气压联合热冷水交替浸浴治疗脑卒中肩手综合征的疗效

Clinical study of intermittentpressure therapy combined with immersion of hot and cold water alternately on stroke patients with shoulder-hand syndrome

目的:观察间歇性气压治疗联合热冷水交替浸浴治疗脑卒中肩手综合征Ⅰ期的临床疗效。方法:将脑卒中肩手综合征Ⅰ期患者72例随机分为观察组和对照组各36例,2组患者均进行神经内科常规治疗及运动康复训练,观察组加用间歇性气压治疗联合热冷水交替浸浴治疗。治疗前后进行疼痛评定(VAS)、手部肿胀测量、运动功能评定(FMA)、日常生活活动能力指数(BI)评定。结果:治疗4周后,2组VAS评分及手部肿胀体积均较治疗前明显下降(P<0.05,0.01),且观察组更低于对照组(P<0.01);治疗后2组FMA及BI评分均较治疗前明显升高(P<0.05,0.01),且观察组更高于对照组(P<0.01)。结论:间歇性气压治疗联合热冷水交替浸浴可明显减轻肩手疼痛、肿胀,提高上肢运动功能,改善日常生活活动能力,是治疗脑卒中肩手综合征的有效方法。

Objective：To observe the clinical effect of intermittent pressure therapy combined with immersion of hot and cold water alternately to stroke patients with shoulder-hand syndrome （SHS） of phase I. Methods：Seventy- two cases of stroke patients with SHS of phase I were equally divided into experimental group and control group ran- domly. Two groups were given conventional treatment and rehabilitation training, and the observation group was ad- ditionally given intermittent pressure therapy combined with immersion of hot and cold water alternately. The pain, swelling degree,limb motor function （FMA） and activities of daily living （BI） in both groups were evaluated before and after treatment. Results： After treatment for 4 weeks, the VAS scores and the hand swelling volume in two groups were significantly decreased （P〈0.05,0.01）, more significantly in observation group than in control group （P〈0.01）. FMA and BI in two groups were significantly increased （P〈0.05,0.01） ,more significantly in observa- tion group than in control group （P〈0.01）. Conclusion：Intermittent pressure therapy combined with immersion of hot and cold water alternately can obviously alleviate shoulder pain and hand swelling,and improve the upper limb motor function and ability of daily living activities significantly. It is an effective method to treat SHS after stroke.