中医定向透药疗法联合针刺治疗偏瘫后肩手综合征的疗效观察

目的 观察中医定向透药疗法联合针刺与单纯针刺治疗偏瘫后肩手综合征Ⅰ期的疗效观察.方法 将40例患者随机分为中医定向透药疗法联合针刺（20例）、单纯针刺治疗（20例）.采用Fugl-Meyer量表评价患肢运动功能；采用ADL量表评定日常生活活动能力；采用目测类比评分（VAS）评价疼痛及观察治疗前后肿胀程度.结果 上肢Fugl-Meyer运动功能和日常生活活动能力ADL评分,两组治疗前和治疗2个疗程后比较,差异有统计学意义（均P＜0.05）,两组间比较,中医定向透药疗法联合针刺组优于单纯针刺治疗组（P＜0.05）；两组治疗前后肿胀和疼痛评分都有下降（均P＜0.05）,组间比较,疼痛、肿胀程度改善中医定向透药疗法联合针刺组优于单纯针刺治疗组（P＜0.05）.观察中医定向透药疗法联合针刺组总有效率为95％,单纯针刺组为70％,两组疗效比较,差异具有统计学意义（P＜0.05）.结论 中医定向透药疗法联合针刺治疗偏瘫后肩手综合征在减轻肿胀、疼痛、改善运动功能及提高ADL生活能力方面优于单纯针刺治疗.

Observation on therapeutic effect of traditional Chinese medicine directed drug medication combined with acupuncture for shoulder-hand syndrome therapy after hemiplegia

Objective To compare the therapeutic effects of traditional Chinese medicine （TCM）directed drug medication combined with acupuncture for shoulder-hand syndrome （SHS） therapy after hemiplegia. Methods Forty cases were randomly divided into a TCM directed drug medication combined with acupuncture group and a routine acupuncture group, 20 cases in each group. The motor function of the affected limb was evaluated by Fugl-Meyer scale, activity of daily living by ADL scale, and pain by VAS, and the edema degree was investigated before and after treatmant. Results There were significant differences before treatment and after 2 therapeutic courses in the scores of Fugl-Meyer for the upper limb motor function and the ADL score for activity of daily living （both P〈0.05）, with the TCM directed dmg medication combined with acupuncture group being significantly better than the routine acupuncture group （P〈O.05）; beth the edema degree and the pain scores significantly decreased after treatment （both P〈0.05）, the pain directed drug medication combined with acupuncture group being better than the routine acupuncture group （P〈O.05）. The total effective rate was 95% in the TCM directed drug medication combined with acupuncture group and 70% in the routine acupuncture group, with a significant difference between the two groups （P〈O.05）. Condusion The clinical therapeutic effect of the TCM directed drug medication combined with acupuncture group is better than that of routine acupuncture therapy for treatment of SHS after hemiplegia.