中药水罐联合常规康复训练治疗中风后肩手综合征临床观察

Traditional Chinese Medicine Potion Pot with Rehabilitation Training for Hand-Shoulder Syndrome after Stroke:a Randomized Controlled Trial

目的探讨中药水罐联合常规康复训练治疗中风后肩手综合征的临床疗效。方法选择在北京中医药大学东直门医院脑病二科收治的96例中风恢复期存在肩手综合征患者,依据随机信封分为水罐组和对照组,水罐组在对照组常规康复训练及治疗的基础上,加用中药水罐治疗,20 min/次,每日1次,连续治疗14 d;以简化的Fugl-Meyer运动功能评定量表(FMA)评价患者上肢运动功能和视觉类比评分量表评(VAS)价患肢疼痛作为主要疗效指标,生活质量评分(SS-QOL)和治疗满意度为次要疗效指标评价治疗前后两组的疗效及满意度。结果与本组治疗前比较,两组FMA和SS-QOL评分均有提高(P<0.01),VAS评分降低(P<0.01)。与对照组比较,水罐组在治疗2周后FMA和SS-QOL评分均有提高(P<0.01),VAS评分降低(P<0.01)。水罐组的患者满意度高于对照组,但差异无统计学意义(P>0.05)。结论中药水罐在治疗中风后肩手综合征的疗效确切,方法简便易行,患者依从性与满意度良好,适宜临床推广应用。

Objective To explore the clinical effect of traditional Chinese medicine potion pot with rehabilitation training on hand-shoulder syndrome after stroke.Methods 96 patients with hand-shoulder syndrome in the convalescent period of stroke were selected from the second Department of encephalopathy,Dongzhimen Hospital,Beijing University of traditional Chinese medicine.According to the random envelope,they were divided into two groups:the potion pot group and the control group.The potion pot group was treated with the Chinese medicine potion pot on the basis of the routine rehabilitation training which is the main treatment in the control group,20 minutes/time,once a day,for 14 consecutive days;with the simplified Fugl Meyer exercise function(FMA)and VAS were used as the primary outcomes,while SS-QOL and treatment satisfaction were used as the secondary outcomes to evaluate the efficacy and satisfaction of the two groups before and after treatment.Results Compared with before treatment,FMA and SS-QOL in the two groups were increased,VAS was decreased.Compared with the control group,the FMA and SS-QOL in the potion pot group were increased and VAS was decreased(P<0.01)after 2 weeks of treatment.The patients′satisfaction in the potion pot group was higher than that in the control group,but the difference was not sotatistically significant(P>0.05).Conclusion The traditional Chinese medicine potion pot is effective in the treatment of hand-shoulder syndrome after stroke.