悬吊循经弹拨法治疗脑卒中后肩手综合征Ⅰ期疗效观察  

Therapeutic Effects of Sling Exercise Therapy and Meridian Plucking Manipulation on Post-Stroke Shoulder-Hand Syndrome at Stage Ⅰ

作　　者：李丽[1] 张瑶 孙敬龙[1] 冯梓芸 陈运峰 陈前[1] 

机构地区：[1]山东中医药大学第二附属医院,山东济南250001 [2]山东中医药高等专科学校,山东烟台264199 [3]济宁医学院附属医院,山东济宁272000

出　　处：《世界中西医结合杂志》2017年第12期1719-1722,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：山东省中医药科技发展计划项目(2015-142)

摘　　要：目的观察悬吊循经弹拨法治疗脑卒中后肩手综合征Ⅰ期的临床疗效。方法按照随机数字表法将46例患者分为治疗组和对照组各23例,对照组给予康复训练,治疗组采用悬吊循经弹拨法,两组治疗时间均为1次/d,5 d为1疗程,连续治疗8个疗程。8个疗程后,应用肩手综合征(SHS)评估量表、上肢Fugl-Meyer运动功能量表(FMA)、视觉模拟量表(VAS)评定治疗效果和统计分析临床有效率。结果治疗后治疗组有效率86.96%,对照组有效率78.26%,两组临床有效率比较,差异有统计学意义(P<0.05);两组治疗后SHS、FMA、VAS评分均较治疗前改善,差异有统计学意义(P<0.05),且治疗组改善较对照组更为显著,两组间比较差异有统计学意义(P<0.05)。结论悬吊循经弹拨法治疗脑卒中后肩手综合征Ⅰ期患者有较好的临床疗效。Objective To observe the clinical therapeutic effects of sling exercise therapy and meridian plucking manipulation on post-stroke shoulder-hand syndrome at stageⅠ. Methods according to the random number table,46 patients were divided into a treatment group and a control group,23 cases in each one. In the control group,the rehabilitation training was used. In the treatment group,sling exercise therapy and meridian plucking manipulation were adopted. The treatment was given once a day,5 days as 1 course,continuously for 8 courses in the two groups. After 8 courses of treatment,the scale of shoulder-hand syndrome（ SHS）,the upper limb Fugl-Meyer motor function scale（ FMA） and visual analogue scale（ VAS）were adopted to evaluate the therapeutic effects and clinical effective rates based on statistical analysis. Results After treatment,the effective rate was 86. 96% in the treatment group and was 78. 26% in the control group,indicating the significant difference between the two groups（ P〈0. 05）. After treatment,the scores of SHS,FMA and VAS were all improved as compared with those before treatment in the two groups,indicating the significant differences（ P〈0. 05）. The improvements in the treatment group were more significant than the control group,indicating the significant differences（ P〈0. 05）. Conclusion The sling exercise therapy and meridian plucking manipulation achieve the satisfactory clinical therapeutic effects on post-stroke shoulder-hand syndrome at stageⅠ.

关 键 词：悬吊循经弹拨法 脑卒中 肩手综合征Ⅰ期 

分 类 号：R746[医药卫生—神经病学与精神病学]