腹针结合艾蒸熨疗法治疗脑卒中后Ⅰ期肩手综合征疗效评定

Evaluation of Curative Effect of Abdominal Acupuncture Combined with Moxa Steaming and Ironing Therapy on Stage Ⅰ Shoulder Hand Syndrome after Stroke

目的 观察腹针结合艾蒸熨疗法早期干预脑卒中后Ⅰ期肩手综合征(SHS)的临床疗效。方法 选取90例患者按随机数字表法分为观察1组、观察2组和对照组各30例。对照组给予规范标准化康复治疗,观察1组在对照组治疗基础上给予腹针结合艾蒸熨疗法,观察2组在对照组治疗基础上给予腹针疗法,每日1次,每周6次,共3周。治疗前后,通过简化Fugl-Meyer运动功能评分量表(FMA)评价两组患者偏瘫侧上肢运动功能,疼痛视觉模拟评分量表(VAS)评价偏瘫侧上肢疼痛,改良Barthel指数评定量表(MBI)评价患者日常生活自理能力。结果 治疗后,观察1组和观察2组患者日常生活自理能力、偏瘫侧上肢运动功能和疼痛改善程度均优于对照组(P <0.05),且观察1组疗效优于观察2组(P <0.05)。结论 腹针结合艾蒸熨疗法治疗脑卒中后Ⅰ期SHS效果良好,疗效优于单纯康复治疗,且优于腹针结合康复治疗,提示腹针疗法和艾蒸熨疗法有协同作用,应早期联合介入。

Objective:To observe the clinical effect of abdominal acupuncture combined with Moxa steaming and ironing therapy in early intervention of stage Ⅰ shoulder hand syndrome(SHS)after stroke. Methods:A total of 90 patients with stage Ⅰ SHS after stroke who met the inclusion criteria were randomly divided into observation group 1,observation group 2 and control group according to random number table method,with 30 cases each.The control group was given standardized rehabilitation treatment. The observation group 1 was given abdominal acupuncture combined with moxa steaming ironing on the basis of the treatment of the control group. The observation group 2 was given abdominal acupuncture on the basis of the treatment of the control group. All groups were treated once a day,six times a week,for a total of 3 weeks. Before and after treatment,the motor function of the upper limbs of the patients in the three groups was evaluated by the simplified Fugl Meyer motor function rating scale(FMA),the pain of the upper limbs of the patients in the hemiplegic side was evaluated by the pain visual analog scale(VAS),and the self-care ability of the patients in daily life was evaluated by the modified Barthel index rating scale(MBI). Results:After treatment,the self-care ability of daily life,motor function of upper limbs on hemiplegic side and pain improvement degree of patients in observation group 1 and observation group 2 were better than those in control group(P < 0.05),and the curative effect of observation group 1 was better than that of observation group 2(P < 0.05). Conclusion:Abdominal acupuncture combined with moxa steaming and ironing therapy has a good effect on stage Ⅰ SHS after stroke,which is better than simple rehabilitation therapy and better than abdominal acupuncture combined with rehabilitation therapy. It suggests that abdominal acupuncture therapy and moxa steaming and ironing therapy have a synergistic effect and should be combined early.