Clinical efficacy observation on TCM directional transdermal medication com-bined with ultrasound-guided stellate ganglion block surgery in treatment of shoulder hand syndrome after stroke
Objective To observe the clinical efficacy of TCM directional transdermal medication combined with ultrasound-guided stellate ganglion block surgery(UGSGBS)in treatment of shoulder hand syndrome(SHSAS)after stroke.Methods 86 patients with SHSAS were randomly divided into control group and treatment group,with 43 cases in each group.Control group received UGSGBS,while treatment group received TCM targeted transdermal therapy on the basis of control group.The joint mobility,Self Obstruction Scale(SHS),Visual Analogue Scale(VAS),and Simplified Fugl Meyer Scale(FMA)scores,peak flow velocity of the middle cerebral artery(MCA),and Quality of Life Scale(SF-36)scores of the two groups were compared.Results After treatment,the total effective rate of treatment group was higher than that of control group(P＜0.05);the shoulder joint mobility of both groups was higher than before treatment,and was higher in treatment group than control group(P＜0.05);the SHS and VAS scores of both groups were lower than before treatment,and were lower in treatment group than control group,while the FMA score,MCA,and SF-36 scale scores for physiological function,physiological function,physical pain,overall health,vitality and mental health were higher than before treatment,and were all higher in observation group than control group except mental health score(P＜0.05);there was no statistically significant difference in social and emotional function and mental health scores between the two groups(P＞0.05).Conclusion TCM targeted transdermal medication combined with UGSGBS has a significant therapeutic effect on SHSAS,expanding shoulder joint mobility,reducing edema and pain,improving upper limb function and cerebral blood flow,and ultimately improving quality of life.
StrokeShoulder hand syndromeTCM targeted transdermal therapyUltrasound guidanceStellate ganglion block surgery
NETL
NSTL
万方数据
