摘要
目的探讨一指禅推拿手法结合补阳还五汤对中风后遗症患者肩关节半脱位及上肢运动功能恢复的影响。方法将93例中风后肩关节半脱位患者随机分为2组,治疗组48例给予一指禅推拿结合补阳还五汤治疗,对照组45例采用常规Bobarh康复方法治疗,治疗后1个月评定2组临床疗效,观察2组治疗前后VAS评分、Fugl-Meyer运动功能评分、AHI评分变化情况。结果治疗后治疗组总有效率明显高于对照组(P<0.05),VAS评分、AHI评分明显低于对照组(P均<0.05),Fugl-Meyer运动功能评分明显高于对照组(P<0.05)。结论一指禅推拿结合补阳还五汤可有效缓解中风后肩关节半脱位症状,提高上肢运动功能,恢复患肢肌力。
Objective It is to explore the effect of single thumb massage combined with Buyanghuanwu decoction on shoulder subluxation and recovery of upper limb movement function in the patients with sequel of apoplexy. Methods Ninety-three patients with shoulder subluxation after apoplexy were randomly divided into 2 groups： the treatment group（ n = 48） was treated with single thumb massage combined with Buyanghuanwu decoction,while the control group（ n = 45） was treated with normal Bobarh rehabilitation therapy. After treatment for one month,the clinical curative effects were evaluated,the changes of VAS scores,Fugl-Meyer movement funtional scores and AHI scores before and ater treatment in both groups were observed.Results After treatment,the total effective rate and Fugl-Meyer movement funtional scores were significantly higher,while VAS scores,AHI scores were lower in treatment group than that in control group（ P〈0. 05）. Conclusion Single thumb massage combined with Buyanghuanwu decoction could effectively relieve symptoms of shoulder subluxation,improve upper limb movement function and recovery limb muscle strength in patients after apoplexy.
出处
《现代中西医结合杂志》
CAS
2017年第4期350-352,355,共4页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
上海市进一步加快中医药事业发展三年行动计划(2014-2016)资助项目(ZY3-FWMS-2-1009)
关键词
一指禅推拿
补阳还五汤
中风后肩关节半脱位
single thumb massage
Buyanghuanwu decoction
shoulder subluxation after apoplexy
