摘要
目的分析激痛点艾灸联合作业疗法在脑卒中后肩手综合征(SHS)患者中的应用效果.方法选取2020年5月—2022年5月本院收治的76例脑卒中后SHS患者为研究对象,按随机数字表法分为两组,每组38例.对照组采用作业疗法治疗,观察组在此基础上采用激痛点艾灸治疗,均连续治疗4周.对比两组患者的临床疗效、疼痛程度、关节活动度及生活质量.结果观察组的治疗总有效率为94.74%,高于对照组的78.95%,差异有统计学意义(P<0.05).治疗后,观察组的疼痛视觉模拟评分为(1.38±0.21)分,低于对照组的(2.59±0.42)分,差异有统计学意义(P<0.05).治疗后,观察组的肩关节后伸、前屈、外展、外旋与内旋角度分别为(54.52±3.15)°、(73.75±5.24)°、(73.72±5.36)°、(39.75±4.13)°、(52.46±4.28)°,均大于对照组的(30.48±2.36)°、(61.36±4.75)°、(58.95±4.47)°、(34.20±3.69)°、(40.75±3.48)°,组间差异有统计学意义(P<0.05).治疗后,观察组的生活质量综合评定问卷中各维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论采用激痛点艾灸联合作业疗法治疗脑卒中后SHS患者的效果明显,可缓解疼痛,恢复关节活动度,提升其生活质量.
Objective To analyze the application effect of pain point moxibustion combined with occupational therapy in patients with shoulder-hand syndrome(SHS)after stroke.Methods 76 patients with post-stroke SHS admitted to our hospital from May 2020 to May 2022 were selected as the research objects and divided into two groups according to random number table method,with 38 cases in each group.The control group was treated with occupational therapy,and the observation group was treated with pain point moxibustion on this basis.Both groups were treated continuously for 4 weeks.The clinical efficacy,pain degree,joint range of motion and quality of life were compared between the two groups.Results The total effective rate of the observation group was 94.74%,which was higher than 78.95%of the control group,and the difference was statistically significant(P<0.05).After treatment,the pain visual analog scale score of the observation group was(1.38±0.21)points,lower than(2.59±0.42)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the posterior extension,anterior flexion,abduction,external rotation and internal rotation angles of shoulder joint in the observation group were(54.52±3.15)°,(73.75±5.24)°,(73.72±5.36)°,(39.75±4.13)°,(52.46±4.28)°,respectively,which were greater than(30.48±2.36)°,(61.36±4.75)°,(58.95±4.47)°,(34.20±3.69)°,(40.75±3.48)°in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the scores of all dimensions in the generic quality of life inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Pain point moxibustion combined with occupational therapy is effective in the treatment of patients with SHS after stroke,which can relieve pain,restore joint motion and improve their quality of life.
作者
李斌
王坤
LI Bin;WANG Kun(Department of Rehabilitation,Laiwu Central Hospital of Shandong Health Care Group,Jinan Shandong,271103,China;Department of Traditional Chinese Medicine Geriatrics,Laiwu Central Hospital of Shandong Health Care Group,Jinan Shandong,271103,China)
出处
《反射疗法与康复医学》
2023年第4期164-166,170,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
肩手综合征
激痛点艾灸
作业疗法
疼痛
关节活动度
Stroke
Shoulder-Hand syndrome
Moxibustion at pain point
Occupational therapy
Pain
Joint range of motion
