针刀结合康复技术分期治疗肩手综合征的临床研究

Clinical Study on Strabismus Syndrome Treated With Acupotomy Combined with Rehabilitation Technique

目的观察针刀结合康复技术分期治疗肩手综合征的临床治疗效果。方法选择我院2015年1月—2017年10月收治的100例脑梗死后肩手综合症患者按照随机表达法分为对照组50例(石蜡疗法、超短波、康复训练治疗)、观察组50例(在对照组的基础上加针刀治疗),比较两组的临床效果、治疗前、后视觉模拟评分(VAS)、上肢Fugl-Meyer运动功能评价表(FMA)、生活质量综合评定问卷(GQOLI-74)评分。结果 (1)观察组治疗总有效率96.00%,高于对照组的66.00%(P<0.05);(2)治疗前,两组VAS评分比较差异无统计学意义(P>0.05),治疗后,两组VAS评分下降,观察组下降程度大于参考组(P<0.05);(3)治疗前,两组FMA评分比较差异无统计学意义(P>0.05);治疗后,两组FMA评分均下降,观察组评分高于对照组(P<0.05);(4)治疗前,两组GQOLI-74各项目评分比较差异无统计学意义(P>0.05),治疗后两组GQOLI-74改善且观察组改善程度大于参考组(P<0.05)。结论脑卒中后肩手综合症患者应用针刀结合康复训练可提高治疗效果。

Objective To observe the clinical effect of acupotome combined with rehabilitation on staging of shoulder-hand syndrome. Methods 100 patients with shoulder-hand syndrome after cerebral infarction admitted to our hospital from January 2015 to October 2017 were divided into control group in 50 cases （paraffin therapy, ultrashort wave and rehabilitation training） according to randomized expression. 50 cases in observation group （VAS）, FMA and GQOLI-74 score of the upper limbs were compared between the two groups. The clinical effect, the pre-treatment and post-treatment visual acuity scores （VAS）, the upper extremity FMA and the quality of life questionnaire （GQOLI-74） was compared. Results （1） The total effective rate of the observation group was 96.00%, higher than thatof the control group （66.00%, P 〈 0.05）. （2） Before treatment, the VAS scores of the two groups were not statistically signifcant （P 〉 0.05）. After treatment, VAS scores of the two groups decreased. The degree of decline in the observation group was greater than that of the control group （P 〈 0.05）. （3）Before treatment, there was no significant difference in FMA scores between the two groups （P 〉 0.05）. After treatment, the scores of FMA decreased significantly in both groups, and the score of the observation group was higher than that of the control group （P 〈 0.05）. （4） Before treatment, the scores of GQOLI-74 in both groups were not statistically significant （P 〉 0.05）. After treatment, GQOLI-74 was significantly improved and the improvement in observation group was greater than that in control group （P 〈 0.05）. Conclusion The application of acupotomy and rehabilitation training in patients with shoulder-hand syndrome after stroke can improve the therapeutic effect.