中药塌渍联合揿针治疗中风后肩手综合征的疗效观察

The clinic curative effect observation of Chinese medicine collapse stains with press-needle in the treatment ofshoulder-hand syndrome afier stoke

目的探讨中药塌渍联合揿针治疗中风后肩手综合征(SHS)的疗效.方法选取2019年1月至2020年12月将符合条件的SHS患者90例,随机分为揿针组(A组)、中药塌渍组(B组)和中药塌渍结合揿针组(C组),治疗周期为1个月.比较两组疗效及治疗前、后VAS评分、Fugl-Meyer运动功能量表评分.结果A组治疗有效率80.0%,B组76.7%,C组为90.0%,三组治疗结束后VAS评分、上肢功能评分与治疗前比较,差异均有统计学意义(P<0.05),C组与A、B组疗效比较差异有统计学意义(P<0.05),A、B组疗效比较差异无统计学意义(P>0.05).结论中药塌渍结合揿针对中风后肩手综合征患者的肩痛具有改善作用,对偏瘫上肢功能康复具有积极意义,值得推广.

Objective To explore the clinic curative effect of Chinese medicine collapse stains with press-needle in the treatment of shoulderhand syndrome(SHS)after stoke.Methods We selected 90 SHS patients.They were divided randomly into three groups:press-needle group(A group),Chinese medicine collapse stains group(B group)and Chinese medicine collapse stains with press-needle group(C group).The treatment was one month,and the scores of the VAS of shoulder joint and the Fugl-Meyer Motor Function Scale were compared between these three groups before and after treatment.Results The effective rates of C group was 90%.A group was 80.0%.B group was 76.67%.All groups were effective by analyzing the data of the fractional number about the VAS of shoulder joint and the FMA of upper limb function,with statistical significance(P<0.05).There was a statistically significant difference in the curative effect between C group and A and B group(P<0.05).There was no statistically significance difference in the curative effect between A group and B group(P>0.05).Conclusion The Chinese medicine collapse stains with press-needle can improve shoulder pain in patients with shoulderhand syndrome after stoke,and has positive significance for functional rehabilitation of hemiplegia and upper limbs,which is worthy of promotion.