艾盐包热敷联合电刺激治疗脑梗死后肩手综合征的效果研究

Effect of electric stimulation combined with Ai salt bag on shoulder-hand syndrome after cerebral infarction

目的观察艾盐包热敷联合电刺激治疗脑梗死后肩手综合征的临床效果.方法选取台州市中心医院2015年9月至2018年8月收治的脑梗死后肩手综合征患者188例为研究对象,采用随机数字表法分为研究组(n=94)和对照组(n=94).对照组在常规治疗和康复训练基础上行电刺激治疗.研究组在对照组基础上联合艾盐包热敷治疗.观察并比较两组患者临床治疗效果、疼痛和水肿目测类比评分法(VAS)评分情况、Fugl-Meyer运动功能评分情况以及日常生活活动能力(ADL)评分情况.结果治疗28 d后,研究组总有效率为88.30%(83/94),对照组为76.60%(72/94),差异有统计学意义(x2=4.447,P<0.05).研究组肢体水肿、疼痛VAS评分由(4.13±1.40)分、(3.43±2.20)分下降至(1.70±1.36)分、(1.52±1.22)分,对照组由(4.10±1.46)分、(3.40±2.17)分下降至(2.79±1.58)分、(2.52±1.18)分,两组治疗后比较差异均有统计学意义(t1=5.712,t2=5.069,均P<0.05).研究组Fugl-Meyer运动功能评分和ADL评分由(19.91±13.32)分、(42.34±15.57)分上升至(54.21±11.71)分、(86.02±16.62)分,对照组由(20.74±11.30)分、(45.84±14.44)分上升至(45.44±12.61)分、(78.84±17.79)分,两组治疗后比较差异均有统计学意义(t1=4.941,t2=2.859,均P<0.05).结论艾盐包热敷联合电刺激治疗脑梗死后肩手综合征的临床治疗效果显著,可有效缓解患者疼痛症状和患肢水肿,促进日常生活活动能力及患肢功能改善,值得临床推广应用.

Objective To study the effect of electric stimulation combined with Ai salt bag on shoulder一hand syndrome after cerebral infarction.Methods A total of 188 patients with shoulder-hand syndrome after cerebral infarction admitted to Taizhou Central Hospital from September 2015 to August 2018 were enrolled in the study,they were randomly divided into study group(n=94)and control group(n=94)according to the random number table method.The control group was given uplink electrical stimulation treatment based on the conventional treatment for cerebral infarction and rehabilitation training,the study group was given Ai salt bag treatment on the basis of the control group.The clinical treatment effect,pain and edema VAS score,Fugl-Meyer motor function score and ADL score were observed and compared between the two groups.Results After 28 days of treatment,the total effective rate was 88.30%(83/94)in the study group and 76.60%(72/94)in the control group,the difference between the two groups was statistically significant(x2=4.447,P<0.05).The VAS score of edema degree and pain degree in the study group decreased from(4.13±1.40)points,(3.43±2.20)points to(1.70±1.36)points,(1.52±1.22)points,which in the control group decreased from(4.10±1.46)points,(3.40±2.17)points to(2.79±1.58)points,(2.52±1.18)points,there were statistically significant differences between the two groups after treatment(t1=5.712,t2=5.069,all P<0.05).The Fugl-Meyer motor function score and ADL score of the study group increased from(19.91±13.32)points,(42.34±15.57)points to(54.21±11.71)points,(86.02±16.62)points,which in the control group increased from(20.74±11.30)points,(45.84±14.44)points to(45.44±12.61)points,(78.84±17.79)points,there were statistically significant differences between the two groups after treatment(t1=4.941,t2=2.859,all P<0.05).Conclusion Electrical stimulation combined with Ai salt bag in the treatment of shoulder-hand syndrome after cerebral infarction has significant clinical effect,which can effectively alleviate the pain symptoms and swelling of the affected limb,promote the activities of daily living and improve the function of the affected limb,and is worthy of clinical application.