摘要
目的:观察中药泡洗联合针灸推拿治疗脑梗死后肩手综合征的临床疗效。方法:将112例脑梗死后肩手综合征患者按照随机数字表法分为对照组和观察组,每组各56例。对照组予以常规康复训练,观察组在对照组的基础上予以中药泡洗联合针灸推拿治疗。比较两组患者的临床疗效及生存质量评分,采用Fugl-Meyer对两组患者治疗前后上肢功能活动情况进行评分,采用疼痛数字评价表(NRS)评价患者治疗前后的疼痛程度。结果:对照组有效率为78.57%,观察组有效率为89.29%,两组患者有效率比较,差异具有统计学意义(P<0.05)。两组患者治疗后NRS评分低于本组治疗前,观察组低于对照组,两组患者治疗后Fugl-Meyer评分高于本组治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗后的躯体功能、健康状况、情感角色、社会功能等生存质量评分高于对照组,差异具有统计学意义(P<0.05)。结论:中药泡洗联合针灸推拿治疗脑梗死后肩手综合征,可有效缓解患者的疼痛程度、改善患肢运动功能,提高患者的生存质量。
Objective:To observe the clinical curative effect of TCM soaking and washing in combination with acupuncture and moxibustion therapy on shoulder-hand syndrome after cerebral infarction.Methods:A total of 112 patients with shoulder-hand syndrome after cerebral infarction were randomly divided into the control group and the observation group,with 56 cases in each group.The control group received routine rehabilitation training,while the observation group received TCM soaking and washing combined with acupuncture and massage on the basis of the control group.The clinical efficacies and quality of life scores of the two groups were compared.The functional activities of upper limbs of the two groups were evaluated by Fugl-Meyer before and after the treatment.The pain degree of the patients before and after treatment was evaluated by NRS.Results:The effective rate was 78.57%in the control group and 89.29%in the observation group.There was a significant difference between the two groups(P<0.05).The NRS score of the two groups after the treatment was lower than that before the treatment.And that of the observation group was lower than that of the control group.The Fugl-Meyer score of the two groups was higher than that before the treatment.And that of the observation group was higher than that of the control group.All the differences were statistically significant(P<0.05).The quality of life scores of physical function,health status,emotional role and social function in the observation group after the treatment were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:TCM soaking and washing in combination with acupuncture and moxibustion therapy has a remarkable efficacy on shoulder-hand syndrome after cerebral infarction,can effectively alleviate the pain of patients,improve the motor function of affected limbs,and the quality of life of patients.
作者
王婷
WANG Ting(Wuhan Jiangxia District Hospital of TCM,Wuhan,Hubei,China,430200)
出处
《河南中医》
2019年第10期1588-1590,共3页
Henan Traditional Chinese Medicine
关键词
脑梗死
肩手综合征
中药泡洗
针灸治疗
推拿疗法
cerebral infarction
shoulder-hand syndrome
TCM soaking and washing
acupuncture and moxibustion therapy
massage therapy
作者简介
王婷(1987-),女,湖南长沙人,医学硕士,主治医师。
