乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS临床观察  

Therapeutic significance of frankincense lotion prescription plus limb exercises in treatment of shoulder hand syndrome after cerebral infarction

作　　者：刘青[1] 黄德弘[1] 黄坚红[1] 王成银[1] 许幸仪[1] 翁旭亮[1] 何子意[1] Qing Liu;De-hong Huang;Jian-hong Huang;Cheng-yin Wang;Xing-yi Xu;Xu-liang Wen;Zi-yi He(Department of Encephalopathy,Guangzhou Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510130,China)

机构地区：[1]广州市中医医院脑病科,广东广州510130

出　　处：《中国现代医学杂志》2018年第12期74-78,共5页China Journal of Modern Medicine

基　　金：广州市医药卫生科技项目(No:20152A011013)

摘　　要：目的探讨乳香外洗方联合肢体功能锻炼治疗脑梗死后肩手综合征(SHS)的疗效。方法选取脑梗死后SHS患者64例,按信封法随机分为联合组和对照组,每组各32例。两组均给予神经内科常规治疗和肢体功能锻炼,连续治疗14 d。联合组行乳香外洗方患肢熏蒸治疗,25 min/次,1次/d,连续治疗14 d;对照组行热水患肢熏蒸治疗,25 min/次,1次/d,连续治疗14 d。比较评价两组疗效、治疗前后简式FuglMeyer法运动功能评分(FMA)、Ashworth痉挛评分、上肢关节疼痛视觉模拟评分(VAS)及脑梗死专用生活质量量表(SS-QOL)。统计比较两组满意度和不良反应发生情况。结果与对照组比较,联合组治疗有效率、患者满意度、治疗1和2周FMA及SS-QOL均提高,治疗1和2周Ashworth痉挛评分与VAS降低(P<0.05);与治疗前比较,联合组治疗1和2周FMA与SS-QOL均提高,治疗1和2周Ashworth痉挛评分与VAS降低;对照组治疗2周FMA和SS-QOL均提高,治疗2周Ashworth痉挛评分和VAS降低(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS疗效良好,可有效缓解疼痛并改善患者肢体功能、生存质量及满意度,且安全性良好,值得临床推广。Objective To investigate the therapeutic effect of frankincense lotion prescription plus limbexercisein treatment of shoulder hand syndrome after cerebral infarction.Methods A total of 64 patients with shoulder hand syndrome after cerebral infarction were involved in this study and received standard treatment plus limb exercise.Patientswere randomly divided into 2 groups:Lotion group in which patients received frankincense lotion prescription(n=32)and control group in which patients received hot water treatment(n=32).After 25 minutes for one time,once per day and 14 consecutive days,curative efficacy,simplified Fugl-Meyer method of movement function score(FMA),Ashworth score,upper limb spasm pain visual analogue scale(VAS)and stroke specific quality of life scale(SS-QOL)of two groups were evaluated.Satisfaction rate and adverse events were recorded.Results Patients in Lotion group who received lotion treatment for 1 or 2 weeks both had increased FMA score and SS-QOL score and decreased Ashworth score and VAS score when compared with that prior to any treatments.Patients in control group who received lotion treatment for at least 2 weeks experienced the similar improvement when compared with that prior to treatments.Curative efficacy,patient satisfaction,FMA score and SS-QOL score increased while Ashworth score and VAS score decreased significantly after 1 week or 2 weeks of lotion treatment compared with the control group(P<0.05).No significant difference in the adverse reactions between the two groups were observed(P>0.05).Conclusion Frankincense lotion prescription combined with limb functional exercises have promisingcurative effect in patients with shoulder hand syndrome after cerebral infarction,in addition to better satisfaction and safety.

关 键 词：乳香外洗方 联合 肢体功能锻炼 脑梗死 肩手综合征 

分 类 号：R743.34[医药卫生—神经病学与精神病学]