瑶医神火灸联合中医熏蒸治疗脑卒中后肩手综合征患者的效果及对患者血液流变学的影响  

Effect of Yao Medicine Shenhuo moxibustion combined with Traditional Chinese Medicine fumigation in the treatment of patients with shoulder hand syndrome after stroke and the influence on patients′ hemorheology

作　　者：王芬 黎裕朝 彭华 黄春英 李贤 WANG Fen;LI Yu-chao;PENG Hua;HUANG Chun-ying;LI Xian(Traditional Chinese Medicine Hospital of Yulin,Yulin Clinical Medical Research Center for Chinese Medicine Encephalopathy,Research Center for Zhuang and Yao Medicine Ethnomedicine Engineering Technology,Yulin 537000,Guangxi,China)

机构地区：[1]广西玉林市中医医院,玉林市中医脑病临床医学研究中心,壮瑶药民族药工程技术研究中心,广西玉林市537000

出　　处：《广西医学》2022年第17期1986-1990,共5页Guangxi Medical Journal

基　　金：广西科技计划项目(桂科AB18221024);广西玉林市科技创新平台组建计划(2019CXPT00A8);广西玉林市科学研究与技术开发计划项目(玉市科20212216)。

摘　　要：目的观察瑶医神火灸联合中医熏蒸治疗脑卒中后肩手综合征患者的效果,及其对患者血液流变学的影响。方法将126例脑卒中后肩手综合征患者分为对照组62例与观察组64例。对照组采用瑶医神火灸治疗,观察组采用瑶医神火灸联合中医熏蒸治疗。比较治疗前后两组患者的双手体积差、疼痛视觉模拟量表(VAS)评分、Fugl-Meyer评估(FMA)量表评分、中医证候积分,以及血清缓激肽和降钙素基因相关肽(CGRP)水平、血液流变学指标水平。比较两组患者治疗后的总治疗有效率。结果治疗后,两组患者的双手体积差、疼痛VAS评分、中医证候积分,以及血清缓激肽水平、血液流变学指标水平均较治疗前降低,血清CGRP水平及FMA量表评分均较治疗前升高,且观察组上述指标均优于对照组(均P<0.05);观察组的总治疗有效率为96.88%,高于对照组的85.48%(P<0.05)。结论瑶医神火灸联合中医熏蒸治疗脑卒中后肩手综合征的效果显著,可通过改善血液流变学指标,缓解患者患肢的疼痛和水肿程度,改善患者的肢体运动功能,效果优于单纯瑶医神火灸治疗。Objective To observe the effect of Yao Medicine Shenhuo moxibustion combined with Traditional Chinese Medicine fumigation in the treatment of patients with shoulder hand syndrome after stroke and its influence on patients′ hemorheology. Methods A total of 126 patients with post-stroke shoulder hand syndrome were divided into control group(62 cases) or observation group(64 cases). The control group received Yao Medicine Shenhuo moxibustion therapy, and the observation group was treated with Yao Medicine Shenhuo moxibustion combined with Traditional Chinese Medicine fumigation. The pre-and post-treatment volume difference of both hands, Visual Analog Scale(VAS) score for pain, Fugl-Meyer Assessment(FMA) scale score, Traditional Chinese Medicine syndrome score, and levels of serum bradykinin, calcitonin gene related peptide(CGRP) and hemorheology indices, as well as the post-treatment total effective rate of treatment were compared between the two groups. Results After treatment, the volume difference of both hands, VAS score for pain, Traditional Chinese Medicine syndrome score, as well as the levels of serum bradykinin, and hemorheology indices were all decreased, whereas serum CGRP level and FMA scale score were increased as compared with before treatment;furthermore, the aforementioned indices in the observation group were superior to those in the control group(all P<0.05). The total effective rate of treatment in the observation group was 96.88%, which was higher than that in the control group(85.48%, P<0.05). Conclusion Yao Medicine Shenhuo moxibustion combined with Traditional Chinese Medicine fumigation for treating patients with post-stroke shoulder hand syndrome exerts a significant effect, which can relieve pain and edema degree of patients′ affected limbs, and improve patients′ limb motor function by ameliorating hemorheology indices. The effect is superior to Yao Medicine Shenhuo moxibustion therapy alone.

关 键 词：肩手综合征 脑卒中 中医熏蒸 瑶医神火灸 血液流变学 临床效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]