综合康复疗法治疗脑卒中后肩手综合征

目的前瞻性系统观察综合康复疗法对脑卒中后肩手综合征的疗效。方法64例脑卒中后肩手综合征患者接受综合康复治疗（康复＋电针＋超短波）1个月，以Vugl—Meyer（FMA）评分评定患者的上肢运动功能；以改良Barthel（MBI）指数评定患者的日常生活活动能力；通过视觉模拟评分法（VAS）评定患者上肢疼痛及水肿程度，观察治疗前后各项指标的改变。结果治疗1个月与治疗前比较，FMA评分分别为18．35±3．61和9．63±2．30（t=16．30，P〈0．001），MBI指数分别为50．12±6．34和30．24±4．22（t=20．88，P〈0．001），患肢疼痛评分分别为2．26±1．62和6．48±2．18（t=13．16，P〈0．001），水肿程度评分分别为1．72±1．28和4．08±1．26（f=12．52，P〈0．001），均较治疗前明显改善（P〈0．001），总有效率达84．38％。结论综合康复疗法使患者FMA评分和MBI指数均明显提高，患肢疼痛和水肿程度均较治疗前明显下降。

Effects of comprehensive rehabilitation in the treatment of patients with shoulder-hand syndrome after stroke

Objective To observe the effects of synthetic rehabilitation in the treatment of patients with shoulder- hand syndrome after stroke systematically and prospectively. Methods 64 cases of shoulder-hand syndrome after stroke received comprehensive rehabilitation treatment for 1 month. 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. Contrast the indicators before and after treatment. Results The FMA scores were 18.35 ± 3.61 and 9.63 ± 2.30 （t=16.30, P〈0.001）, the MBI index was 50.12 ± 6.34 and 30.24± 4.22 （t=-20.88, P〈0.001）, limb pain scores were 2.26± 1.62 and 6.48 ±2.18 （t= 13.16, P〈0.001）, and edema scores were 1.72 1.28 and 4.08 ± 1.26 （t= 12.52, P〈0.001） after and before treatment. They were significantly improved compared with that before treatment （P〈0.001）, the total effective rate was 84.38%. Conclusion The comprehensive rehabilitation therapy improved patients＇ FMA score and MBI index significantly. Limb pain and edema were significantly decreased than that before treatment.