中药离子导入治疗卒中后肩痛30例临床观察

Clinical observation on 30 patients with post-stroke shoulder pain treated with iontophoresis of Chinese drugs

目的观察中药离子导入治疗卒中后肩痛的临床疗效。方法将60例卒中后肩痛患者随机分为治疗组和对照组,各30例。对照组给予常规康复训练,治疗组在对照组治疗方法的基础上加茯苓丸中药离子导入治疗,取患肩阿是穴贴片,每次治疗20 min,每日1次。2组均以10 d为1个疗程,2个疗程后比较2组的临床疗效,以视觉模拟评分法(VAS)评定患者的肩痛程度及肩关节活动度。结果治疗组总有效率为93.33%,对照组为63.33%,2组比较差异有高度统计意义(P<0.01);2组治疗后VAS评分均有所下降,且治疗组下降更显著,差异均有统计意义(P<0.05或P<0.01);治疗后2组肩关节活动度各项指标均明显升高,且治疗组升高更显著,差异均有统计意义(P<0.05或P<0.01)。结论中药离子导入治疗卒中后肩痛临床疗效显著,无明显不良反应,值得临床推广。

Objective To observe the curative effect of iontophoresis of Chinese drugs in treating post-stroke shoulder pain. Methods 60 cases were randomly divided into treatment group and control group,30 in each. The control group took conventional rehabilitation training. The treatment group was intervened with iontophoresis of Fuling Pill additionally. Ashi points on pain shoulder were patched with drugs for 20 minutes each time,one time a day,10 days as one course. Two courses later,curative effects of two groups were compared; VAS scores were recorded to evaluate pain degree and mobility of shoulder joint. Results The total effective rate in treatment group was93.33% while 63. 33% in control group,the difference was significant（ P 〈 0. 01）. VAS scores decreased in both groups and dropped more in treatment group,the difference was statistically significant（ P 〈 0. 05 or P 〈 0. 01）.Scores of mobility increased obviously while raised more in treatment group,there was a significant difference（ P〈0.05 or P〈0.01）. Conclusion Iontophoresis of Chinese drugs has a good efficiency with less reverse effect,worthwhile for spreading in clinical practice.