【摘要】：目的：評(píng)價(jià)針刺、中藥熏洗結(jié)合康復(fù)訓(xùn)練治療缺血性腦卒中后Ⅰ期肩手綜合征的臨床療效及可行性,為臨床治療腦卒中后肩手綜合征綜合方案的優(yōu)化提供參考。方法：將60例缺血性腦卒中后Ⅰ期肩手綜合征患者按簡(jiǎn)單隨機(jī)方法分為治療組和對(duì)照組,每組30例。在西醫(yī)常規(guī)內(nèi)科治療的基礎(chǔ)上,對(duì)照組采用單純康復(fù)訓(xùn)練治療,治療組在對(duì)照組的基礎(chǔ)上加用針刺、中藥熏洗治療。共治療4周,分別于治療前、治療2周、4周后及治療結(jié)束1個(gè)月后隨訪時(shí)進(jìn)行簡(jiǎn)式上肢FMA評(píng)分、VAS評(píng)分、腫脹評(píng)分、BⅠ評(píng)分以評(píng)價(jià)肩手綜合征改善情況。結(jié)果：1.治療前兩組簡(jiǎn)式上肢FMA評(píng)分組間比較無(wú)顯著差異(P0.05),具有可比性。治療結(jié)束后,與治療前組內(nèi)比較及兩組組間比較均有顯著差異(P0.05),治療組優(yōu)于對(duì)照組。2.治療前兩組VAS評(píng)分組間比較無(wú)顯著差異(P0.05),具有可比性。治療結(jié)束后,與治療前組內(nèi)比較及兩組組間比較均有顯著差異(P0.05),治療組優(yōu)于對(duì)照組。3.治療前兩組腫脹評(píng)分組間比較無(wú)顯著差異(P0.05),具有可比性。治療結(jié)束后,兩組評(píng)分組間比較無(wú)顯著差異(P0.05),但治療組評(píng)分變化趨勢(shì)優(yōu)于對(duì)照組；與治療前比較兩組內(nèi)均有顯著差異(P均0.05)。4.治療前兩組BI評(píng)分組間比較無(wú)顯著差異(P0.05),具有可比性。治療結(jié)束后,兩組評(píng)分組間比較無(wú)顯著差異(P0.05),但治療組評(píng)分變化趨勢(shì)優(yōu)于對(duì)照組；與治療前比較兩組內(nèi)均有顯著差異(P均0.05)。5.治療結(jié)束1個(gè)月后隨訪,兩組患者在簡(jiǎn)式上肢FMA、VAS、腫脹及BI評(píng)分上,與治療結(jié)束時(shí)比較,均無(wú)明顯差異(P均0.05),病情相對(duì)穩(wěn)定,即兩種治療方案均有著較好的遠(yuǎn)期臨床療效。結(jié)論：1.對(duì)缺血性腦卒中后Ⅰ期肩手綜合征患者采取針刺、中藥熏洗結(jié)合康復(fù)訓(xùn)練或單純康復(fù)訓(xùn)練治療均能有效減輕其患肢疼痛、腫脹程度,改善上肢運(yùn)動(dòng)功能,提高日常生活能力,并均有較理想的長(zhǎng)期療效。2.采取針刺、中藥熏洗結(jié)合康復(fù)訓(xùn)練治療缺血性腦卒中后工期肩手綜合征在減輕患肢疼痛程度,改善上肢運(yùn)動(dòng)功能方面明顯優(yōu)于單純康復(fù)訓(xùn)練治療：在減輕患肢腫脹、提高患者日常生活能力方面比單純康復(fù)訓(xùn)練治療更具優(yōu)勢(shì),且治療時(shí)間越久,優(yōu)勢(shì)越為明顯。3.針刺、中藥熏洗結(jié)合康復(fù)訓(xùn)練治療缺血性腦卒中后工期肩手綜合征的安全性高,療效可靠。
[Abstract]:Objective: to evaluate the clinical efficacy and feasibility of acupuncture, traditional Chinese medicine fumigation and washing combined with rehabilitation training in the treatment of stage I shoulder-hand syndrome after ischemic stroke, and to provide reference for the optimization of comprehensive scheme for clinical treatment of shoulder-hand syndrome after stroke. Methods: sixty patients with stage I shoulder-hand syndrome after ischemic stroke were randomly divided into treatment group (n = 30) and control group (n = 30). On the basis of routine medical treatment in western medicine, the control group was treated with simple rehabilitation training, and the treatment group was treated with acupuncture and traditional Chinese medicine fumigation and washing on the basis of the control group. A total of 4 weeks of treatment were performed to evaluate the improvement of shoulder-hand syndrome by simple upper limb FMA score, VAS score, swelling score and B 鈪，

本文編號(hào)：2512413