推拿联合康复训练对脑卒中后偏瘫肩痛患者的影响

Effects of Massage Combined with Rehabilitation Training on Patients with Hemiplegic Shoulder Pain after Stroke

目的:探讨推拿联合康复训练对脑卒中后偏瘫肩痛患者的治疗效果。方法:选取2019年1月至2019年12月钟山县人民医院收治的68例脑卒中后偏瘫肩痛患者,随机分为观察组和对照组,各34例。对照组接受康复训练治疗,观察组采用推拿联合康复训练进行治疗。比较两组患者治疗前后的上肢运动功能、疼痛程度和日常生活活动能力。结果:治疗前两组患者的肢体运动功能评估量表(FMA)、视觉模拟评分法(VAS)、改良的巴塞尔指数(MBI)评分比较,差异均无统计学意义(P>0.05);治疗后观察组的FMA和MBI评分高于对照组,VAS评分低于对照组,差异具有统计学意义(P<0.05)。结论:对脑卒中后偏瘫肩痛患者采用推拿联合康复训练治疗,可有效缓解疼痛,改善上肢活动功能,使患者日常生活活动能力提高。

Objective To explore the treatment effect of massage combined with rehabilitation training on patients with hemiplegic shoulder pain after stroke.Methods 68 patients with hemiplegic paralyzed shoulder pain in Zhongshan County People's Hospital from January 2019 to December 2019 were selected,and randomly divided into observation group(34 cases)and control group(34 cases).The control group received rehabilitation training,and the observation team was treated with massage combined with rehabilitation training.The degree of pain and the ability of daily life activities before and after treatment of the two groups of patients were compared.Results Before treatment,the limb motion function evaluation scale(FMA),visual simulation scoring(VAS),and improved Basel index(MBI)score comparison was no significant difference between the two groups(P>0.05);After treatment,the scivation of the FMA and MBI of the observation group was higher than that of the control group,and the VAS score was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Patients with hemiplegic shoulder pain after stroke use massage combined with rehabilitation training,which can effectively relieve pain,improve upper limb activity,enhance patient's daily living activities.