中风后肩痛中医诊疗方案治疗肩手综合征Ⅱ期患者疗效随访分析

Analysis of Long-term Therapeutic Effect of Traditional Chinese Medical Diagnosis and Treatment Regimen for Post-stroke Shoulder Pain patients of Phase Ⅱ

目的:观察"中风后肩痛中医诊疗方案"治疗肩手综合征Ⅱ期患者的近、远期疗效。方法:符合诊断标准的27例患者采用中风后肩痛中医诊疗方案治疗,治疗前、治疗30天后进行改良Barthel指数量表(MBI)评分、SF-36评分,治疗后6月进行MBI评分。结果:完成治疗的23例患者治疗30天后MBI评分有改善,与治疗前比较,差异有显著性意义(P<0.05);治疗30天后SF-36评分有改善,与治疗前比较,差异有非常显著性意义(P<0.01);治疗结束6月后共完成随访20例,MBI评分与治疗前比较,差异无显著性意义(P>0.05),与治疗30天后比较,差异无显著性意义(P>0.05)。结论:中风后肩痛中医诊疗方案在改善肩手综合征Ⅱ期患者的日常生活能力方面有明显效果,但是以6月为期,远期疗效并不明显。

Objective. To investigate the short-term and long-term curative effect of traditional Chinese medical diagnosis and treatment regimen on post-stroke shoulder pain patients of phase II. Meth- ods： Twenty-seven qualified patients were treated with traditional Chinese medical diagnosis and treat- ment regimen. Before treatment and after treatment for 30 days, the modified Barthel index （MBI） and SF-36 scoring were performed on the patients. MBI scoring was performed again during the follow up 6 months after the treatment. Results： MBI scores were improved in 23 patients who completed the whole regimen （P 〈 0.05 compared with those before treatment）, and SF-36 scores were also improved significantly after treatment for 30 days （P 〈 0.01）. The follow-up was finished in 20 patients, and their MBI scores did not differed from those before treatment for those after treatment for 30 days（P 〉 0.05）, Con- clusion： Traditional Chinese medical diagnosis and treatment regimen has obviously effect on improving the activities of daily life of post-stroke shoulder pain patients of phase II within 6 months, but the long-term effect is not satisfactory.