中药熏蒸结合作业疗法治疗卒中后肩痛的临床研究

Clinical research on Traditional Chinese Medicine fumigation combined with occ upational therapy on shoulder pain in hemiplegic patients after stroke

目的：观察中药熏蒸结合作业疗法对脑卒中患者偏瘫后肩痛的疗效。方法：将82例偏瘫后肩痛患者随机分为A、B、C 3组，在常规药物治疗的基础上，A组采用中药熏蒸治疗，B组采用作业疗法康复治疗，C组采用中药熏蒸结合作业疗法综合治疗。分别在治疗前及治疗2个月后以Visual Analogue Scale （ VAS）评分、Fugl～Meyer评分对疼痛、上肢运动功能进行评定。结果：经治疗2个月后，3组治疗后VAS评分及Fugl～Meyer评分均较治疗前明显改善（均P＜0．05）， C组疗效更优于A、B组（均P＜0．05）。结论：中药熏蒸与作业疗法结合起来，能减轻患者脑卒中偏瘫后肩痛，增加患侧上肢运动能力。

Objective：To observe the Curative effects of Traditional Chinese medicine fumigation combined with occupational therapy on shoulder pain in hemiplegic patients after stroke.Methods：82 hemiplegic patients with shoulder pain after stroke were randomly divid-ed into A, B, C three groups.On the basis of routine therapy, patients in group A were treated with traditional Chinese medicine fumiga-tion.Patients in group B were treated with occupational therapy.Patients in group C were treated with comprehensive treatment of tradi-tional Chinese medicine fumigation combined with occupational therapy.All patients were assesed with VAS score and Fugl -Meye score on pain and upper limb movement function before and 2 months after treatment.Results：2 months after treatment, the Visual Analogue Scale （ VAS） scores and Fugl -Meyer scores among the three groups were obviously improved before treatment than after treatment （ P 〈0.05）.Especially, the curative effect in group C was better than that of group A and group B （P 〈0.05）.C onclusion：Chinese medi-cine fumigation combined with occupational therapy could reduce shoulder pain on hemiplegic patients after stroke, and increase the move-ment ability of affected upper limb.