双氯芬酸二乙胺超声波导入法和深度温热灸法对脑卒中后偏瘫肩痛的疗效观察

Clinical Observaton on Therapeutic Effect of Diclofenac Diethylamine Sonophoresis and Deep Warm Moxibustion on Post-Stroke Hemiplegic Shoulder Pain

目的:对比双氯芬酸二乙胺超声波导入法和深度温热灸法对脑卒中后偏瘫肩痛的疗效。方法:将90例脑卒中后偏瘫肩痛患者随机分为对照组和观察双氯芬酸二乙胺治疗组(简称治疗1组)和深度温热灸法治疗组(简称治疗2组),每组各30例;用运动疗法之组为对照,治疗1组在运动疗法基础上予双氯芬酸二乙胺超声导入治疗,治疗2组则在运动疗法基础上予深度温热灸法治疗;结果:总有效率相较,治疗两组皆好于对照组(P<0.05);治疗组在VAS和FMA方面治疗后好于治疗前、且效优于对照组(P<0.05);治疗1、2组间在总有效率和VAS与FMA的比较方面均无差异。结论:双氯芬酸二乙胺超声导入联合运动疗法治疗对脑卒中后偏瘫肩痛有一定的效果,但此两种疗法之间疗效无明显差异。

Objective: To compare the therapeutic effects of diclofenac diethylamine sonophoresis and deep warm moxibustion on post-stroke hemiplegic shoulder pain. Methods: 90 cases of post-stroke hemiplegic shoulder pain were randomly divided into diclofenac diethylamine treatment group(referred to as experiment group 1) and deep warm moxibustion treatment group(referred to asexperiment group 2), 30 cases in each group. Based on the exercise therapy, the experiment group 1 was given diclofenac diethylamine ultrasonic treatment and the experiment group 2 was given deep warm moxibustion. Results: The total effective rate of the two groups was better than that of the control group(P < 0.05);The VAS and FMA of the treatment group after treatment were better than those before treatment, and the effect was better than that of the control group(P < 0.05);there was no difference in the total effective rate and the comparison of VAS and FMA between the two groups. Conclusion: Diclofenac diethylamine combined with exercise therapy has a certain effect on post-stroke hemiplegic shoulder pain, but there is no significant difference between the two therapies.