通络涤痰汤配合康复训练治疗脑卒中后肩手综合征临床研究  

Clinical Study on Tongluo Ditan Tang Combined with Rehabilitation Training for Shoulder-Hand Syndrome After Stroke

作　　者：叶苏[1] 杨桂芬[1] 金继业 寿一洲 黄楚楚[1] YE Su;YANG Guifen;JIN Jiye;SHOU Yizhou;HUANG Chuchu

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《新中医》2020年第14期70-72,共3页New Chinese Medicine

摘　　要：目的:观察通络涤痰汤联合康复训练治疗脑卒中后肩手综合征(SHS)的临床疗效。方法:选取190例脑卒中后SHS患者,按随机数字表法分为对照组和观察组,每组95例。对照组给予常规药物结合康复训练治疗,观察组在对照组基础上加用通络涤痰汤治疗,2组均连续治疗4周。观察2组治疗前后简化Fugl-Meyer运动功能评分表(FMA)评分、视觉模拟评分法(VAS)评分、简化巴氏指数量表(BI)评分、SHS评分及中医证候评分的变化,比较2组临床疗效。结果:治疗后,观察组FMA及BI评分均较治疗前升高,且均高于对照组;VAS、SHS及中医证候评分均较治疗前降低,且均低于对照组,差异均有统计学意义(P<0.05)。观察组与对照组总有效率分别为92.63%、81.05%,2组比较,差异有统计学意义(P<0.05)。结论:通络涤痰汤联合康复训练治疗脑卒中后SHS,能够明显缓解患者患肢疼痛,提高其上肢运动功能和日常生活能力。Objective: To observe the clinical effect of Tongluo Ditan tang combined with rehabilitation training for shoulder-hand syndrome(SHS) after stroke. Methods:A total of 190 cases of SHS after stroke patients were divided into the control group and the observation group according to the random number table method,95 cases in each group. The control group was given routine medicine combined with rehabilitation training,and the observation group was additionally treated with Tongluo Ditan tang based on the treatment of the control group. Both groups were treated for four weeks. Before and after treatment, the changes in the scores of short-form Fugl-Meyer Assessment(FMA), Visual Analogue Scale(VAS),simplified Barthel index(BI),SHS and Chinese medicine syndromes in the two groups were observed. The clinical effect in the two groups was compared. Results:After treatment,the scores of FMA and BI in the observation group were increased when compared with those before treatment,and the scores were higher than those in the control group;the scores of VAS,SHS and Chinese medicine syndromes in the observation group were decreased when compared with those before treatment, and the scores were lower than those in the control group, differences being significant(P<0.05). The total effective rate was 92.63% in the observation group and 81.05% in the control group, the difference being significant(P<0.05). Conclusion:The therapy of Tongluo Ditan tang combined with rehabilitation training in treating SHS after stroke can significantly relieve pain of the affected limb and improve upper limb function and activity of daily living.

关 键 词：脑卒中后肩手综合征 通络涤痰汤 康复训练 疼痛 上肢运动功能 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]