电针联合康复训练治疗中风后肩手综合征疗效观察

摘要

Objective To explore the effect of electroacupuncture plus rehabilitation on shoulder-hand syndrome (SHS). Method Eighty SHS patients were randomized into an experimental group and a control group, 40 cases in each group. The experimental group was intervened by electroacupuncture plus rehabilitation training and basic Western medicine treatment, while the control group was by rehabilitation training and Western medicine treatment, 3 sessions a week, 4 weeks in total. The pain intensity of the affected shoulder and upper-limb motor function were observed before and after the treatment. The therapeutic efficacy was also evaluated. Result The Visual Analogue Scale (VAS) score of the shoulder pain and Fugl-Meyer Assessment (FMA) score of the upper-limb motor function were significantly improved after the intervention in the two groups (P<0.01), and the improvements of VAS and FMA in the experimental group were more significant than that in the control group (P<0.01). Conclusion Based on the basic treatment of Western medicine, electroacupuncture plus rehabilitation training can markedly improve the pain intensity of the affected shoulder and upper-limb motor function in post-stroke shoulder-hand syndrome.%目的：探讨电针联合康复训练对中风后肩手综合征的影响。方法将80例中风后肩手综合征患者随机分为试验组和对照组,每组40例。试验组采用电针治疗联合康复训练加西医基础治疗,对照组采用康复训练加西医基础治疗,疗程为每星期3次,共4个星期。观察两组治疗前后患侧肩痛程度、上肢运动功能指标,并同时进行疗效评价。结果两组治疗后肩痛程度视觉模拟评分(visual analogue scale,VAS)、上肢运动功能Fugl-Meyer评分(Fugl-Meyer assessment,FMA)较治疗前均有不同程度改善(P＜0.01),且试验组视觉模拟评分(VAS)、Fugl-Meyer 评分(FMA)改善较对照组更显著(P＜0.01)。结论在西医基础治疗同时,电针联合康复训练能明显改善中风后肩手综合征肩痛程度及上肢运动功能。