摘要
目的观察针刀松解结合康复训练与口服西药结合康复训练治疗脑卒中后肩手综合征的疗效差异。方法将60例脑卒中后肩手综合征随机分为针刀组和西药组,每组各30例。针刀组采用针刀松解结合康复治疗,西药组采用口服西乐葆结合康复训练,共观察治疗1月。参照软组织损伤症状分级标准、视觉模拟评分法、简化Fugl-Meyer评价法评定对两组治疗后进行评价。结果针刀松解治疗脑卒中后肩手综合征临床疗效优于口服西乐葆(P<0.05);针刀松解对脑卒中后肩手综合征患者上肢肿胀、疼痛及运动能力改善优于口服西乐葆(P<0.05)。结论针刀松解结合康复训练能显著改善患者上肢肿胀、疼痛及运动功能,是治疗中风后肩手综合征的有效方法,具有良好的临床应用价值。
Objective To observe and compare the curative effect of acupuncture combined with rehabilitation training and oral western medicine combined with rehabilitation training in treatment of post- stroke shoulder-hand syndrome. Methods 60 cases of patients with post-stroke shoulder-hand syndrome were randomly divided into acupotomy group and western medicine group, 30 cases in each group. Acupotomy group received acupotomy release combined with rehabilitation therapy, western medicine group received oral celebrex combined with rehabilitation training, the course of treatment was 1 month. Visual analogue scale and simplified Fugl-Meyer evaluation method were applied in both groups according to the symptom grading standard of soft tissue injury. Results The effect and the reduction of upper limb swelling, pain and exercise ability of acupotomy lysis combined with rehabilitation training was superior than celebrex in treatment of post-stroke shoulder-hand syndrome (P〈0.05). Conclusion Acupotomy lysis combined with rehabilitation training is effective in improving swelling, pain and motor function of upper limbs in post-stroke shoulder-hand syndrome patients with good clinical application value.
作者
朱晓蕾
廖家权
黄金忠
郑国尧
ZHU Xiaolei;LIAO Jiaquan;HUANG Jinzhong;ZHENG Guoyao(Central Hospital of Enshi Autonomous Prefecture, Enshi 44500)
出处
《湖北中医药大学学报》
2017年第6期88-91,共4页
Journal of Hubei University of Chinese Medicine
基金
武汉市卫生局临床医学科研重点项目(项目编号:WX12B22)
关键词
脑卒中后肩手综合征
针刀松解
康复训练
post- stroke shoulder- hand syndrome
acupotomy lysis
rehabilitation training
作者简介
朱晓蕾(1989-),女,湖北省恩施土家族苗族自治州中心医院主治医师,研究方向:针灸治疗脑病。;通讯作者:廖家权(1976-),男,湖北省恩施土家族苗族自治州中心医院副主任医师,研究方向:针灸治疗脑病,E-mail:526374174@qq.com。