综合康复疗法治疗中风后肩手综合征疗效观察

摘要

Objective To observe the clinical efficacy of comprehensive rehabilitation therapy in treating post-stroke shoulder- hand syndrome.Method Sixty patients with post-stroke shoulder-hand syndrome were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by acupuncture plus correct posture, rehabilitation training, wax disc method, and intermediate-frequency medicinal penetration therapy; the control group was only by acupuncture plus correct posture. Before and after intervention, the limb function, pain, swelling degree, and activities of daily life were measured, and the clinical efficacies were compared between the two groups.Result The total effective rate was 93.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.01). In the treatment group, the indexes (Fugle-Meyer Assessment of upper limb, movement range of shoulder, Global Perceived Effect, Visual Analogue Scale, and swelling score) were significantly changed after intervention (P<0.01). After treatment, the indexes of the treatment group were significantly different from those of the control group (P<0.01).Conclusion Comprehensive rehabilitation therapy can significantly improve pain, swelling, motor function of the affected limb, and activities of daily life in post-stroke shoulder-hand syndrome.%目的：观察综合康复疗法治疗中风后肩手综合征的临床疗效。方法将60例中风后肩手综合征患者随机分为治疗组和对照组，每组30例。治疗组采用针刺配合正确体位摆放、康复训练、蜡饼法和中频药透疗法治疗，对照组仅采用针刺配合正确体位摆放治疗。对两组患者治疗前后肢体功能、疼痛、水肿程度、日常生活活动能力进行评定，比较两组临床疗效。结果治疗组总有效率为93.3%，对照组为66.7%，两组比较差异具有统计学意义(P＜0.01)。治疗组治疗后各项指标(上肢Fugle-Meyer运动功能评分、肩关节活动度、GPE、VAS评分及水肿评分)与同组治疗前比较，差异均具有统计学意义(P＜0.01)。治疗组治疗后各项指标与对照组比较，差异均具有统计学意义(P＜0.01)。结论综合康复疗法治疗中风后肩手综合征，可明显改善疼痛及肿胀症状，提高患者肢体运动功能和日常生活活动能力。