药熨结合穴位贴敷治疗卒中后肩手综合征疗效观察

Hot Compress Combined with Acupoint Sticking in the Treatment of Shoulder Hand Syndrome after Stroke Treatment

目的 :观察药熨治疗结合穴位贴敷治疗脑卒中后肩手综合征与单纯穴位贴敷治疗的疗效差别。方法 :将60例卒中后有肩手综合征的患者,按照随机数字表法分为观察组和对照组各30例。两者治疗均在针灸康复治疗的基础上实施,观察组采用药熨治疗结合穴位贴敷的疗法,对照组则采用单纯穴位贴敷治疗。2组均以2周为1疗程,治疗1疗程。观察2组治疗前后视觉模拟疼痛评分(VAS)、Fugl-meyer运动功能评分的变化。结果:治疗后,2组VAS评分均较治疗前降低(P<0.05),观察组VAS评分低于对照组(P<0.05)。2组Fugl-meyer评分均较治疗前增加(P<0.05),观察组Fugl-meyer评分高于对照组(P<0.05)。结论:药熨结合穴位贴敷治疗脑卒中后肩手综合征疗效显著,可明显缓解肩痛,改善患肢的运动功能,且该项治疗安全性良好,操作简便,值得推广。

Objective： To observe the difference of therapeutic effect between the treatment of shoulder and hand acu- puncture combined with acupoint application and the treatment of acupoint application. Methods： Sixty patients with shoulder - hand syndrome after stroke were divided into observation group and control group according to the random number table method. Both treatments were performed on the basis of acupuncture and moxibustion rehabilitation. The observation group was treated with drug iron treatment combined with acupoint application. The control group was treated with acupoint application alone. 2 groups were 2 weeks for a course of treatment, a course of treatment. The changes of visual analogue pain score （ VAS ） and Fugl-meyer motor function score were observed before and after treatment. Results： After treatment, the VAS scores of the two groups were lower than those before treatment （ P 〈0.05 ）. The VAS score of the observation group was lower than that of the control group （ P 〈0.05 ）. （ P 〈0.05 ）. The Fugl-meyer score of the two groups was higher than that of the control group （ P 〈0.05 ）. Conclusion： The combination of drug iron and acupoint ap- plication is effective in the treatment of shoulder hand syndrome after stroke. It can relieve shoulder pain and improve the motor function of limb, and the treatment is safe and easy to operate. It is worthy to be popularized.