摘要
目的:探讨针刺推拿康复结合中药泡洗治疗脑梗塞后肩手综合征(SHS)的临床疗效及对患者生活质量的影响。方法:选取脑梗塞后SHS患者87例,随机分为观察组(n=44)与对照组(n=43),对照组采用常规康复治疗,观察组在对照组基础上采用针刺推拿康复结合中药泡洗治疗,两组均连续治疗4周。比较两组患者临床疗效;分别于治疗前后采用上肢运动功能评分(FMA)、肩关节活动范围评分、疼痛数字评价量表(NRS)及Ashworth痉挛评分评估两组患者上肢运动功能、肩关节活动范围、疼痛及痉挛状况;采用脑梗死专用生活质量量表(SS-QOL)评定两组患者治疗前后生活质量。结果:治疗后观察组的总有效率为95.45%,显著高于对照组的69.77%(P<0.01);与治疗前相比,治疗后两组患者NRS及Ashworth痉挛评分均下降,两组患者FMA评分、肩关节活动范围评分及SS-QOL评分均升高,且两组间经比较有显著差异(P<0.01)。结论:针刺推拿康复结合中药泡洗治疗脑梗塞后SHS可有效缓解患者肩关节疼痛及痉挛状况,促进上肢运动恢复,提升生活质量,临床疗效显著。
Objective： To explore the clinical efficacy of acupuncture and tuina rehabilitation combined with herbal soaking in treatment of shoulder-hand syndrome（ SHS） after cerebral infarction and its influence on life qualities of the patients. Methods： 87 SHS patients after cerebral infarction were randomly divided into the observation group（ n = 44） and the control group（ n = 43）. The control group was treated with routine rehabilitation; on which basis,the observation group was also treated with acupuncture and tuina rehabilitation combined with herbal soaking. The treatment course was four weeks. The clinical efficacy was compared between the two groups. Fug I-Meyer assessment（ FMA）,scores of shoulder motion range,numeric rating scale（ NRS） of pain,and Ashworth spasticity score were used to evaluate the upper-limb movement function,shoulder range of motions,pain and spasticity condition of the two groups before and after treatment. Stroke specific quality of life（ SS-QOL） scale was applied to evaluate the life qualities of the patients before and after treatment in the two groups. Results： The total effective rate of the observation group was 95. 45%,which was significantly higher than 69. 77% of the control group（ P〈0. 01）. The scores of NRS and Ashworth spasticity were decreased;however,the scores of FMA,shoulder motion range,and SS-QOL were increased in the two groups after treatment; there were obvious differences between the two groups（ P〈0. 01）. Conclusion： Acupuncture and tuina rehabilitation combined with herbal soaking can relieve the pain and spasticity of the shoulder joints,promote the recovery of upper-limb movement,improve the life qualities in treatment of SHS after cerebral infarction,with its remarkable clinical efficacy.
作者
尤阳
YOU Yang(Navy Qingdao Second Nursing Home,Qingdao 266071,China)
出处
《针灸临床杂志》
2018年第8期4-7,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
脑梗塞
肩手综合征
中药泡洗
针刺疗法
推拿
生活质量
Cerebral infarction
Shoulder - hand syndrome
Herbal soaking
Acupuncture therapy
Tuina
Life quality
