乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS 临床观察

目的 探讨乳香外洗方联合肢体功能锻炼治疗脑梗死后肩手综合征（SHS）的疗效。方法 选取脑梗死后SHS 患者64 例,按信封法随机分为联合组和对照组,每组各32 例。两组均给予神经内科常规治疗和肢体功能锻炼,连续治疗14 d。联合组行乳香外洗方患肢熏蒸治疗,25 min/ 次,1 次/d,连续治疗14 d ;对照组行热水患肢熏蒸治疗,25 min/ 次,1 次/d,连续治疗14 d。比较评价两组疗效、治疗前后简式Fugl-Meyer 法运动功能评分（FMA）、Ashworth 痉挛评分、上肢关节疼痛视觉模拟评分（VAS）及脑梗死专用生活质量量表（SS-QOL）。统计比较两组满意度和不良反应发生情况。结果 与对照组比较,联合组治疗有效率、患者满意度、治疗1 和2 周FMA 及SS-QOL 均提高,治疗1 和2 周Ashworth 痉挛评分与VAS 降低（P <0.05）;与治疗前比较,联合组治疗1 和2 周FMA 与SS-QOL 均提高,治疗1 和2 周Ashworth 痉挛评分与VAS 降低;对照组治疗2 周FMA 和SS-QOL 均提高,治疗2 周Ashworth 痉挛评分和VAS 降低（P <0.05）。两组不良反应发生率比较差异无统计学意义（P >0.05）。结论 乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS 疗效良好,可有效缓解疼痛并改善患者肢体功能、生存质量及满意度,且安全性良好,值得临床推广。

Therapeutic significance of frankincense lotion prescription plus limb exercises in treatment of shoulder hand syndrome after cerebral infarction

Objective To investigate the therapeutic effect of frankincense lotion prescription pluslimbexercisein treatment of shoulder hand syndrome after cerebral infarction. Methods A total of 64 patients withshoulder hand syndrome after cerebral infarction were involved in this study and received standard treatment pluslimb exercise. Patientswere randomly divided into 2 groups: Lotion group in which patients received frankincenselotion prescription (n = 32) and control group in which patients received hot water treatment (n = 32). After 25minutes for one time, once per day and 14 consecutive days, curative efficacy, simplified Fugl-Meyer method ofmovement function score (FMA), Ashworth score, upper limb spasm pain visual analogue scale (VAS) and strokespecific quality of life scale (SS-QOL) of two groups were evaluated. Satisfaction rate and adverse events wererecorded. Results Patients in Lotion group who received lotion treatment for 1 or 2 weeks both had increasedFMA score and SS-QOL score and decreased Ashworth score and VAS score when compared with that prior to any treatments. Patients in control group who received lotion treatment for at least 2 weeks experienced the similar improvement when compared with that prior to treatments. Curative efficacy, patient satisfaction, FMA score and SS-QOL score increased while Ashworth score and VAS score decreased significantly after 1 week or 2 weeks of lotion treatment compared with the control group (P < 0.05). No significant difference in the adverse reactions between the two groups were observed (P > 0.05). Conclusion Frankincense lotion prescription combined with limb functional exercises have promisingcurative effect in patients with shoulder hand syndrome after cerebral infarction, in addition to better satisfaction and safety.