改良中药熏蒸对卒中后肩手综合征疗效观察

Investigate the Clinical Efficacy of the Improved Chinese Herbal Fumigation Treatment on Shoulder Pain Caused of Poststroke Shoulder-hand Syndrome

[目的]观察改良中药熏蒸治疗卒中后肩手综合征的临床疗效。[方法]将55例卒中后肩手综合征患者随机分为对照组26例、干预组29例,对照组根据《中国脑血管病防治指南(试行版)》常规脑卒中治疗12w,干预组在对照组治疗基础上加用改良中药熏蒸法干预12w。两组在治疗前、治疗4w后、治疗后12w随访时分别进行上肢疼痛评定。[结果]上肢疼痛评分比较,治疗前及治疗4w后,两组差异无统计学意义(P>0.05);治疗后12w随访,两组差异有统计学意义(P<0.05)。治疗后12w随访,总有效率干预组为83%,对照组为62%,差异有统计学意义(P<0.05)。[结论]改良中药熏蒸治疗卒中后肩手综合征肩痛长期疗效较好。

[Objective]To investigate the clinical efficacy of the improved Chinese herbal fumigation treatment on shoulder pain caused of poststroke shoulder-hand syndrome.[Methods]55 patients were randomly divided into control group 26 cases,29 cases in the intervention group,treat the control group with conventional stroke therapy for 12 weeks according with ＂cerebrovascular disease prevention guide（Trial Version） ＂,while the intervention group was treated with the improved traditional Chinese medicine fumigation equipment for 4 weeks,based on the cerebrovascular disease prevention guide（Trial Version）.The control group and the intervention group made evaluation of upper extremity pain respectively before and after treatment,and 12 weeks after treatment.[Results] The upper extremity pain score before treatment between the two groups had no significant difference（P＆gt;0.05）,two groups were compared,12 weeks after the treatment,the difference was significant（P＆lt;0.05）.Total efficiency of the intervention group,12 weeks after the treatment,was 83%,the control group was 62%,the difference was significant（P＆lt;0.05）.[Conclusions] Improved medicine fumigation treatment had better effect on shoulder pain caused of poststroke shoulder-hand syndrome.