常规康复训练结合中频电治疗脑卒中后肩手综合征的随机对照试验研究

目的：观察常规康复训练结合中频电对脑卒中后肩手综合征患者的疗效。方法将84例脑卒中后肩手综合征患者随机分为治疗组42例和对照组42例，2组均进行康复训练，治疗组同时配合中频电疗，疗程均4周。2组治疗前后均采用Fugl-Meyer（FMA）法和改良Barthel（MBI）指数评定患侧上肢的运动功能和日常生活活动能力，采用视觉模拟评分法（VAS）评定上肢疼痛及水肿程度。结果共有80例完成了试验（其中治疗组40例，对照组40例），2组患者治疗后上肢疼痛、水肿、FMA及MBI评分与治疗前比较均有显著改善（P＜0.01），治疗组优于对照组（P＜0.05）；治疗组显效率和总有效率优于对照组（P＜0.05）。结论常规康复训练结合中频电是治疗脑卒中后肩手综合征的较好方法。

Researches on randomized controlled trials of patients with shoulder-hand syndrome after stroke by routine rehabilitation training combined with medium-frequency electrotherapy

Objective To observe the effects of routine rehabilitation training combined with medium-frequency electrotherapy in the treatment of patients with shoulder-hand syndrome after stroke. Methods 84 cases with shoulder-hand syndrome after stroke were randomly divided into the treatment group （ 42 cases ）and a control group （ 42 cases）. Two groups were given rehabilitation training for 4 weeks, and the treatment group received medium-frequency electrotherapy meanwhile. Upper limb motor functions, activities of daily living and upper extremity pain and swelling were measured apart by the Fugl-Meyer assessment, MBI index, and visual analog scores. The indicators before and after treatment were compared. Results There were 80 patients completed the trial （including treatment group 40 cases, control group 40 cases）, and two group patients’ upper limb pain, edema, FMA and MBI scores compared with those before the treatment were signiifcantly improved （P〈0.05）, the treatment group improved more signiifcantly than that of the control group （P〈0.05）, the efifciency of the treatment group and the total efifciency was better than that of the control group （P〈0.05）. Conclusion Routine rehabilitation training combined with medium-frequency electrotherapy is a good method for the treatment of shoulder hand syndrome after stroke.