摘要
目的探讨肌内效贴对早期脑卒中后偏瘫肩痛的临床疗效.方法选取2019年1月—2020年10月该院收治的60例早期脑卒中后偏瘫肩痛患者为研究对象,按随机数字表法分为两组,每组30例.对照组采用康复锻炼,观察组在此基础上使用肌内效贴.对比两组的治疗效果.结果比较两组治疗前的生活质量评分,差异无统计学意义(P>0.05);治疗后,两组的生活质量评分均高于各组治疗前,且观察组的生活质量评分为(88.51±8.73)分,高于对照组的(76.49±12.54)分,组间差异有统计学意义(P<0.05).比较两组治疗前的视觉模拟评分(visual analogue scale,VAS)、Fugl-Meyer运动功能评定(Fugl-Meyer assessment,FMA)评分及改良Barthel指数(modified Barthel index,MBI)评分,组间差异无统计学意义(P>0.05);治疗后,观察组的VAS评分低于对照组,而FMA及MBI评分均高于对照组,组间差异有统计学意义(P<0.05).比较两组治疗前的各项血液流变学指标,组间差异无统计学意义(P>0.05);治疗后,观察组的各项血液流变学指标均低于对照组,组间差异有统计学意义(P<0.05).比较两组治疗前的肩关节屈曲、外展、外旋活动度,组间差异无统计学意义(P>0.05);治疗后,观察组的肩关节屈曲、外展、外旋活动度均大于对照组,组间差异有统计学意义(P<0.05).结论肌内效贴在早期脑卒中后偏瘫肩痛治疗中有着较高的应用价值,能有效缓解患者疼痛,改善肩关节功能,提高上肢运动能力,对改善患者预后具有重要意义,值得推广应用.
Objective To investigate the clinical efficacy of the Kinesio taping on hemiplegic shoulder pain after early stroke.Methods 60 patients with hemiplegic shoulder pain after early stroke admitted to the hospital between January 2019 and October 2020 were selected as the study objects.The patients were divided into two groups according to the random number table method,with 30 cases in each group.The control group used rehabilitation exercises,and the observation group used Kinesio taping on this basis.The effects of treatment were compared between the two groups.Results Comparing the quality of life score of the two groups before treatment,the difference was not statistically significant(P>0.05);after treatment,the quality of life scores of both groups were higher than those before treatment in each group,and the quality of life score of the observation group was(88.51±8.73)points,which was higher than(76.49±12.54)points of the control group,and the differences between the groups were statistically significant(P<0.05).The visual analogue scale(VAS),Fugl-Meyer assessment(FMA)scores and modified Barthel index(MBI)scores were compared between the two groups before treatment,and there were no statistically significant differences(P>0.05);after treatment,the VAS score of the observation group was lower than that of the control group,while the FMA and MBI scores were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).There were no statistically significant differences between the two groups when comparing the blood rheological indexes before treatment(P>0.05);after treatment,the blood rheological indexes in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).When comparing the shoulder flexion,abduction and external rotation range of motion of the two groups before treatment,the differences between the groups were not statistically significant(P>0.05);after treatment,the shoulder flexion,abduction and external rotation range of motion of the observation group were greater than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The Kinesio taping has a high application value on treatment of early post-stroke hemiplegic shoulder pain,which can effectively relieve patients'pain,improve shoulder joint function,and enhance upper limb movement ability.It is important to improve the prognosis of patients and is worth promoting the application.
作者
邹柳惠
ZOU Liuhui(Department of Rehabilitation Medicine,Wuzhou Red Cross Hospital,Wuzhou Guangxi,543000,China)
出处
《反射疗法与康复医学》
2021年第4期104-107,共4页
Reflexology And Rehabilitation Medicine
关键词
肌内效贴
早期脑卒中
偏瘫
肩痛
临床疗效
Kinesio taping
Early stroke
Hemiplegia
Shoulder pain
Clinical curative effect
作者简介
邹柳惠(1989-),女,广西梧州人,本科,主管技师,研究方向:康复治疗研究。
