肌内效贴联合综合康复对脑卒中后肩手综合征的疗效观察

目的 观察肌内效贴联合综合康复对脑卒中后肩手综合征的治疗效果。方法 将80例脑卒中后肩手综合征患者随机分为观察组和对照组，每组40例。对照组给予常规治疗及综合康复，观察组在对照组基础上给予肌内效贴治疗。治疗4周后，记录患者治疗前后疼痛评分（VAS）、手肿胀体积、上肢 Fugl-Meyer 运动功能评定量表（FMA）及Barthel得分情况。结果 治疗后观察组VAS评分低于对照组（4.32±1.03）分 vs （5.78±0.91）分]，手肿胀体积低于对照组（141.68±9.27）ml vs （177.52±8.68）ml]，Fugl-Meyer和Barthel指数评分均高于对照组（21.42±2.18）分 vs （18.19±2.46）分，（63.89±6.98）分 vs （52.46±7.31）分]，差异有统计学意义（P＜0.05）。结论 肌内效贴联合综合康复在治疗脑卒中后肩手综合征中具有明显的镇痛作用，对浮肿、关节活动障碍的关节功能改善有较好疗效。

Therapeutic Effect of Kinesio Taping Combined with Comprehensive Rehabilitation onShoulder-hand Syndrome after Stroke

Objective To observe the therapeutic effect of intramuscular effect combined with comprehensive rehabilitation on shoulder-hand syndrome after stroke.Methods 80 patients with post-stroke shoulder-shoulder syndrome were randomly divided into observation group and control group, with 40 cases in each group. The control group received routine treatment and comprehensive rehabilitation, and the observation group was given intramuscular effect treatment on the basis of the control group. After 4 weeks of treatment, the patient’s pain score (VAS), hand swelling volume, upper limb Fugl-Meyer motor function rating scale (FMA) and Barthel score were recorded.Results After treatment, the VAS score of the observation group was lower than that of the control group (4.32±1.03)scores vs. (5.78±0.91)scores], and the hand swelling volume was lower than that of the control group (141.68±9.27)ml vs (177.52±8.68)ml].Fugl-Meyer and Barthel index scores were higher than those in the control group (21.42±2.18)scores vs(18.19±2.46)scores,(63.89±6.98)scores vs(52.46±7.31)scores],the difference was statistically significant(P<0.05).Conclusion Intramuscular effect combined with comprehensive rehabilitation has obvious analgesic effect in the treatment of post-stroke shoulder-hand syndrome, and has a good effect on the improvement of joint function of edema and joint activity disorder.