拔罐联合常规对症及康复训练治疗中风后肩手综合征随机平行对照研究

Cupping combined Conventional Symptomatic Treatment and Rehabilitation Training after Stroke Shoulder-hand Syndrome Randomized Parallel Group Study

[目的]观察拔罐联合常规对症及康复训练治疗中风后肩手综合征疗效。[方法]使用随机平行对照方法,将40例住院患者按就诊顺序编号法简单随机分为两组。对照组20例改善脑循环、营养神经、降压、护心等常规对症治疗;康复训练,包括上肢和手功能训练(主动、被动运动):1诱发肌肉及训练伸向物体控制能力;2维持肌肉长度,防止挛缩;3诱发手操作的肌肉活动和训练运动控制,同时借助于器械进行上肢训练;1次/d,60min/次;或令家属协助自行训练,>2次/d,15min/次。治疗组20例拔罐,中号火罐,选穴肩贞、肩髃、肩髎;大号火罐,选穴天宗;留罐10min,以皮肤潮红为度,1次/d;常规对症及康复训练同对照组。连续治疗6d,休息1d,7d为1疗程。观测临床症状、关节水肿、疼痛、活动功能、手部小肌肉萎缩、不良反应。连续治疗4疗程,判定疗效。[结果]治疗组治愈3例,显效10例,有效4例,无效3例,总有效率85%。对照组治愈1例,显效6例,有效8例,无效4例,总有效率80%。[结论]拔罐联合常规对症及康复训练治疗中风后肩手综合征疗效显著,无严重不良反应,值得推广。

[ Objective ] To observe cupping combined conventional symptomatic and shoulder hand syndrome after stroke rehabilitation training therapy. [ Method ] Using random parallel control method, 40 cases of hospitalized patients were sequentially numbered treatment method is simple and randomized into two groups. According to the control group 20 cases in 2007, “China Cerebrovaseular Disease Prevention Guide” were supplemented by conventional treatment of post-stroke rehabilitation. No. cupping treatment group 20 cases, flash fire, selection of points shoulder Chen, shoulder Yu, Jianliao; large cupping, flash fire, selection of points day cases. Leaving cans 10 min, the degree of skin flushing, 1 / d; conventional symptomatic and rehabilitation with the control group. Continuous treatment 6d, rest ld, 7d for a course of treatment. Patients with joint observation edema, pain has disappeared, with or without functional activity was limited, small hand muscle atrophy and other symptoms. 4 courses of continuous treatment, to determine efficacy. All obtain telephone follow-up 40 cases two months later. [ Results ] The treatment group were cured three cases, effective in 10 cases, effective in 4 cases, 3 cases, the total efficiency of 85%. In the control group were cured one case, effective in 6 cases, 8 cases, 4 cases, the total efficiency of 80%. [ Conclusion ] Cupping combined conventional symptomatic treatment and rehabilitation training after stroke shoulder-hand syndrome is remarkable, worthy of promotion.