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作 者:洪小娟[1] HONG Xiaojuan(North Guangdong Peoples Hospital,Shaoguan 512000,Guangdong,China)
机构地区:[1]广东省韶关粤北人民医院,广东韶关512000
出 处:《实用中医内科杂志》2021年第8期120-123,共4页Journal of Practical Traditional Chinese Internal Medicine
基 金:韶关市卫生健康科研计划(Y21175)。
摘 要:目的探讨淋巴引流手法结合电针治疗偏瘫后肩手综合征Ⅰ期患者的疗效。方法将2017年1月—2020年3月医院收治的偏瘫后肩手综合征Ⅰ期患者60例按照随机数字表法分为两组,对照组30例电针治疗,研究组30例淋巴引流手法结合电针治疗。比较两组临床疗效、视觉模拟评分(VAS)、患侧与健侧排出水体积差值、采用Fugl-Meyer运动功能量表评分、Barthel指数以及总被动关节活动度(TPM)。结果研究组临床总有效率高于对照组(P<0.05)。两组治疗前VAS评分、患侧与健侧排出水体积差值、 Fugl-Meyer评分、BI指数及TPM比较差异无统计学意义(P>0.05),治疗后两组VAS评分、患侧与健侧排出水体积差值均低于治疗前,研究组低于对照组(P<0.05)。治疗后两组Fugl-Meyer评分、BI指数及TPM均高于治疗前,研究组高于对照组(P<0.05)。结论电针结合淋巴引流手法治疗偏瘫后肩手综合征Ⅰ期患者可有效改善患侧上肢肿胀和疼痛情况,提高上肢肢体功能,恢复患者日常生活能力,疗效确切。Objective To investigate the curative effect of lymphatic drainage combined with electroacupuncture in the treatment of hemiplegic shoulder-hand syndrome at stage Ⅰ.Methods From January 2017 to March 2020, 60 patients with shoulder-hand syndrome at stage Ⅰ after hemiplegia in our hospital were randomly divided into two groups. Thirty cases in the control group were treated with electroacupuncture, and 30 cases in the study group were treated with lymphatic drainage manipulation combined with electroacupuncture. The clinical efficacy, visual analogue scale(VAS), volume difference between the affected side and the healthy side, Fugl Meyer motor function scale score, Barthel Index and total passive range of motion(TPM) were compared between the two groups. Results The total effective rate of the study group was higher than that of the control group(P<0.05). There was no significant difference between the two groups in VAS score, volume difference between the affected side and the healthy side, Fugl Meyer score, Bi index or TPM before intervention(P>0.05). After intervention, VAS score, volume difference between the affected side and the healthy side in the two groups were lower than those before intervention, and those of the study group were lower than those of the control group(P<0.05). Afterintervention, Fugl Meyer score, BI index and TPM of the two groups were higher than those beforeintervention, and those of the study group were higher than those of the control group(P<0.05). Conclusion Lymphatic drainage combined with electroacupuncture in the treatment of hemiplegic shoulder-hand syndrome at stage Ⅰ can effectively improve the swelling and pain of the affected side of the upper limb, improve the function of the upper limb, and restore the patients’ activities of daily living.
关 键 词:偏瘫 肩手综合征 淋巴引流手法 电针 日常生活能力
分 类 号:R246.6[医药卫生—针灸推拿学]
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