脑卒中后肩-手综合征的综合康复

目的探讨康复综合干预对脑卒中后肩-手综合征的治疗效果。方法对181例脑卒中后并发肩-手综合征患者分为综合康复治疗组(观察组)96例和对照组85例,两组均行常规康复训练,观察组还另外采用良肢位摆放、空气波压力治疗、冷水热水交并浸泡、运动想像等综合康复措施。治疗4周后评定疗效。结果观察组偏瘫侧肩痛、关节活动度、水肿等与治疗前比较有明显改善,与对照组比较有显著性差异(P<0.05)。结论综合治疗能提高脑卒中后肩-手综合征的康复治疗效果,有助于肩关节功能的恢复。

Effect of Comprehensive Rehabilitation on Shoulder Hand Syndrome after Stroke

Objective To investigate the effect of the comprehensive rehabilitation on shoulder hand syndrome after stroke.Methods 181 patients with shoulder hand syndrome after stroke were divided into the comprehensive rehabilitation group(observed group,96 cases)and control group(85 cases).All the patients were treated with routine rehabilitation training,while those of the observed group accepted normal limbs in good position,air pressure,cold/warm water alternate dip in,motor imagery,etc.in addition.Results The shoulder pain,range of motor,dropsy of the observed group obviously improved to that of the control group(P<0.05).Conclusion The comprehensive rehabilitation is more effective on shoulder hand syndrome after stroke.