针刺和中药热奄包联合康复治疗卒中后肩手综合征疗效观察

目的观察针刺和中药热奄包联合康复治疗卒中后肩手综合征(SHS)的疗效。方法选取SHS患者106例,采用随机数字表法均分为两组,每组53例,对照组给予常规康复训练,观察组在此基础上加用针刺和中药热奄包治疗,疗程为4周,比较两组治疗效果和安全性。结果观察组和对照组总有效率分别为90.6%和75.5%,两组疗效比较差异有统计学意义(P<0.05);治疗后两组FMA和MBI评分均明显升高(P<0.05),VAS评分明显降低(P<0.05),且观察组FMA和MBI评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);两组治疗前后水肿程度和MAS分级比较差异有统计学意义(P<0.05),且两组治疗后水肿程度和MAS分级比较差异有统计学意义(P<0.05);两组安全性评价分级比较差异无统计学意义(P>0.05)。结论针刺和中药热奄包联合康复训练治疗SHS能明显缓解患肢疼痛和水肿症状,促进患肢肌力和活动功能恢复。

Therapeutic Observation of Acupuncture and Chinese Medication Hot Compress Combined with Rehabilitation for Post-stroke Shoulder-hand Syndrome

Objective To observe the therapeutic efficacy of acupuncture and Chinese medication hot compress plus rehabilitation in treating post-stroke shoulder-hand syndrome(SHS).Method A total of 106 SHS patients were recruited and divided into two groups using the random number table method,with 53 cases in each group.The control group was given conventional rehabilitation training,and the observation group was additionally given acupuncture and Chinese medication hot compress for treatment.The intervention lasted for 4 weeks.The treatment efficacy and safety were compared between the two groups.Result The total effective rate was 90.6%in the observation group and 75.5%in the control group,and the between-group difference in the therapeutic efficacy was statistically significant(P<0.05);the Fugl-Meyer Assessment(FMA)and Modified Barthel Index(MBI)scores increased significantly(P<0.05)and the Visual Analogue Scale(VAS)score decreased significantly(P<0.05)after treatment in both groups;the FMA and MBI scores were higher and the VAS score was lower in the observation group than in the control group,all with statistical significance(P<0.05).The swelling degree and the Modified Ashworth Scale(MAS)grade changed significantly after treatment in the two groups(P<0.05)and there were significant differences comparing the swelling degree and MAS grade between the two groups after treatment(P<0.05).There was no significant difference in the safety evaluation grade between the two groups(P>0.05).Conclusion Acupuncture and Chinese medication hot compress plus rehabilitation training can significantly mitigate pain and swelling and promote the recovery of muscle strength and motor function of the affected limb in treatment of SHS.