针灸结合个性化运动康复训练应用于脑卒中后肩手综合征患者的效果分析

Efficacy of acupuncture plus personalized sports rehabilitation training on SHSAS

目的:研究分析针灸结合个性化运动康复训练应用于脑卒中后肩手综合征患者的效果。方法:选取2018年4月-2019年4月期间于我院就诊的70例脑卒中后肩手综合征患者为研究对象,采用随机数字表法分为对照组和试验组,对照组34例,给予针灸治疗,试验组36例,给予针灸结合个性化运动康复训练,比较两组患者治疗效果、治疗前后上肢运动功能(FuglMeyer Assessment,FMA)、疼痛程度(Numerical Pain Rating Scale,NPRS)、P物质(Substance P,SP)、降钙素基因相关肽(Calcitonin Gene Related Peptide,CGRP)及治疗后生活质量评分(WHO-QOL-100)。结果:治疗后试验组总有效率高于对照组(P<0.05)。治疗后试验组FMA评分高于对照组(P<0.05)。治疗后试验组NPRS评分及SP均低于对照组(P<0.05)。治疗后试验组CGRP及生活质量各项评分均高于对照组(P<0.05)。结论:针灸结合个性化运动康复训练可提高脑卒中后肩手综合征患者治疗有效率,改善患者上肢运动功能并减轻疼痛,改善CGRP及SP水平并提高生活质量。

Objective:To study and analyze the effect of acupuncture with personalized sports rehabilitation training on shoulderhand syndrome after stroke.Methods:70 patients were divided into the control group(34 cases)and the test group(36 cases).The control group was given acupuncture.The test group was given personalized sports rehabilitation training more.Results:The total efficiency in the test group was better than the control group(P<0.05).FMA score in the test group was higher than the control group(P<0.05).NPRS score and SP in the test group were lower than the control group(P<0.05).The scores of CGRP and quality of life in the test group were higher than the control group(P<0.05).Conclusion:Acupuncture with personalized sports rehabilitation training can improve the upper limb motor function and relieve pain,improve CGRP and SP levels and quality of life.