医药》2016年第8期1471-1473,共3页World Chinese Medicine

基　　金：辽宁省教育厅科研项目计划(编号:L2010365);辽宁省自然科学基金项目(编号:2013787848)

摘　　要：目的:探讨分析康复训练对脑梗死后肩手综合征患者生活质量及心理影响。方法:回顾性分析我院收治的164例脑梗死后肩手综合征患者,采用随机数法将其分为治疗组与对照组,其中治疗组95例患者,采用康复训练结合中医针灸及推拿,对照组69例患者,仅采用康复训练,研究治疗后2组患者生活质量及心理情况。结果:2组患者治疗前疼痛视觉模拟量表评分、焦虑抑郁量表评分以及Fugl-Meyer上肢运动功能评分等比较均无统计学意义(P>0.05);治疗后,治疗组疼痛视觉模拟量表评分、焦虑抑郁量表评分明显低于对照组,治疗组Fugl-Meyer上肢运动功能评分明显高于对照组,治疗组患者在生活质量各项评分均优于对照组的评分(P<0.05)。结论:康复训练结合中医针灸、推拿可以有效提高脑死塞后肩手综合征患者的生活质量以及减少焦虑抑郁的发生。Objective：To observe the effect of rehabilitation on the quality of life and psychological status of CI（ cerebral infarction） patients with shoulder hand syndrome.Methods：To conduct a retrospective analysis of 164 CI patients with shoulder-hand syndrome in our hospital.Then randomly divide them into treatment group and control group.The observation group concludes 95 patients who were treated by rehabilitation training combined with acupuncture and massage.The control group includes 69 patients who were treated by rehabilitation.After treatment,the quality of life and psychological situation of the two groups were compared.Results：Before treatment,there was no statistically significance of pain visual analog scale score,Fugl-Meyer upper limb motor function score and anxiety and depression scale scores between the two groups（ P〉0.05）,while fter treatment,pain visual analog scale score,anxiety and depression scale scores of the treatment group were significantly lower than those of the control group.Fugl-Meyer upper limb motor function score of the treatment group was significantly higher,and quality of life scores of the treatment group were higher than the control group with statistical significance（ P〈0.05）.Conclusion：Rehabilitation combined with acupuncture,massage can improve the quality of life of CI patient with shoulder-hand syndrome and reduce anxiety and depression.

关 键 词：康复训练 脑梗死 肩手综合征 

分 类 号：R247.9[医药卫生—中医临床基础]