摘要
目的:观察体外冲击波对脑卒中肩手综合征患者的治疗作用。方法:脑卒中肩手综合征患者60例,随机分为2组各30例,均给予常规康复训练包括运动疗法、作业疗法、中频脉冲电治疗、气压治疗和针灸等治疗。观察组加用体外冲击波治疗,对照组加用超声波治疗。治疗前后采用视觉模拟量表(VAS)、Fugl-Meyer上肢运动功能评分(FAM)评价疗效。结果:治疗4周后,2组VAS评分均较治疗前呈明显下降趋势(P<0.01),且观察组显著低于对照组(P<0.05);2组Fugl-Meyer上肢运动功能评分均较治疗前呈明显上升趋势(P<0.01),且观察组显著高于对照组(P<0.05);治疗后,观察组总有效率明显高于对照组(93.3%、76.7%,P<0.05)。结论:体外冲击波治疗可以改善脑卒中患者肩手综合症的相关症状,促进患者上肢功能恢复,且疗效优于超声波治疗。
Objective： To observe the effectiveness of extracorporeal shock wave in the treatment of shock patients with shoulder-hand syndrome by comparing with ultrasonic treatment. Methods： Sixty shock patients with shoulder- hand syndrome were randomly divided into extracorporeal shock wave treatment group （experimental group, 30 cases） and ultrasonic treatment group （control group, 30 cases）. In addition, the two groups were given conventional rehabilitation training including therapeutic exercise, occupational therapy, non-modulated medium frequency elec- trotherapy, intermittent pneumatic compression therapy, and acupuncture treatment. Experimental group received conventional rehabilitation training on the basis of extracorporeal shock wave therapy, and the control group received ultrasound treatment on the basis of these conventional rehabilitations. The visual analog scale （VAS） and Fugl- Meyer upper limb movement function （FAM） scores before and 1, 2 and 4 weeks after treatment, and total effective rate after treatment for 4 weeks were compared between two groups. Results： The VAS scores in the two groups showed no statistically significant differences before and 1 and 2 weeks after treatment, but after treatment for 4 weeks, the VAS scores were significantly increased in the two groups, and those in the experimental group were significantly lower than those in control group （P〈0.05）. The FAM scores in the two groups showed no statistically significant differences before and 1 and 2 weeks after treatment, while the FAM scores in the extracorporeal shock wave treatment group were obviously higher than those in the ultrasonic treatment group after treatment for 4 weeks （P〈0.05）. At the same time, the total efficacy in the experimental group was obviously higher than that in the control group after treatment for 4 weeks （93. 3% vs. 76. 7%, P〈0. 05）. Conclusion： The extracorporeal shock wave therapy can alleviate the symptoms in stroke patients with shoulder-hand syndrome, promote upper limb functional recovery, and the curative effect is better than that of ultrasonic treatment.
出处
《中国康复》
2016年第4期255-257,共3页
Chinese Journal of Rehabilitation
关键词
肩手综合征
体外冲击波
脑卒中
超声波治疗
shoulder-hand syndrome
extracorporeal shock wave
stroke
ultrasonic treatment
