针刺联合康复训练治疗脑卒中后肩手综合征的疗效观察

目的:探讨针刺联合康复训练治疗肩手综合征的临床疗效。方法:将80例肩手综合征患者随机分为对照组和观察组各40例,对照组给予康复训练治疗,观察组给予针刺联合康复训练治疗,两个疗程后对比治疗结果。结果:观察组总有效率92.50%优于对照组总有效率72.50%,差异有统计学意义(P0.05);两组VAS、FMA评分均较治疗前提高,但观察组均提高更为明显,差异均有统计学意义(P0.05)。结论:针刺联合康复训练治疗脑卒中后肩手综合征,通络止痛、醒脑开窍,可明显缓解疼痛,改善肢体功能,临床疗效优异,值得临床进一步研究推广。

Acupuncture Combined with Rehabilitation Training in the Treatment of Shoulder-hand Syndrome after Stroke

Objective：This is a clinical research on acupuncture combined with rehabilitation training in the treatment of shoulder -hand syndrome .Methods：Eighty cases of shoulder-hand syndrome patients were randomly divided into control group and observation group , control group was given rehabilitation training , and observation group was given acupuncture combined with rehabilitation training , com-pare efficacy after 2 courses.Results：Observation group’s total effective rate =92.5%, control group =72.5% （P〈0.05）; both groups’ VAS, FMA scores increased compared with before treatment , the tendency was more notable in observation group P〈0.05）. Conclusion：Acupuncture combined with rehabilitation training can remove obstruction in collaterals , relieve pain , refresh mind and open orifices .When treating shoulder-hand syndrome after stroke , the combined therapy can relieve pain and improve physical function , therefore it’s recommended to be used in clinic.