摘要
目的观察中药冷热交替漩涡浴结合康复训练治疗脑卒中后肩手综合征(SHS)的临床疗效。方法选取2012年12月—2014年12月唐山市丰润区中医医院收治的SHS I期的脑卒中患者70例,随机分为对照组和治疗组,每组35例。对照组接受常规治疗并给予康复训练,治疗组同时给予温度分别为40℃与12℃的中药泡洗液交替漩涡浸泡患手,2次/d,30 min/次,共4周,比较2组患者的总体疗效、视觉模拟评分(VAS)、Fugl-Meyer量表评分、Barthel指数(BI)、改良Ashworth量表分级情况(MAS)、中指近节指间关节被动屈曲活动范围及脑卒中专用生活质量量表(SS-QOL)评分。结果治疗后,治疗组总有效率明显高于对照组(P<0.05);2组患者治疗后比较,治疗组患者VAS评分与MAS分级级别显著减小,Fugl-Meyer量表评分、BI量表评分、中指近节指间关节被动屈曲活动范围及SS-QOL量表评分均显著增加,差异均具有统计学意义(P<0.05)。结论中药冷热交替漩涡浴结合康复训练治疗脑卒中后SHS,疗效显著,能有效缓解疼痛,改善患者运动功能及手指关节活动范围,提高日常生活能力与生活质量。
Objective To investigate the clinical efficacy of traditional Chinese medicine combined with alternating cooling and heating whirlpool bath on patients with shoulder-hand syndrome（ SHS） after stroke. Methods 70 cases of SHS in stage I after stroke in the Chinese Medicine Hospital of Fengrun District of Tangshan City from December,2012 to December,2014 were randomly divided into control group（ n = 35） and treatment group（ n = 35）. The control group received comprehensive rehabilitation training including exercise therapy,and the treatment group received traditional Chinese medicine combined with alternating cooling（ 12 ℃） and heating（ 40 ℃） whirlpool bath treatment 30 minutes every time in addition,twice a day for 4 weeks. The total effective rates,Visual Analogue Scale（ VAS）,FuglMeyer assessment,Barthel index（ BI）,modified Ashworth Scale（ MAS）,passive flexion range of the interphalangeal joint in close section of the middle finger and Stroke-Specific Quality of Life（ SS-QOL）were compared. Results The total effective rate of treatment group was significantly higher than control group（ P〈0. 05）. Compared with the control group,the values of Fugl-Meyer assessment,BI,passive flexion range of the interphalangeal joint in close section of the middle finger and SS-QOL were higher in treatment group（ P〈0. 05）,and the VAS and MAS were lower in treatment group（ P〈0. 05）. Conclusion Traditional Chinese medicine combined with alternating cooling and heating whirlpool bath for patients with SHS in stage I after stroke has significant clinical effect. It can effectively attenuate pain and improve motor function and range of finger joint activity,as well as the ability and quality of daily life.
作者
李晓东
LI Xiaodong(Chinese Medicine Hospital of Fengrun District of Tangshan City, Hebei 06400)
出处
《现代中医临床》
2016年第6期21-24,共4页
Modern Chinese Clinical Medicine
关键词
脑卒中
肩手综合征
中药
冷热交替漩涡浴
康复训练
stroke
shoulder-hand syndrome
traditional Chinese medicine
alternating cooling and heating whirlpool bath
rehabilitation training
作者简介
李晓东，男，副主任中医师
