冰紅酒劑配合康復(fù)訓(xùn)練對(duì)缺血性腦卒中后肩手綜合征早期的臨床研究
發(fā)布時(shí)間：2018-08-04 14:20
【摘要】：目的:通過觀察冰紅酒劑配合康復(fù)訓(xùn)練對(duì)缺血性腦卒中后肩手綜合征早期(熱壅血瘀證)患者治療前后腫脹、疼痛和上肢運(yùn)動(dòng)功能指標(biāo)、中醫(yī)證候積分的變化,初步探討冰紅酒劑配合康復(fù)訓(xùn)練治療腦卒中后肩手綜合征早期的臨床療效及安全性,從而選擇更有效、簡便及安全的綜合方法應(yīng)用于臨床。方法:從河南中醫(yī)藥大學(xué)第一附屬醫(yī)院腦病醫(yī)院住院病人中收集符合納入標(biāo)準(zhǔn)的病例60例,按簡單隨機(jī)數(shù)字表法隨機(jī)分為兩組,即治療組和對(duì)照組,每組各30例,治療組給予基礎(chǔ)治療+康復(fù)訓(xùn)練+冰紅酒劑,對(duì)照組給予基礎(chǔ)治療+康復(fù)訓(xùn)練,共治療2周,治療前后用腫脹程度評(píng)分、目測(cè)類比疼痛評(píng)分(VAS)、Fugl-Meyer簡化上肢運(yùn)動(dòng)功能評(píng)分量表評(píng)分(FMA)、中醫(yī)證候積分來比較兩組治療前后在腫脹、疼痛、上肢運(yùn)動(dòng)功能及中醫(yī)證候等方面的積分變化,同時(shí)觀察治療前后治療方案的總體臨床療效及安全性。結(jié)果:1.兩組病人一般資料比較(年齡、性別、神經(jīng)功能缺損評(píng)分)均無明顯差異(P0.05),表明具有可比性。治療組顯效12例,好轉(zhuǎn)15例,無效3例,總有效率90.00%;對(duì)照組顯效3例,好轉(zhuǎn)20例,無效7例,總有效率76.67%。兩組總體療效比較,冰紅酒劑組與康復(fù)訓(xùn)練組比較有顯著性差異(P0.05)。結(jié)果表明,冰紅酒劑組療效明顯優(yōu)于康復(fù)訓(xùn)練組。2.對(duì)于腫脹評(píng)分:兩組治療前腫脹評(píng)分比較無顯著差異(P0.05),治療后兩組均較治療前有顯著差異(P0.05),治療后治療組與對(duì)照組間有統(tǒng)計(jì)學(xué)差異(P0.05)。3.對(duì)于疼痛評(píng)分:兩組治療前VAS評(píng)分比較無顯著差異(P0.05)。兩組治療后與治療前比較皆有顯著性差異(P0.05),且治療組的降低疼痛效果優(yōu)于對(duì)照組(P0.05)。4.對(duì)于上肢運(yùn)動(dòng)功能評(píng)分:治療前各組間上肢簡化FMA評(píng)分比較無顯著性差異(P0.05)。兩組治療后上肢簡化FMA評(píng)分與治療前比較均有顯著性差異(P0.05)。治療后冰紅酒劑組FMA評(píng)分與康復(fù)訓(xùn)練組比較有顯著性差異(P0.05)。5.對(duì)于中醫(yī)證候積分:治療前兩組中醫(yī)證候積分比較無顯著差異(P0.05),具有可比性,治療后兩組中醫(yī)證候積分均較治療前有統(tǒng)計(jì)學(xué)差異(P0.05),兩組治療后中醫(yī)證候積分比較,治療組較對(duì)照組有顯著差異(P0.05)。結(jié)論:對(duì)中風(fēng)后肩手綜合征早期(熱壅血瘀證)患者采取冰紅酒劑配合康復(fù)訓(xùn)練及康復(fù)訓(xùn)練均能有效減輕其水腫、疼痛程度,改善其上肢運(yùn)動(dòng)功能、改善臨床癥狀。冰紅酒劑組療效明顯優(yōu)于康復(fù)訓(xùn)練組,冰紅酒劑配合康復(fù)訓(xùn)練在中風(fēng)后肩手綜合征早期的治療中具有良好的協(xié)同作用,可以提高臨床綜合療效、同時(shí)安全可靠。
[Abstract]:Objective: To observe the early clinical effect of ice red liquor and rehabilitation training on the early stage of shoulder hand syndrome after stroke by observing the changes of swelling, pain and upper limb movement function and TCM syndrome score before and after the treatment of the early stage of the shoulder hand syndrome after the treatment of ischemic stroke. To select more effective, simple and safe comprehensive methods used in clinical. Methods: 60 cases of hospitalized patients in the First Affiliated Hospital of Henan University of traditional Chinese medicine were collected and randomly divided into two groups according to the simple random digital table method, that is, the treatment group and the control group, each group of 30 cases, the treatment group was given the basis. Base therapy + rehabilitation training + ice red wine, the control group was given basic treatment plus rehabilitation training for 2 weeks. After treatment, the swelling degree score, visual analogue pain score (VAS), Fugl-Meyer simplified upper limb motor function score scale score (FMA), TCM syndrome score were used to compare the swelling, pain, upper limb movement function and middle of the two groups before and after treatment. The overall clinical efficacy and safety of the treatment plan before and after treatment were observed and the overall clinical efficacy and safety were observed before and after treatment. Results: 1. the general data of the two groups (age, sex, nerve function defect score) had no significant difference (P0.05), indicating that there were 12 cases in the treatment group, 15 cases improved, 3 cases ineffective, and the total effective rate of 90%; The results were 3 cases, 20 cases improved, 7 cases were invalid, the total effective rate of 76.67%. two group was compared, the ice red wine group and the rehabilitation training group had significant difference (P0.05). The results showed that the effect of ice red wine group was obviously better than that of the rehabilitation training group (.2.) for swelling score: there was no significant difference between the two groups before treatment (P0.05), after treatment, the treatment group had no significant difference (P0.05). There was significant difference between the two groups before the treatment (P0.05). There was a statistical difference between the treatment group and the control group (P0.05).3. for the pain score: there was no significant difference between the two groups before the treatment (P0.05). The two groups were significantly different from those before the treatment (P0.05), and the effect of the treatment group was better than the control group (P0.05).4.. There was no significant difference (P0.05) in the simplified FMA score of upper limbs between the groups before treatment (P0.05). There was significant difference between the two groups after treatment and before treatment (P0.05). The FMA score of the ice red wine group after treatment was significantly different from that of the rehabilitation training group (P0.05).5. for TCM syndrome score: treatment and treatment. There was no significant difference (P0.05) between the two groups of TCM syndrome scores before treatment. The scores of TCM syndromes in the two groups after treatment were significantly different than before treatment (P0.05). Compared with the control group after the two groups, the treatment group had a significant difference (P0.05). Conclusion: the patients in the early stage of the shoulder hand syndrome after apoplexy (heat congestion and blood stasis syndrome) were collected. Ice and red wine combined with rehabilitation training and rehabilitation training can effectively reduce the edema, the degree of pain, improve the function of the upper limb and improve the clinical symptoms. The effect of ice red wine agent group is obviously better than that of the rehabilitation training group. Ice red wine and rehabilitation training have good synergy in the treatment of the early stage of shoulder hand syndrome after apoplexy. High clinical comprehensive curative effect, at the same time safe and reliable.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R277.7
本文編號(hào)：2164152
[Abstract]:Objective: To observe the early clinical effect of ice red liquor and rehabilitation training on the early stage of shoulder hand syndrome after stroke by observing the changes of swelling, pain and upper limb movement function and TCM syndrome score before and after the treatment of the early stage of the shoulder hand syndrome after the treatment of ischemic stroke. To select more effective, simple and safe comprehensive methods used in clinical. Methods: 60 cases of hospitalized patients in the First Affiliated Hospital of Henan University of traditional Chinese medicine were collected and randomly divided into two groups according to the simple random digital table method, that is, the treatment group and the control group, each group of 30 cases, the treatment group was given the basis. Base therapy + rehabilitation training + ice red wine, the control group was given basic treatment plus rehabilitation training for 2 weeks. After treatment, the swelling degree score, visual analogue pain score (VAS), Fugl-Meyer simplified upper limb motor function score scale score (FMA), TCM syndrome score were used to compare the swelling, pain, upper limb movement function and middle of the two groups before and after treatment. The overall clinical efficacy and safety of the treatment plan before and after treatment were observed and the overall clinical efficacy and safety were observed before and after treatment. Results: 1. the general data of the two groups (age, sex, nerve function defect score) had no significant difference (P0.05), indicating that there were 12 cases in the treatment group, 15 cases improved, 3 cases ineffective, and the total effective rate of 90%; The results were 3 cases, 20 cases improved, 7 cases were invalid, the total effective rate of 76.67%. two group was compared, the ice red wine group and the rehabilitation training group had significant difference (P0.05). The results showed that the effect of ice red wine group was obviously better than that of the rehabilitation training group (.2.) for swelling score: there was no significant difference between the two groups before treatment (P0.05), after treatment, the treatment group had no significant difference (P0.05). There was significant difference between the two groups before the treatment (P0.05). There was a statistical difference between the treatment group and the control group (P0.05).3. for the pain score: there was no significant difference between the two groups before the treatment (P0.05). The two groups were significantly different from those before the treatment (P0.05), and the effect of the treatment group was better than the control group (P0.05).4.. There was no significant difference (P0.05) in the simplified FMA score of upper limbs between the groups before treatment (P0.05). There was significant difference between the two groups after treatment and before treatment (P0.05). The FMA score of the ice red wine group after treatment was significantly different from that of the rehabilitation training group (P0.05).5. for TCM syndrome score: treatment and treatment. There was no significant difference (P0.05) between the two groups of TCM syndrome scores before treatment. The scores of TCM syndromes in the two groups after treatment were significantly different than before treatment (P0.05). Compared with the control group after the two groups, the treatment group had a significant difference (P0.05). Conclusion: the patients in the early stage of the shoulder hand syndrome after apoplexy (heat congestion and blood stasis syndrome) were collected. Ice and red wine combined with rehabilitation training and rehabilitation training can effectively reduce the edema, the degree of pain, improve the function of the upper limb and improve the clinical symptoms. The effect of ice red wine agent group is obviously better than that of the rehabilitation training group. Ice red wine and rehabilitation training have good synergy in the treatment of the early stage of shoulder hand syndrome after apoplexy. High clinical comprehensive curative effect, at the same time safe and reliable.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R277.7
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