脑卒中后肩手综合征采用中医康复治疗的有效性评析

Evaluation on the Effectiveness of Traditional Chinese Medicine Rehabilitation Treatment for Shoulder and Hand Syndrome after Stroke

目的分析脑卒中后肩手综合征患者采用中医康复治疗的效果.方法选取该院2020年1月—2021年1月收治的脑卒中后肩手综合征患者76例为研究对象,将其随机分为两组,每组38例.对照组采用常规康复治疗,观察组在此基础上采用中医康复治疗,对比两组的临床疗效及治疗前后的上肢运动功能、Ashworth评级.结果治疗前,两组的上肢运动功能评分及Ashworth评级比较,差异无统计学意义(P>0.05);治疗后,观察组的上肢运动评分高于对照组,Ashworth评级低于对照组,组间差异有统计学意义(P<0.05).观察组的治疗总有效率为97.37%,高于对照组的73.69%,差异有统计学意义(P<0.05).结论脑卒中后肩手综合征患者采用中医康复治疗,可改善肩臂功能与Ashworth评级,提升疗效,值得临床推广使用.

Objective To analyze the effect of TCM rehabilitation in patients with shoulder and hand syndrome after stroke.Methods 76 patients with post-stroke shoulder and hand syndrome admitted to the hospital from January 2020 to January 2021 were selected as the research objects,and they were randomly divided into two groups,with 38 cases in each group.The control group received conventional rehabilitation treatment,and the observation group received TCM rehabilitation treatment on this basis.The clinical efficacy,upper limb motor function and Ashworth rating of the two groups before and after intervention were compared.Results Before treatment,there were no significant differences in upper limb motor function score and Ashworth rating between the two groups(P>0.05);after treatment,the upper limb movement score of the observation group was higher than that of the control group,and Ashworth rating was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).The total effective rate of the observation group was 97.37%,higher than 73.69%of the control group,and the difference was statistically significant(P<0.05).Conclusion TCM rehabilitation for patients with post-stroke shoulder and hand syndrome can improve the function of shoulder and arm and Ashworth rating,improve the efficacy,and is worthy of clinical application.