改良药熨疗法治疗卒中后肩手综合征临床研究

Clinical Study on Modified Medicine-ironing Therapy for Shoulder-hand Syndrome after Stroke

目的:观察改良药熨疗法治疗卒中后肩手综合征的临床疗效。方法:选取脑卒中恢复期伴有Ⅰ期肩手综合征患者100例,按随机数字表法分为治疗组和对照组各50例,治疗组予改良药熨配合康复治疗,对照组予常规康复治疗。观察比较2组肩痛视觉模拟评分(VAS)、Fugl-meyer运动功能量表(FMA)评分、Barthel指数。结果:治疗前,2组VAS评分比较,差异无统计学意义(P>0.05)。治疗1疗程和治疗2疗程后,2组VAS评分较治疗前降低(P<0.05),且观察组治疗2疗程后VAS评分低于对照组(P<0.05)。治疗前,2组FMA评分比较,差异无统计学意义(P>0.05)。治疗2疗程后,2组FMA评分较治疗前降低(P<0.05),且观察组FMA评分低于对照组(P<0.05)。治疗前,2组Barthel指数比较,差异无统计学意义(P>0.05)。治疗2疗程后,2组Barthel指数均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。通过Ridit分析,观察组临床疗效高于对照组(P<0.05)。结论:改良药熨疗法相较于常规的康复治疗,能有效改善症状,体现中医康复护理的特色优势,值得临床推广。

Objective:To observe the clinical effect of modified medicine-ironing therapy for shoulder-hand syndrome after stroke.Methods:Selected 100 cases of stroke convalescent patients with stage I shoulder-hand syndrome and divided them into the treatment group and the control group according to the random number table,with 50 cases in each group.The treatment group was given modified medicine-ironing combined with rehabilitation therapy,while the control group received routine rehabilitation therapy.Observed and compared the scores of visual analogue scale(VAS)of shoulder pain,scores of Fugl-meyer motor function scale(FMA)and Barthel indexes in the two groups.Results:Before treatment,there was no significant difference being found in the comparison of VAS scores in the two groups(P>0.05).After one course of the treatment and two courses of the treatment,VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and VAS scores in the observation group were lower than those in the control group after two courses of the treatment(P<0.05).Before treatment,there was no significant difference being found in the comparison of FMA scores in the two groups(P>0.05).After two courses of the treatment,FMA scores in the two groups were decreased when compared with those before treatment(P<0.05),and the FMA scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of Barthel indexes in the two groups(P>0.05).After two courses of the treatment,the Barthel indexes in both groups were increased when compared with those before treatment(P<0.05),and the Barthel indexes in the observation group were higher than those in the control group(P<0.05).Through ridit analysis,the clinical effect in the observation group was higher than that in the control group(P<0.05).Conclusion:Compared with routine rehabilitation therapy,the application of modified medicine-ironing therapy can effectively improve symptoms and reflect the characteristics and advantages of rehabilitation nursing in Chinese medicine,which is worthy of clinical promotion.