“扶正补土”针灸法联合康复训练对缺血性脑卒中后肩手综合征Ⅰ期的影响

The Effect of Acupuncture and Moxibustion Therapy with Rehabilitation Training based on Strengthening Righteousness and Suppliment Earth on Stage 1Shoulder Hand Syndrome Caused by Ischemic Stroke

目的:观察“扶正补土”针灸法联合康复训练对缺血性脑卒中后肩手综合征Ⅰ期的影响。方法:选取64例肩手综合征I期患者,随机分为对照组和治疗组各32例,治疗组采用“扶正补土”针灸法联合康复训练治疗,对照组采用单纯康复训练治疗,通过McGill疼痛问卷表及上肢简化Fugl-Meyer运动量表(FMA)评估肩手综合征患者治疗前与治疗后第14天、第28天的肩痛、水肿及上肢功能的变化。结果:两组患者治疗第14天和第28天后在McGill疼痛问卷表及上肢简化Fugl-Meyer运动量表(FMA)方面比较均有差异(P<0.05)。治疗组的总有效率为87.7%,高于对照组的67.7%,差异有统计学意义(P<0.05)。结论:“扶正补土”针灸法联合康复训练能提高缺血性脑卒中后肩手综合征Ⅰ期患者上肢功能,缓解肩痛、水肿、患肢的僵硬感,延缓患肢的肌肉萎缩,大大提高肢体康复进程。

Objective:To observe the effect of acupuncture combined with rehabilitation training on stage I of shoulder hand syndrome after ischemic stroke.Methods:64patients with stage I shoulder hand syndrome were randomly divided into two groups:the control group and the treatment group.The treatment group was treated with acupuncture and moxibustion combined with rehabilitation training.The control group was treated with simple rehabilitation training.The shoulder pain and edema of patients with shoulder hand syndrome were assessed by McGill pain questionnaire and upper extremity simplified Fugl Meyer exercise scale(FMA)before and on the 14th and 28th days after treatment And the changes of upper limb function.Results:There were significant differences between the two groups in McGill Pain Questionnaire and FMA(P<0.05).The total effective rate of the treatment group was 87.7%,higher than 67.7%of the control group,the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with rehabilitation training can improve the function of upper limb,relieve shoulder pain,edema,stiffness of the affected limb,delay muscle atrophy of the affected limb,and greatly improve the rehabilitation process of the limb.