综合康复措施联合ɑ-硫辛酸治疗脑卒中后肩手综合征的疗效观察

Curative effect of comprehensive rehabilitation measures in combination withɑ-lipoic acid in patients with shoulderhand syndrome after stroke

目的:观察综合康复措施联合ɑ-硫辛酸治疗脑卒中后肩手综合征(SHS)的临床疗效。方法:选择脑卒中后肩手综合征患者60例,随机分为观察组和对照组各30例,2组均给予常规综合康复治疗,观察组在此基础上增加ɑ-硫辛酸治疗。比较2组治疗前、后上肢运动功能(Fugl-Meyer assessment,FMA)、视觉模拟量表(VAS)、水肿程度、改良Barthel指数(MBI)和临床疗效。结果:治疗4周后,2组FMA、MBI评分较治疗前均显著提高(P<0.05),观察组高于对照组(P<0.05);2组VAS评分及肿胀程均较治疗显著降低(P<0.05),且观察组低于对照组(P<0.05)。结论:综合康复措施联合ɑ-硫辛酸治疗脑卒中后肩手综合征具有协同作用,能提高康复疗效,促进肢体功能恢复。

Objective： To observe the effectiveness of comprehensive rehabilitation measures in combination with a lipoic acid in the treatment of shoulder-hand syndrome （SHS） after stroke. Methods： Sixty patients with SHS after stroke were randomly divided into observation group and control group, 30 cases in each group. Two groups were given routine comprehensive rehabilitation treatments, and the observation group were subjected to a lipoic acid treatment additionally. Before and after treatment, two groups were assessed with Fugl Meyer for the upper limb movement function, visual analog score （VAS） , the degree of edema, modified Barthel index （MBI）. Results： Four weeks after treatment, scores of FMA and MBI were significantly increased in both groups and those in observation group were significantly higher than in the control group （P〈0.05）. VAS score and the degree of swelling were ob viously decreased （P〈0.05） in two groups, and those in the observation group were markedly lower than in the control group （P〈0.05）. Conclusion： Comprehensive rehabilitation in combination with a lipoic acid has synergie effects in the treatment of SHS after stroke, and can improve the effect of rehabilitation and promote the limb func- tion recovery.