巳时中药热奄治疗气虚血瘀型脑卒中后肩手综合征Ⅰ期的临床疗效  

Clinical Effects of Timing Herbal Foment on Qi-Deficiency and Blood Stasis Patients with Post-stroke Shoulder-hand Syndrome(StageⅠ)

作　　者：张珠平 钟雯 潘琳 江月卿[1] ZHANG Zhu-ping;ZHONG Wen;PANG Lin(The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《医学临床研究》2023年第1期31-33,共3页Journal of Clinical Research

基　　金：福建中医药大学校管课题(XB2021020)。

摘　　要：【目的】探讨择巳时中药热奄治疗气虚血瘀型脑卒中后肩手综合征Ⅰ期患者的临床疗效。【方法】选择2020年5月至2021年10月本院收治的80例缺血性脑卒中后肩手综合征Ⅰ期患者,中医辩证均属气虚血瘀型,采用随机数字表法将其分为观察组和对照组,每组40例。对照组给予常规护理和康复训练,观察组在对照组的基础上辩证拟方择巳时佐以中药热奄治疗,两组均治疗3周。比较两组患者治疗前后Fugl-Meyer上肢运动功能(FMA)评分、长海痛尺评分和临床疗效。【结果】治疗后,两组患者FMA评分高于治疗前,且观察组高于对照组,长海痛尺评分低于治疗前,且观察组低于对照组,差异均有统计学意义(均P<0.05)。观察组总有效率为92.50%(37/40),高于对照组的85.00%(34/40),差异有统计学意义(χ^(2)=4.117,P<0.05)。两组患者治疗过程中均未发生皮疹、瘙痒、水泡、破溃等不良反应发生情况,安全性均较好。【结论】择巳时中药热奄可以有效改善气虚血瘀型脑卒中后肩手综合征Ⅰ期患者患侧上肢运动功能和疼痛情况,临床疗效较好,且安全性较好。【Objective】To observe the clinical effects of timing herbal foment in the treatment of patients with Qi-deficiency and blood stasis type of post-stroke shoulder-hand syndrome(stageⅠ).【Methods】A total of 80 patients with post-stroke shoulder-hand syndrome in stage I who were admitted to the Department of Encephalopathy in our hospital from May 2020 to October 2021.They were selected and randomly divided into the observation group and the control group,with 40 cases in each group.The control group was treated with routine nursing and rehabilitation training.The observation group was treated with timing herbal foment in addition to the control group.After continuous observation for 3 weeks,modified Fugl Meyer upper limb motor function score(FMA),the Changhai pain scale and activities of daily living score of the two groups were compared.【Results】Compared the effects of treatment in the two groups before treatment,the FMA score increased and the Changhai pain scale decreased after treatment;And the differences were significant(P<0.05).There was no difference in FMA and Changhai Pain Scale scores between the two groups before treatment(P>0.05).After treatment,the FMA score of the observation group was higher than that of the control group,while the score of Changhai pain sacle was lower than that of the control group.There were significant difference(P<0.05).The total clinical effective rate of the observation group was higher than that of the control group(P<0.05).During the treatment,no adverse reactions such as rash,itching,blisters,and ulceration occurred in the two groups of patients.【Conclusion】Timing herbal foment can effectively improve the limb motor function and reduce pain in patients with Qi-deficiency and blood stasis type of post-stroke shoulder-hand syndrome(stageⅠ).Thus,it improves the clinical efficacy,which is suitable for clinical comprehensive treatment.

关 键 词：卒中 反射性交感神经营养障碍 药熨疗法/方法 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]