超短波理疗联合电针围刺法治疗脑卒中后肩手综合征的效果分析  

Comparison of ultrashort wave therapy combined with electroacupuncture and single ultrashort wave therapy in the treatment of shoulder hand syndrome after stroke

作　　者：黄彩霞[1] 夏静[1] 邵雅楠 陈虹[1] 宋新建[1] 曹娟娟 赵磊 Hang Caixia;Xia Jing;Shao Yanan(Department of rehabilitation medicine,the Second People's Hospital of Nantong,Nantong 226000,China)

机构地区：[1]南通市第二人民医院康复医学科,226002

出　　处：《中华保健医学杂志》2020年第5期490-492,共3页Chinese Journal of Health Care and Medicine

基　　金：南通市卫计委青年科研基金项目(WKZL2018091)。

摘　　要：目的探讨超短波理疗联合电针围刺法治疗脑卒中后肩手综合征的疗效及对上肢运动的影响。方法回顾性分析2017年5月~2019年8月南通市第二人民医院收治的脑卒中后肩手综合征110例患者的临床资料,按治疗方式的不同分为观察组(57例)和对照组(53例)。其中对照组患者接受超短波理疗,观察组接受超短波理疗联合电针围刺法。采集并比较两组治疗前后的上肢运动功能评分(Fugl-Meyer assessment,FMA)、疼痛视觉模拟量表(VAS)评分、水肿程度,评价治疗后两组的疗效。结果治疗后观察组和对照组的总有效率分别为96.49%和83.02%,差异具有统计学意义(P<0.05)。观察组和对照组治疗前FMA评分、VAS评分、水肿程度比较差异无统计学意义(P>0.05);治疗后两组FMA评分显著高于治疗前,VAS评分显著低于治疗前,水肿程度较治疗前均有显著减轻,差异有统计学意义(P<0.01)。治疗后观察组FMA评分为(48.82±3.65)分,高于对照组的(44.72±3.10)分;VAS评分为(2.13±0.61)分,低于对照组的(3.53±1.24)分;治疗后观察组的平均水肿得分低于对照组,组间比较差异均具有统计学意义(P<0.05)。结论超短波理疗联合电针围刺法应用于脑卒中后肩手综合征效果优于超短波理疗,可改善患者上肢运动功能,缓解疼痛,提高康复效率。Objective To compare the therapeutic effect of ultrashort wave physical therapy combined with electroacupuncture and periacupuncture and ultrashort wave physical therapy on shoulder hand syndrome after stroke and its influence on upper limb movement.Methods The clinical data of 110 patients with shoulder hand syndrome after stroke admitted to our hospital from May 2017 to August 2019 were analyzed retrospectively.Based on different treatment methods,they were divided into observation group(n=57)and control group(n=53).The patients in the control group received ultrashort wave,while those in the observation group received electromagnetic wave therapy combined with electroacupuncture.The scores of upper limb motor function,visual analogue scale(VAS)and the degree of edema before and after treatment were collected and compared between the two groups.Results After treatment,the total effective rate of the observation group and the control group was 96.49% and 83.02%,respectively,the difference was statistically significant(P<0.05).There was no significant difference in FMA score,VAS score and edema degree between the observation group and the control group before treatment(P>0.05).After treatment,the FMA score of the two groups was significantly higher than that before treatment,the VAS score was significantly lower than that before treatment,and the degree of edema was significantly reduced compared with that before treatment(P<0.01).After treatment,the FMA score of the observation group was(48.82±3.65),which was significantly higher than that of the control group(46.65±2.70)(P<0.05).After treatment,the VAS score of the observation group was(2.13±0.61),which was significantly lower than that of the control group(3.25±0.74)(P<0.01).The average score of edema in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of ultrashort wave physical therapy combined with electroacupuncture on shoulder hand syndrome after stroke is bet

关 键 词：超短波 电针围刺法 脑卒中后肩手综合征 上肢运动 

分 类 号：R743[医药卫生—神经病学与精神病学]