中药联合综合康复护理治疗脑卒中后肩手综合征临床观察

Clinical Observation on Traditional Chinese Medicine Combined with Comprehensive Rehabilitation Nursing on Shoulder and Hand Syndrome after Stroke

目的探讨加味补阳还五汤联合综合康复护理治疗脑卒中后肩手综合征的临床疗效。方法82例脑卒中后肩手综合征患者被随机分为对照组和观察组,各41例,进行加味补阳还五汤治疗,对照组常规康复护理,观察组在对照组基础上综合康复护理干预。比较2组康复效果、上肢运动功能(Fugl-Meyer)、视觉模拟量表(VAS)、关节活动度(ROM)。结果观察组康复总有效率明显高于对照组(P<0.05);干预后观察组Fugl-Meyer评分明显高于对照组;VAS评分明显低于对照组(P<0.05);观察组关节活动度中背伸、掌屈、旋前、旋后评分明显高于对照组(P<0.05)。结论加味补阳还五汤联合综合康复护理能够有效改善脑卒中后肩手综合征的临床症状,康复效果显著。

Objective To explore the clinical effect of modified Buyang Huanwu decoction combined with comprehensive rehabilitation nursing in the treatment of shoulder and hand syndrome after stroke.Methods Eighty-two patients with post-stroke shoulder and hand syndrome were randomly divided into control group and observation group,with 41 patients in each group.The observation group received comprehensive rehabilitation nursing intervention on the basis of the control group.Rehabilitation effects,upper limb motor function(fugl-meyer),visual analogue scale(VAS),and joint range of motion(ROM)were compared between the two groups..Results The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).After the intervention,the fugl-meyer score in the observation group was significantly higher than that in the control group,and the VAS score was significantly lower than that in the control group(P<0.05).The scores of dorsiflexion,palmar flexion,pronation and postpronation in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Modified Buyang Huanwu decoction combined with comprehensive rehabilitation nursing effectively can improve the clinical symptoms of shoulder and hand syndrome after stroke,and has significant rehabilitation effect.