中药联合功能锻炼对中风后肩手综合征的作用

Effect of Traditional Chinese Medicine Combined With Functional Exercise on Shoulder-Hand Syndrome After Apoplexy

目的探讨中药联合功能锻炼对中风后肩手综合征的积极作用和效果。方法以110例中风后肩手综合征患者为对象,抽取时间段为2017年1月—2018年1月期间。将患者按照常规不同的治疗方式进行分组,对照组和观察组各55例。对照组给予常规治疗,观察组给予中药熨烫联合早期功能锻炼进行干预。比较患者治疗前和治疗后的临床症候(疼痛、水肿、关节活动度)积分。结果治疗前患者的疼痛、水肿及关节活动度临床症状积分水平比较差异无统计学意义(P>0.05),治疗后,两组患者的上述证候积分水平均明显降低(P<0.05),观察组的证候积分均明显低于对照组(P<0.05)。结论对于中风后肩手综合征患者,给予患者中药熨烫联合动能锻炼治疗,能明显缓解患者的关节疼痛,缓解关节水肿症状,提升患者关节活动能力的恢复,整体减轻了患者的痛苦,提升了患者的生活质量。

Objective To explore the positive effect of traditional Chinese medicine combined with functional exercise on shoulder-hand syndrome after stroke.Methods 110 patients with shoulder-hand syndrome after stroke were selected from January 2017 to January 2018.Patients were divided into two groups according to different routine treatment methods,55 cases in the control group and 55 cases in the observation group.The control group was given routine treatment,while the observation group was given Chinese medicine ironing combined with early functional exercise for intervention.The scores of clinical symptoms(pain,edema and range of motion of joints)before and after treatment were compared.Results There was no difference in the scores of pain,edema and joint activity before treatment(P>0.05).After treatment,the scores of the above syndromes in the two groups were significantly lower(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).Conclusion For the patients with shoulder-hand syndrome after apoplexy,ironing with Chinese herbal medicine combined with kinetic exercise can obviously relieve the joint pain,relieve the symptoms of joint edema,improve the recovery of joint activity,alleviate the pain of patients as a whole,and improve the quality of life of patients.It has positive promotion value and significance.