红花化瘀汤结合针刺治疗中风后肩手综合征的临床研究

Clinical Study on the Treatment of Shoulder Hand Syndrome After Stroke with the Combination of Safflower and Blood Stasis Decoction

目的：对红花化瘀汤结合针刺治疗中风后肩手综合征的临床效果进行研究。方法：选择2013年～2015年在我院脑病科门诊及住院的中风病稳定期患者117例，随机分为三组，其中治疗1组采用中药熏洗结合针灸推拿康复治疗的综合治疗方案，治疗2组采用单纯针刺治疗，治疗3组采用单纯红花化瘀汤治疗。对比分析三组患者偏瘫侧上肢运动功能评分、肩关节疼痛程度、生活质量。结果：治疗一组在治疗后Fugl-Meyer量表评分明显优于其他两组（P＜0.05）；治疗1组治疗后生活质量与治疗2组、3组相比显著提高（P＜0.05）；治疗1组治疗后生活质量与治疗2组、3组相比显著提高（P＜0.05）。结论：对中风后肩手综合征患者采用红花化瘀汤结合针刺推拿康复治疗可明显缓解患者疼痛，恢复患侧运动功能，提高患者生活质量。

Objective: The clinical effect of the treatment of shoulder hand syndrome after stroke with the combination of safflower and Blood Stasis Decoction.Methods:117 cases of stroke patients in our hospital from 2013 to,cases of stroke patients were selected in our hospital.Randomly divided into 3 groups,1 groups were treated with Chinese herbal fumigation combined with acupuncture and moxibustion combined with acupuncture and rehabilitation treatment,the 2 groups were treated with acupuncture,and the treatment group was treated with 3 groups of simple safflower and blood stasis.Comparative analysis of 3 groups of patients with hemiplegia side upper limb motor function score,shoulder pain,quality of life.Results:After treatment,the Fugl - Meyer score of 1 groups was significantly better than the other two groups(P<0.05); The quality of life of the 1 groups were significantly improved compared with the treatment of 2 groups,3 groups(P<0.05); The quality of life of the 1 groups were significantly improved compared with the treatment of 2 groups,3 groups(P<0.05).Conclusion:The rehabilitation treatment of patients with shoulder hand syndrome after stroke by using safflower and Blood Stasis Decoction Combined with acupuncture and massage therapy can relieve pain,restore the patients' motor function and improve the life quality of patients.