神经本体感觉促进技术结合小针刀治疗脑卒中后肩手综合征Ⅰ期临床研究

Clinical Study on Post-stroke Shoulder-hand Syndrome at Stage Ⅰ Treated by Neural Proprioception Facilitation Combined with Small Needle-knife

目的:观察神经本体感觉促进技术(PNF)结合小针刀治疗早期脑卒中后肩手综合征的临床疗效。方法:100例随机分为观察组和对照组各50例,两组均用常规康复治疗,观察组同时用PNF技术和小针刀疗法,7天为一疗程,共治疗3个疗程。结果:总有效率观察组92%、对照组80%,两组总有效率比较差异有统计学意义(P<0.05)。两组治疗后FMA评分均较本组治疗前升高,观察组升高更明显(P<0.05)。两组治疗后VAS评分均较本组治疗前明显降低(P<0.05),观察组下降更明显(P<0.05)。结论:PNF技术结合小针刀治疗脑卒中肩手综合征疗效显著。

Objective： To observe the clinical therapeutic effect on shoulder-hand syndrome （SHS） after stroke in early stage treated with PNF technique combined with small needle knife. Method： 100 cases were evenly divided into two groups in random. Both groups were treated with routine western-rehabilitation therapy and the treatment group were treated with PNF technique and small needle knife. 7 days＇ treatments were considered as one course of treatment. The clinical effect was observed after 3 courses of treatments. Result： After 3 courses of different treatment, there were 20 cases with marked effect, 26 cases with effect and 4 cases with no effect and the total effective rate was 92% in the treatment group while there were 15 cases with marked effect, 25 cases with effect and 10 cases with mo effect and the total effective rate was 80% in the control group. There was significantly different in the effect between two groups. The FMA score of the treatment group was （ 56.12 ± 8.73 ） while that of the control group was （ 45.85 ± 9.21 ） （ P〈0.05 ）. The score of VAS of the treatment group was （ 2.68 ± 1.35 points ） while that of the control group was （ 4.22± 1.42 ） （ P〈0.05 ） .Conclusion： PNF technique and small needle knife has significant therapeutic effect on shoulder-hand syndrome （SHS） after stroke.