针灸穴位注射联合康复训练三级治疗方案对脑卒中后肩-手综合征患者预后效果

Prognostic Effect of Acupuncture and Appoint Injection Combined with Rehabilitation Training in Three-level Treatment of Stroke Patients with Shoulder-hand Syndrome

目的针灸穴位注射联合康复训练三级治疗方案在脑卒中后肩-手综合征患者的实施效果。方法采用回顾性研究2018年6月-2020年3月我院76例脑卒中后肩-手综合征患者,根据就诊挂号顺序分为甲、乙两组,各组38例,统计两组患者肩关节活动度、手部肿胀程度、MMSE、FMA、MBI评分及临床疗效,并予以评定和总结。结果甲组治疗前肩关节活动度与乙组无差异,无统计学意义(P>0.05),治疗后较乙组有差异,有统计学意义(P<0.05);甲组治疗前认知功能、日常生活能力、运动能力及手部肿胀评分分别与乙组无差异,无统计学意义(P>0.05);治疗后较乙组有差异,有统计学意义(P<0.05);甲组治疗有效率与乙组有差异,有统计学意义(P<0.05)。结论针灸穴位注射联合康复治疗三级治疗方案有利于加速脑卒中后肩-手综合征预后恢复,值得临床广泛借鉴。

Objective To evaluate the effect of acupuncture point injection combined with rehabilitation training in patients with shoulder-hand syndrome after stroke.Methods From June 2018 to March 2020,76 patients with shoulder-hand syndrome after stroke were selected by retrospective study.They were divided into two groups, A and B,38 in each group according to the registered order.Results There was no significant difference between group A and group B(P>0.05),but there was significant difference between group A and group B(P<0.05).The scores of cognitive function, daily life ability, motor ability and hand swelling of group A were not different from that of group B,there was no significant difference(P>0.05),and there was significant difference between group B and group B after treatment(P>0.05).Group A treatment efficiency and group B have a difference, have statistical significance(P<0.05).Conclusion Acupuncture and combustion appoint injection combined with rehabilitation treatment is beneficial to accelerate the recovery of shoulder-hand syndrome after stroke, which is worthy of extensive clinical reference.