通元药灸联合常规康复训练治疗脑卒中后肩痛30例临床观察

Clinical observation on 30 cases of shoulder pain after stroke treated by Tongyuan medicinal moxibustion combined with conventional rehabilitation training

目的观察通元药灸联合常规康复训练治疗脑卒中后肩痛的临床疗效。方法将60例脑卒中后肩痛患者采用随机数字表法分为治疗组和对照组,各30例。对照组予常规康复训练,治疗组在对照组治疗方法的基础上联合通元药灸治疗。1次/d,30 min/次,每周治疗5次,10次为1个疗程,治疗3个疗程后比较2组的临床疗效及治疗前后的视觉模拟评分法(VAS)评分、Fugl-Meyer评估量表(FMA)评分及改良Barthel指数(MBI)。结果对照组总有效率为73. 33%,治疗组为90. 00%,2组比较差异有统计学意义(P <0.05);治疗后2组VAS评分明显降低,FMA评分及MBI明显升高,与同组治疗前比较差异均有统计学意义(P<0.05),且治疗组对各项指标的改善作用明显优于对照组,2组治疗后比较差异均有统计学意义(P<0.05)。结论在常规康复训练的基础上联合通元药灸治疗脑卒中后肩痛疗效确切,能明显改善患者的临床症状,促进患者整体功能的恢复,值得临床推广应用。

Objective To observe the clinical efficacy of Tongyuan medicinal moxibustion combined with conventional rehabilitation training in the treatment of shoulder pain after stroke. Methods Sixty patients with shoulder pain after stroke were divided into treatment group and control group according to random number table,with 30 in each. The control group was given conventional rehabilitation training,and the treatment group was given Tongyuan medicinal moxibustion on the basis of the control group. Once a day,30 min per time,5 times per week,10 times constitute one course of treatment. After 3 courses of treatment,the clinical efficacy,visual analogue scale( VAS) scores,Fugl-Meyer assessment( FMA) scores and modified Barthel index( MBI) before and after treatment of the 2 groups were compared. Results The total effective rate of the control group was 73.33%,that of the treatment group was 90.00%,there was statistically significant difference between the 2 groups( P<0.05). After treatment,the VAS scores decreased significantly,while the FMA scores and MBI increased significantly in the 2 groups,there were statistically significant differences compared with the same group before treatment( P<0.05). Moreover,the improvement in various indicators of the treatment group was superior to that of the control group,there were statistically significant differences between the two groups after treatment( P <0.05). Conclusion It has significant curative effects to treat shoulder pain after stroke with conventional rehabilitation training combined with Tongyuan medicinal moxibustion. It can significantly improve the clinical symptoms of the patients,and promote the recovery of overall function of them,which is worthy of clinical promotion and application.