激光穴照并穴位贴敷联合康复训练治疗脑卒中后肩手综合征的疗效观察

The observation of effects to treat stroke and shoulder-hand syndrome by laser acupuncture irradiation joint acupoint sticking and rehabilitation training

目的:观察激光穴照并穴位贴敷联合康复训练对脑卒中后肩手综合征的疗效影响。方法:将108例脑卒中后肩手综合征患者随机分为观察组和对照组,各54例。对照组采取康复训练;观察组在康复训练的基础上配合激光穴照并穴位贴敷治疗,治疗时间为4周。在治疗前后分别对两组采用目测类比评分法(VAS)、Barthel(BI)指数、改良的Fulg-Meyer(FMA)法评定患侧上肢手指水肿、疼痛程度、关节活动范围、日常生活活动能力(ADL)及上肢运动功能,评定其临床疗效。结果:两组治疗后偏瘫侧水肿、肩痛、关节活动度、Barthel指数及FMA-Meyer评分较治疗前均有显著改善(P<0.05),观察组明显好于对照组(P<0.05),且观察组临床疗效总有效率(96.30%)显著优于对照组(74.07%),P<0.05。结论:激光穴照并穴位贴敷联合康复训练对脑卒中后肩手综合征疗效显著。

Objective：To observe the laser acupuncture point according to joint rehabilitation training and acupoints were applied to the curative effect of shoulder hand syndrome after stroke. Methods： 108 patients with shoulder hand syndrome after stroke were randomly divided into observation group and control group, 54 cases each. The control group take the rehabilitation training;Observa-tion group on the basis of rehabilitation training and laser acupuncture point according to the acupoint sticking therapy, treatment time is 4 weeks. Respectively on two groups before and after therapy by using visual analog score （VAS）, Barthel index （BI）, improved Fulg- Meyer （FMA） method to assess degree of lateral upper limb edema, finger pain, joint activities, active ability of daily life （ADL） and upper limb movement function and assess its clinical curative effect. Results： Two groups after treatment of hemiplegia side, edema, shoulder pain, joint mobility Barthel index and FMA- Meyer scores were significantly improved than before treatment （P〈0.05）, the observation group is much better than the control group （P〈0.05）, and the clinical curative effect of observation group total effective rate （96.30%） were significantly better than the control group （74.07%）, P〈0.05）. Conclusion：Laser acupuncture point and meridians to stick apply joint rehabilitation training has a good effect on shoulder hand syndrome after stroke.