温针灸联合阶段性抗阻训练在卒中后肩手综合征患者中的应用研究

Application of Warm Acupuncture Combined with Staged Resistance Training in Patients with Shoulder-Hand Syndrome after Stroke

目的探究温针灸联合阶段性抗阻训练在卒中后肩手综合征(SHS)患者中的应用效果.方法选取2021年5月—2023年2月茂名市中医院收治的66例卒中后SHS患者为研究对象,按照随机数字表法将其分为A组与B组,各33例.两组患者均接受常规用药及常规康复训练,A组开展阶段性抗阻训练,B组在A组基础上加用温针灸治疗.比较两组临床疗效、治疗前后疼痛视觉模拟(VAS)评分、Fugl-Meyer运动功能评估表(FMA)评分、世界卫生组织生存质量测定量表(WHOQOL-100)评分.结果治疗6周后,B组治疗总有效率为93.94%,高于A组的72.73%,差异有统计学意义(P<0.05).治疗前;两组VAS评分、FMA评分比较,组间差异无统计学意义(P>0.05):治疗6周后,B组VAS评分低于A组,FMA评分高于A组,组间差异有统计学意义(P<0.05).治疗前,两组WHOQOL-100中心理健康、身体健康、社会关系、环境评分比较,组间差异无统计学意义(P>0.05);治疗6周后,B组WHOQOL-100中心理健康、身体健康、社会关系、环境评分均高于A组,组间差异有统计学意义(P<0.05).结论温针灸联合阶段性抗阻训练在卒中后SHS治疗中,可提高临床疗效,降低患者疼痛程度,增强上肢功能,提高生存质量.

Objective To explore the application of warm acupuncture and moxibustion combined with staged resistance training in patients with post-stroke shoulder hand syndrome(SHS).Methods 66 patients with SHS after stroke who were admitted to Maoming Hospital of Traditional Chinese Medicine from May 2021 to February 2023 were selected as the research objects.According to the random number table method,they were divided into a group A and a group B,with 33 cases in each group.Both groups received routine medication and routine rehabilitation training.Group A was given staged resistance training,and group B was treated with warm acupuncture on the basis of group A.The clinical efficacy,Visual Analogue Scale(VAS)of pain score,Fugl-Meyer Assessment(FMA)score,and World Health Organization Quality of Life Scale(WHOQOL-100)score before and after treatment were compared between the two groups.Results After 6 weeks of treatment,the total effective rate of group B was 93.94%,which was higher than 72.73%of group A,and the difference was statistically significant(P<0.05).Before treatment,There was no significant difference in VAS score and FMA score between the two groups(P>0.05);after 6 weeks of treatment,the VAS score of group B was lower than that of group A,and the FMA score was higher than that of group A,the differences between the two groups were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the scores of mental health,physical health,social relationship and environment in WHOQOL-100 between the two groups(P>0.05);after 6 weeks of treatment,the scores of mental health,physical health,social relations and environment in WHOQOL-100 of group B were higher than those of group A,and the differences between the two groups were statistically significant(P<0.05).Conclusion Warm acupuncture and moxibustion combined with staged resistance training in the treatment of SHS after stroke can improve the clinical efficacy,reduce the pain level of patients,enhance the function of upper limbs,and improve the quality of life.