针药配合功能训练治疗脑卒中后肩手综合征  

Acupuncture combined with functional training in the treatment of shoulder hand syndrome after stroke

作　　者：李银花 冯常武[1] LI Yinhua;FENG Changwu(TCM Hospital of Huangshi City, E Dong Medical Group, Affiliated Hospital of Hubei Polytechnic University, Huangshi 435000, Hubei Province, Chin)

机构地区：[1]鄂东医疗集团黄石市中医医院/湖北理工学院附属医院,湖北黄石435000

出　　处：《吉林中医药》2018年第5期609-612,共4页Jilin Journal of Chinese Medicine

基　　金：湖北省自然科学基金资助项目(2010CDB025)

摘　　要：目的观察脑卒中后肩手综合征患者应用针药配合功能训练的临床治疗效果。方法选取我院于2015年4月-2017年4月期间收治的62例脑卒中后肩手综合征患者,将所有患者随机分为试验组和对照组2组。其中对照组患者均给予功能训练,而试验组患者则在对照组的治疗基础上联合使用针药治疗,分析比较2组患者治疗前后的上肢运动功能和肩关节活动度以及手部肿胀、疼痛程度。结果治疗后2组患者的手部肿胀程度均显著低于治疗前,即2组患者的肿胀程度得到明显改善(均P<0.05);和对照组患者相比,试验组患者治疗后的手部肿胀改善程度更优(P<0.05)。治疗后2组患者的视觉模拟评分均较治疗前有显著降低(均P<0.05),且试验组患者治疗后的视觉模拟评分相较于对照组患者降低幅度更大(P<0.05)。治疗后2组患者的简化FMA上肢运动功能评分均显著高于治疗前(均P<0.05),且试验组治疗后的简化FMA上肢运动功能评分相较于对照组患者增高更为显著(P<0.05)。结论针药配合功能训练综合疗法能够有效增强脑卒中后肩手综合征的临床治疗效果,优于单纯功能训练。Objective To investigate the clinical effect of acupuncture combined with functional training on shoulder hand syndrome after stroke. Methods Select our hospital from April 2015 to April 2015 admitted during the period of 62 patients with shoulder hand syndrome after stroke, according to random number table method of all patients were randomly divided into trial group and control group in the two groups, an average of 31 patients with each group. The function of the control group patients were given training, while the experimental group patients in the control group based on the treatment of combination of needle medicine treatment, compared two groups of patients before and after treatment of upper limb movement function and the degree of swelling, pain, the shoulder joint activity and hands. Results Two groups of patients after treatment, the degree of swelling of the hand was significantly lower than that before treatment（P〈 0.05）, experimental group after treatment of hand swelling was significantly lower than that of the control group（P 〈0.05）. Two groups of patients after treatment, visual analogue score was significantly lower than that before treatment（P 〈0.05）, test group after treatment in patients with visual analogue score was significantly lower than the control group（P 〈0.05）. The simplified FMA upper limb function after treatment of the two groups were significantly higher than those before treatment（P 〈0.05）, simplified FMA upper limb motor function score after treatment in experimental group was higher than control group（P 〈0.05）. Conclusion Acupuncture combined with functional training combined therapy can effectively enhance the clinical efficacy of shoulder-hand syndrome after stroke, better than functional training alone.

关 键 词：脑卒中 肩手综合征 功能训练 针灸疗法 

分 类 号：R255.2[医药卫生—中医内科学]