摘要
目的观察温针联合中药薰洗及康复训练治疗脑卒中后肩痛的疗效。方法将60例符合纳入标准的患者随机分为治疗组(温针联合中药薰洗及康复训练)和对照组(康复训练),每组30例,治疗前后分别采用VAS评分、Fugl-Meyer上肢运动评分和Barthel指数评分,评定疼痛强度、上肢运动功能和日常生活活动能力,比较两组临床疗效。结果治疗30 d后,治疗组患者肩部疼痛强度、上肢运动功能和日常生活活动能力的改善均优于对照组,两组比较差异有统计学意义(P<0.05)。两组均未发现明显的不良反应。结论温针联合中药薰洗及康复训练治疗可有效、安全缓解脑卒中患者肩部疼痛强度,改善上肢运动功能和提高日常生活活动能力,疗效优于对照组。
Objective To observe the therapeutic efficacy of warm needling plus Chinese medicinal fumigation and rehabilitation training in treating post-stroke shoulder pain. Method Sixty eligible patients were randomized into a treatment group（warm needling plus Chinese medicinal fumigation and rehabilitation） and a control group（rehabilitation training）, 30 cases in each group. The Visual Analogue Scale（VAS）, Fugl-Meyer Assessment Scale（FMA） and Barthel Index（BI） were respectively used to evaluate pain intensity, upper-limb motor function and activities of daily living, and the clinical efficacies were compared between the two groups. Result After 30-day treatment, the improvements of shoulder pain intensity, upper-limb motor function and activities of daily living in the treatment group were more significant than that in the control group（P〈0.05）. There were no adverse events happened in the two groups. Conclusion Warm needling plus Chinese medicinal fumigation and rehabilitation training can effectively and safely mitigate shoulder pain, improve upper-limb motor function, and enhance the activities of daily living, and its therapeutic efficacy is superior to that of the control group.
出处
《上海针灸杂志》
2015年第12期1174-1177,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
温针疗法
薰洗
康复训练
中风后遗症
偏瘫
肩痛
Needle warming therapy
Steaming washing therapy
Rehabilitation
Post-stroke sequelae
Hemiplegia
Shoulder pain
