摘要
目的观察毫火针联合康复训练治疗脑卒中后肩手综合征(shoulder-hand syndrome,SHS)Ⅰ期患者的临床疗效。方法将60例脑卒中后SHSⅠ期患者分为观察组和对照组,每组30例。两组患者均采取常规用药及康复治疗,对照组加用普通毫针治疗,观察组加用毫火针治疗,两组疗程均为4周。观察并比较两组患者治疗前后视觉模拟量表(visual analogue scale,VAS)评分,Fugl-Meyer评估量表(Fugl-Meyer assessment scale,FMA)评分,肩手综合征评分(shoulder-hand syndrome score,SHSS)及临床疗效。结果两组患者治疗后VAS评分、SHSS均较治疗前显著减少(P<0.05),FMA评分显著增加(P<0.05);且观察组VAS评分、SHSS减少程度,FMA评分增加程度显著大于对照组(P<0.05)。观察组疗效明显优于对照组(P<0.05)。结论毫火针联合康复训练能够显著改善脑卒中后SHSⅠ期患者的肢体功能,缓解疼痛肿胀,调节患者的血管功能,提高临床疗效,提升患者生活质量。
Objective To investigate the clinical effect of milli-fire needle combined with rehabilitation training in the treatment of patients with stageⅠpost-stroke shoulder-hand syndrome(SHS).Methods A total of 60 patients with stageⅠpost-stroke SHS were randomly divided into observation group and control group,with 30 patients in each group.In addition to conventional medication and rehabilitation treatment,the patients in the control group were given filiform needle therapy,and those in the observation group were given milli-fire needle therapy.The course of treatment was 4 weeks for both groups.The two groups were observed and compared in terms of Visual Analogue Scale(VAS)score,Fugl-Meyer Assessment(FMA)score,and Shoulder-Hand Syndrome Score(SHSS)before and after treatment,and clinical outcome was also compared between the two groups.Results After treatment,both groups had significant reductions in VAS and SHSS scores(P<0.05)and a significant increase in FMA score(P<0.05),and compared with the control group,the observation group had significantly greater reductions in VAS and SHSS scores and a significantly greater increase in FMA score(P<0.05).The observation group had a significantly better clinical outcome than the control group(P<0.05).Conclusion Milli-fire needle combined with rehabilitation training can significantly improve limb function,relieve pain and swelling,regulate vascular function,and improve clinical outcome and quality of life in patients with stageⅠpost-stroke SHS.
作者
张泽荣
薛晓婕
钱见见
伍庄
ZHANG Zerong;XUE Xiaojie;QIAN Jianjian;WU Zhuang(Bengbu Third People's Hospital Affiliated to Bengbu Medical College,Anhui Bengbu 233000,China)
出处
《安徽中医药大学学报》
CAS
2022年第6期49-52,共4页
Journal of Anhui University of Chinese Medicine
基金
蚌埠医学院自然科学重点项目(2021byzd233)。
关键词
脑卒中
肩手综合征
毫火针
普通毫针
康复训练
Stroke
Shoulder-hand syndrome
Milli-fire needle
Filiform needle
Rehabilitation training
