腹针联合中药熏蒸治疗脑卒中后肩手综合征的效果观察  被引量:34

Curative Effect of Abdominal Acupuncture Combined with Traditional Chinese Medicine Fumigation on Shoulderhand Syndrome after Stroke

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作  者:艾怡然 李梅[2] 朱乐英[2] 凌珊珊 詹乐昌[2] 潘锐焕[2] 陈红霞[2] AI Yiran;LI Mei;ZHU Leying;LING Shanshan;ZHAN Lechang;PAN Ruihuan;CHEN Hongxia(Guangzhou University of Traditional Chinese Medicine,Guangzhou 510000,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China)

机构地区:[1]广州中医药大学,广东省广州市510000 [2]广东省中医院,广东省广州市510120

出  处:《实用心脑肺血管病杂志》2019年第1期66-70,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基  金:广东省中医药局科研项目(20171104);国家中医临床研究基地业务建设项目(JDZX2015224)

摘  要:背景对于肩手综合征(SHS),国内外尚无特效治疗方法,而探索具有中医特色的有效、简便、安全的康复方法是SHS早期防治任务之一。目的观察腹针联合中药熏蒸治疗脑卒中后SHS的效果。方法选取2017年8月—2018年9月广东省中医院康复科收治的脑卒中后SHS患者60例,采用随机数字表法分为对照组和观察组,每组30例。对照组患者在基础治疗上给予单纯作业疗法,观察组患者在对照组基础上给予腹针联合中药熏蒸治疗;两组患者均治疗2周。比较两组患者治疗前后患手肿胀评分量表评分、患肩视觉模拟疼痛评分量表(VAS)评分、患侧简化Fugl-Meyer上肢运动功能评定量表(FMA-U)评分,并观察两组患者治疗期间不良反应发生情况。结果两组患者治疗前患手肿胀评分、患肩VAS评分、患侧FMA-U评分及治疗后患侧FMA-U评分比较,差异无统计学意义(P>0.05);治疗后观察组患者患手肿胀评分、患肩VAS评分低于对照组(P<0.05)。两组患者治疗期间均未发生明显不良反应。结论腹针联合中药熏蒸可有效减轻脑卒中后SHS患者患肢肿胀程度并缓解疼痛,且未增加不良反应发生风险。Background To shoulder-hand syndrome(SHS),there was no special effective therapeutic method at home and abroad yet,however exploration of effective,simple,convenient and safe rehabilitation methods charactered by traditional Chinese medicine became one of early prevention and treatment tasks for SHS now. Objective To observe the curative effect of abdominal acupuncture combined with traditional Chinese medicine fumigation on SHS after stroke. Methods From August 2017 to September 2018,60 patients with SHS after stroke were selected in the Rehabilitation Department of Guangdong Provincial Hospital of Traditional Chinese Medicine,and they were divided into control group and observation group according to random number table method,each with 30 cases. Patients in control group received simple occupational therapy based on basic treatment,while patients in observation group received abdominal acupuncture combined with traditional Chinese medicine fumigation based on that of control group;both groups continuously treated for 2 weeks. Swelling scale score of affected hand,VAS score of affected shoulder and FMA-U score of affected side before and after treatment were compared between the two groups,and incidence of adverse reactions was observed during treatment. Results No statistically significant differences of Swelling scale score of affected hand,VAS score of affected shoulder or FMA-U score of affected side was found between the two groups before treatment,nor was FMA-U score of affected side between the two groups after treatment(P>0.05),while Swelling scale score of affected hand and VAS score of affected shoulder in observation group were statistically significantly lower than those in control group after treatment(P<0.05). No one in the two groups occurred any obvious adverse reactions during treatment. Conclusion Abdominal acupuncture combined with traditional Chinese medicine fumigation can effectively relieve the swelling degree and pain of affected limb in patients with SHS after stroke,without increasing

关 键 词:卒中 肩手综合征 腹针 中药熏蒸 治疗结果 

分 类 号:R743[医药卫生—神经病学与精神病学] R747.8[医药卫生—临床医学]

 

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