中药泡洗与针灸推拿相结合的综合方案对脑梗死后肩手综合征的实效性对照探究

目的：对中药泡洗与针灸推拿相结合治疗脑梗死后肩手综合征（Shoulder-hand Syndrome，SHS）患者的临床实效性进行观察并探讨。方法：选择本医院自2011年8月至2014年5月接诊的SHS患者80例，随机将患者分为治疗组和对照组，其中治疗组40例给予中药泡洗与针灸推拿治疗以及常规的药物治疗和康复训练护理干预；而对照组40例则仅给予常规的药物治疗和康复训练。2组均治疗1个月。治疗前后分别统计上肢运动功能（Upper Limb Motor Function，FMA）评分、肩关节活动度范围评分以及疼痛数字评价量表（Numeric Rating Scale，NRS），并评进行临床总疗效判定。结果：2组患者治疗前FMA、肩关节活动度范围以及肩关节疼痛程度NRS相比，差异无统计学意义（P>0.05）；治疗组治疗后FMA、肩关节活动度范围以及NRS积分分别为（1.36±0.92）分、（2.49±0.45）分和（41.89±6.67）分，对照组为（33.58±4.53）分、（1.67±0.37）分、（3.16±1.13）分，2组相比，差异具有统计学意义（P<0.05）；治疗后治疗组有效率为92.5%（37/40），对照组有效率72.5%（29/40），差异具有统计学意义（P<0.05）。结论：中药泡洗与针灸推拿相结合治疗CI后SHS疗效显著，是临床上治疗SHS的较佳选择。

Curative Effect of Chinese Medicine Bath Combined with Acupuncture and Massage in the Treatment of Shoulder-Hand Syndrome after Cerebral Infarction

To observe the curative effect of Chinese medicine bath combined with acupuncture and massage in treating shoulder-hand syndrome (SHS) after cerebral infarction(CI). Methods: A total of 80 patients with SHS in this hospital from August 2011 to May 2014 were selected and randomized into two groups, with 40 cases in the observation group and the control group respectively. The observation group was treated by Chinese medicine bath combined with acupuncture and massage on top of conventional treatment, while the control group were only treated with conventional therapy. Both groups were treated for one month. The scores of upper limb motor function (FMA), shoulder range of motion and pain numeric rating scale (NRS) in the two groups before and after treatment were recorded and compared, besides, the total effective were evaluated after treatment. Results: The differences of FMA, shoulder range of motion and shoulder pain NRS before treatment in the two groups was not statistically different(P>0.05). After treatment, FMA, shoulder range of motion and NRS score were(1.36±0.92), (2.49±0.45), and (41.89±6.67) in the observation group, while (33.58±4.53), (1.67±0.37), (3.16±1.13)in the control group, and the difference was statistically significant (P<0.05). Besides, the total effective in observation group was 92.5% (37/40), and 72.5% (29/40) in the control group, the difference was statistically significant (P<0.05). Conclusion: Chinese medicine bath combined with acupuncture and massage has a significant curative effect on SHS after CI, and it is recommended in treating SHS clinically.