Clinical Research of Traditional Chinese Medicine Fumigation and Washing Combined with Rehabilitation Training in the Treatment of Post-Apoplexy Shoulder-Hand Syndrome  

作　　者：XIE Ya-qing MAO Zhong-nan ZHANG Xiao-ling WANG Rui-rui 谢亚青;毛忠南;张晓凌;王瑞瑞(College of Acupuncture,Moxibustion and Tuina,Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China;Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou,730000,China)

机构地区：[1]College of Acupuncture,Moxibustion and Tuina,Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China [2]Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou,730000,China

出　　处：《World Journal of Integrated Traditional and Western Medicine》2021年第6期52-57,共6页世界中西医结合杂志（英文）

基　　金：Gansu Provincial Administration of Traditional Chinese Medicine Scientific Research Project(GZK-2017-19);Key Talent Project of Gansu Province in 2019(Team Construction of Rehabilitation Talents of Traditional Chinese Medicine and Promotion and Application of Rehabilitation Technology),Ganzutongzi[2019]No.39。

摘　　要：Objective:To observe the clinical effect of traditional Chinese medicine fumigation and washing combined with routine rehabilitation training on post-stroke shoulder and hand syndrome(SHS).Comparing and analysing the effects of this treatment on the living ability of patients with post-stroke shoulder and hand syndrome.Methods:Fifty patients with post-stroke SHS who met the inclusion criteria were divided into observation group and control group by random number table method with 25 cases in each group.Both groups were given post-stroke secondary prophylactic drugs,while the control group was given routine rehabilitation training,20-30 minutes at a time,once a day,5 days a week,4 weeks as a course of treatment.On the basis of treatment in the control group,the observation group was combined with traditional Chinese medicine fumigation and washing,decocted with water to extract 3,000-4,000 ml juice,and added into the medicine bath bucket to soak the affected limb for 30-40 minutes,once a day,5 days a week,4 weeks as a course of treatment.The changes of upper limb edema degree,Numeric Rating Scale(NRS)score,Barthel index(MBI)and Fugl-Meyer Rating(FMA)scores before and after treatment were observed between the two groups,and the differences of clinical efficacy between the two groups were compared.Results:After treatment,the total effective rate in observation group was significantly better than that in control group(P<0.05).After treatment,the degree in upper limb edema in the two groups was significantly reduced(P<0.05),NRS score was decreased(P<0.05).Barthel index and FMA score were significantly increased(P<0.05),and the degree of upper limb edema and NRS score in the observation group were significantly lower than those in the control group(P<0.05).Barthel index and FMA score were significantly higher than those in the control group(P<0.05).Conclusion:The combination of traditional Chinese medicine fuming and washing with rehabilitation training has a better therapeutic effect on SHS,and the clinical efficacy o

关 键 词：Traditional Chinese medicine fumigation Rehabilitation training Shoulder-hand syndrome Post-apoplexy 

分 类 号：R743.3[医药卫生—神经病学与精神病学]