四子散热敷结合康复训练治疗脑卒中后肩手综合征疗效观察  

Effect of Hot Compress Therapy with Sizi Powder Combined with Rehabilitation Training for Shoulder-hand Syndrome after Stroke

作　　者：李梅[1,2] 詹乐昌 潘锐焕[1,2] 朱乐英 陈红霞[1,2] LI Mei;ZHAN Lechang;PAN Ruihuan;ZHU Leying;CHEN Hongxia(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510006,China;The Second Affiliated Hospital,Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong 510006,China)

机构地区：[1]广东省中医院,广东广州510006 [2]广州中医药大学第二附属医院,广东广州510006

出　　处：《康复学报》2019年第3期60-65,共6页Rehabilitation Medicine

基　　金：国家中医临床研究基地业务建设项目(JDZX2015224);广东省中医药管理局科研课题项目(20171104)

摘　　要：目的:观察四子散热敷结合康复训练对脑卒中后肩手综合征的影响。方法:将70例脑卒中后肩手综合征患者按照随机数字表法分为观察组与对照组,每组35例。对照组予以基础康复训练治疗,每次30min,每日2次,6d/周,2周为1个疗程;观察组在此基础上加用四子散热敷患肩,10~20min/次,每天1次,6d/周,2周为1个疗程。治疗前后分别采用疼痛视觉模拟评分法(VAS)评价2组患侧疼痛程度,采用简化FuglMeyer运动功能评定量表上肢部分(FMA-U)和肩关节活动度评价2组患侧上肢功能,并测量手部肿胀程度。结果:2组治疗前VAS评分、FMA-U评分、肩关节活动度及患手肿胀程度比较,差异均无统计学意义(P>0.05)。2组治疗2周后VAS评分、FMA-U评分、肩关节活动度及患手肿胀程度较治疗前均改善,差异具有统计学意义(P<0.05);观察组治疗后VAS评分及患手肿胀程度分别为(4.06±1.56)分、(16.39±1.82)mL,优于对照组的(5.33±1.61)分、(17.92±2.11)mL,差异均有统计学意义(P<0.05);观察组治疗后FMA-U评分为(19.91±16.08)分,对照组为(15.57±15.41)分,差异无统计学意义(P>0.05)。观察组治疗后肩关节前屈(52.00±40.93)°、后伸(20.25±11.85)°、外展(48.28±31.95)°,对照组治疗后肩关节前屈(49.45±41.67)°、后伸(18.22±11.68)°、外展(45.37±28.19)°,2组差异均无统计学意义(P>0.05)。结论:四子散热敷结合康复训练能够缓解脑卒中后肩手综合征患者疼痛,减轻手部肿胀,且疗效优于单纯康复训练。Objective: To observe the effect of hot compress therapy with Sizi Powder combined with rehabilitation training for shoulder-hand syndrome after stroke. Methods: A total of 70 patients with shoulder-hand syndrome after stroke were divided into observation group and control group according to the random number table method, with 35 cases in each group. Patients in the control group were treated with rehabilitation training, 30 minutes per time, 2 times a day, 6 days per week, and 2 weeks as a course of treatment. While patients in the observation group were given hot compress therapy with Sizi Powder, 10-20 minutes per time, once a day,6 days per week, and 2 weeks as a course of treatment. Before and after treatment, the visual analog scale(VAS) for pain was used to evaluate the degree of pain, the Fugl-Meyer motor function scale for upper limb(FMA-U) and shoulder mobility were used to evaluate the upper limb function, and the degree of hand swelling was also measured. Results: Before treatment, there was no significant difference in VAS score, FMA-U score, shoulder mobility and hand swelling between the two groups(P>0.05). After two weeks treatment,the VAS score, FMA-U score, shoulder mobility and hand swelling of the two groups were improved compared with those before treatment(P<0.05), the VAS score and hand swelling in the observation group were(4.06±1.56) and(16.39±1.82) mL respectively, which were better than those(5.33±1.61) and(17.92±2.11) mL respectively in the control group, the differences were statistically significant(P<0.05). The FMA-U score of the observation group was(19.91±16.08) and that of the control group was(15.57±15.41), and there was no significant difference between the two groups(P>0.05). After treatment, the shoulder flexion was(52.00±40.93) °, the shoulder extension was(20.25±11.85) °, and the shoulder abduction was(48.28±31.95) ° in the observation group, and those of the control group were(49.45±41.67) °,(18.22±11.68) ° and(45.37±28.19) ° respectively, there was no s

关 键 词：肩手综合征 脑卒中 四子散 热敷 康复训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]