摘要
目的:观察毫火针联合康复训练对中风后肩手综合征Ⅰ期患者关节功能恢复和临床症状的影响。方法:将100例中风后肩手综合征Ⅰ期患者根据治疗方法的不同分为对照组和观察组各50例,对照组予康复训练,观察组予康复训练+毫火针治疗,比较两组患者临床疗效及治疗前后肩关节活动度、水肿评分、视觉模拟评分(visual analogue scale,VAS)、患侧上肢运动功能评分、肩手综合征评分(shoulder hand syn-drome score,SHSS)。结果:总有效率观察组为92%,高于对照组的84%(P<0.05);与治疗前比较,治疗后对照组肩关节活动度、水肿评分差异无统计学意义(P>0.05),观察组肩关节活动度、水肿评分均改善,改善程度优于对照组(P<0.05);与治疗前相比,治疗后两组VAS评分均下降(P<0.05),观察组低于对照组(P<0.05);与治疗前相比,治疗后两组Fugl-Meyer运动功能量表(Fugl Meyer motor function scale,FMA)评分均上升,SHSS均下降(P<0.05),且观察组FMA上升幅度及SHSS下降幅度大于对照组(P<0.05)。结论:毫火针联合康复训练有利于中风后肩手综合征Ⅰ期患者关节功能恢复,减轻痛苦,提高生活质量及临床疗效。
Objective:To observe the influence of filiform fire needle combined with rehabilitation training on clinical symptoms and joint function recovery of the patients with post-stroke shoulder hand syndrome at stageⅠ.Methods:All 100 patients were divided into the control group and the observation group according to different therapeutic methods,50 cases in each group,the control group accepted rehabilitation training,and the observation group was treated by rehabilitation training and filiform fire needle,to compare clinical effects,shoulder range of motion,edema score,VAS scores,motor function scores of affected upper limb and SHSS before and after treating between both groups.Results:Total effective rate of the observation group was 92%,higher than 84%of the control group(P<0.05);compared with before treating,the difference had no statistical meaning in shoulder range of motion and edema scores of the control group after treating(P>0.05),shoulder range of motion and edema scores of the observation group improved,and the improvements of the observation group were superior to these of the controlgroup(P<0.05);comparedwith before treating,VASscores of both groups lowered after treating(P<0.05),the observation group was lower than the control group(P<0.05);compared with before treating,FMA rose while SHSS decreased in both groups after treating(P<0.05),the increase of FMA and the decrease of SHSS of the observation group were greater than these of the control group(P<0.05).Conclusion:Filiform fire needle combined with rehabilitation training could help the recovery of joint function of the patients with post-stroke shoulder hand syndrome at stageⅠ,raise clinical effects,relieve pain and lift quality of life.
作者
刘洋
周晓春
刘柱成
孙海燕
LIU Yang;ZHOU Xiaochun;LIU Zhucheng;SUN Haiyan(Jiangsu Vocational College of Medicine,Yancheng 224005,China;Yancheng City Hospital of Traditional Chinese Medicine)
出处
《西部中医药》
2021年第9期130-133,共4页
Western Journal of Traditional Chinese Medicine
关键词
中风
肩手综合征
关节功能
毫火针
康复训练
stroke
shoulder hand syndrome
joint function
filiform fire needle
rehabilitation training
