微针刀结合运动疗法治疗脑卒中后肩手综合征临床研究

Clinical Study on Micro Needle Knife Combined with Exercise Therapy for Shoulder-Hand Syndrome After Stroke

目的:观察微针刀结合运动疗法治疗脑卒中后肩手综合征的临床疗效。方法:选取脑卒中后肩手综合征患者60例,按随机数字表法分为观察组和对照组各30例。对照组给予单纯运动疗法治疗,观察组在对照组基础上给予微针刀治疗。比较2组治疗前后肩关节运动功能评分[简化Fugl-Meyer评分(FMA)]、视觉模拟评分法(VAS)评分、日常生活能力评分[改良Barthel指数评分(MBI)],并评价临床疗效。结果:观察组总有效率为93.33%,高于对照组70.00%,差异有统计学意义(P<0.05)。治疗前,2组FMA、VAS、MBI评分比较,差异无统计学意义(P>0.05)。治疗后,2组FMA、MBI评分较治疗前升高,VAS评分较治疗前降低(P<0.05)。治疗后,观察组FMA、MBI评分高于对照组,VAS评分低于对照组(P<0.05)。结论:微针刀结合运动疗法治疗脑卒中后肩手综合征效果显著,具有安全、高效、操作简单的特点,能提高患者的日常生活能力及生活质量,促进患者康复。

Objective:To observe the clinical effect of micro needle knife combined with exercise therapy for shoulderhand syndrome after stroke.Methods:A total of 60 cases of patients with shoulder-hand syndrome after stroke were selected and divided into the observation group and the control group according to the random number table method,with30 cases in each group.The control group was given simple exercise therapy,and the observation group was given micro needle knife combined with exercise therapy.Scores of shoulder joint motor function evaluated by simplified Fugl-Meyer Assessment(FMA),Visual Analogue Scale(VAS)for pain evaluation,and activities of daily living evaluated by modified Barthel Index(MBI)were compared between the two groups before and after treatment.Clinical effects were evaluated.Results:The total effective rate was 93.33%in the observation group,higher than that of 70.00%in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of scores of FMA,VAS,and MBI between the two groups(P>0.05).After treatment,scores of FMA and MBI in the two groups were increased when compared with those before treatment,and VAS scores were decreased(P<0.05).After treatment,scores of FMA and MBI in the observation group were higher than those in the control group,and VAS score was lower(P<0.05).Conclusion:Micro needle knife combined with exercise therapy has a significant effect in the treatment of shoulder-hand syndrome after stroke,with characteristics of safety,efficiency,and simple operation.It can enhance activities of daily living and quality of life of patients,and promote rehabilitation.