摘要
目的:观察平衡针联合Bobath疗法治疗中风后肩手综合征的临床疗效。方法:将62例中风后肩手综合征患者按随机数字表法分为观察组和对照组。观察组采用平衡针联合Bobath治疗,对照组仅采用Bobath疗法治疗,均治疗4周。在治疗前后评估VAS评分、水肿评分、上肢FMA评分、BI评分、肩关节活动度。结果:观察组愈显率为48.4%,对照组愈显率为22.6%,两组比较差异有统计学意义(P<0.05),观察组治疗后肩关节活动度、VAS、水肿、FMA、BI评分改善效果优于对照组,两组比较差异有统计学意义(P<0.05)。结论:平衡针与Bobath疗法联合应用可有效提高中风后肩手综合症的治疗效果,值得在临床上推广运用。
Objective:To observe the clinical effects of balanced acupuncture combined with Bobath therapy on post-stroke shoulder-hand syndrome.Methods:62 patients met the inclusion criteria were randomly divided into the observation group(n=31)and the control group(n=31).The control group was treated with Bobath therapy;on which basis,the observation group was also treated with balanced acupuncture.After four weeks of treatment,all patients were assessed by the scores of Visual Analogue Scale(VAS),Joint Swelling Rate,Fugl-Meyer Assessment(FMA),Barthel Index(BI)and voluntary activity of the shoulder joint before and after the treatment in the two groups.Results:The good improvement rate was 48.4%in the observation group,which was significantly higher than 22.6%in the control group(P<0.05).The score improvements of VAS,Joint Swelling Rate,FMA and BI were more significant in the observation group than those in the control group(P<0.05).Conclusion:Balanced acupuncture combined with Bobath therapy can increase the therapeutic effect of shoulder-hand syndrome,which is worthy of clinical application.
作者
张婷
王洁钰
马耀香
ZHANG Ting;WANG Jieyu;MA Yaoxiang(Hubei Provincial Hospital of TCM,Wuhan 430061,China)
出处
《针灸临床杂志》
2019年第12期23-26,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
平衡针
BOBATH疗法
中风
肩手综合征
Balanced acupuncture
Bobath therapy
Stroke
Shoulder-hand syndrome
