首页|黄芪桂枝五物汤加减方联合针灸治疗中风后肩手综合征患者的效果分析

黄芪桂枝五物汤加减方联合针灸治疗中风后肩手综合征患者的效果分析

扫码查看
目的:探讨黄芪桂枝五物汤加减方与针灸联合治疗中风后肩手综合征(SHSAS)患者的效果及其应用安全性。方法:选取 2022年 1-12月沂水县人民医院收治的 60例SHSAS患者为研究对象,按随机数字表法将其分为对照组与研究组,各 30例。对照组采用常规康复训练,研究组在对照组基础上采用黄芪桂枝五物汤加减方联合针灸治疗。两组均治疗 3个月。对比两组肩关节活动度、上肢运动功能及并发症发生情况。结果:治疗后,两组肩关节前屈、后伸、内旋、外旋的活动度均大于治疗前,且研究组均大于对照组,差异均有统计学意义(P<0。05)。治疗后,两组上肢Fugl-Meyer运动功能评分量表评分高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0。05)。研究组的并发症发生率为 6。67%,低于对照组的 26。67%,差异有统计学意义(P<0。05)。结论:在常规康复训练的基础上,黄芪桂枝五物汤加减方与针灸联合治疗SHSAS患者的效果显著,能够改善患者的肩关节活动度和上肢运动功能,同时降低并发症发生率。
Effect Analysis of Modified Huangqi Guizhi Wuwu Decoction Combined with Acupuncture on Patients with Shoulder-Hand Syndrome after Stroke
Objective:To explore the efficacy and safety of modified Huangqi Guizhi Wuwu Decoction combined with acupuncture in the treatment of patients with shoulder-hand syndrome after stroke(SHSAS).Methods:A total of 60 SHSAS patients admitted to Yishui County People's Hospital from January to December 2022 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 30 cases in each group.The control group was treated with routine rehabilitation training,the study group was treated with modified Huangqi Guizhi Wuwu Decoction combined with acupuncture on the basis of control group.Both groups were treated for 3 months.The range of motion of shoulder joint,the motor function of upper limb and the incidence of complications were compared between the two groups.Results:After treatment,the mobility of shoulder flexion,extension,internal rotation and external rotation in both groups were bigger than before treatment,and the study group were bigger than the control group,the differences were statistically significant(P<0.05).After treatment,the Fugl-Meyer Assessment of upper extremity was higher in both groups than before treatment,the study group was higher than the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(P<0.05).Conclusion:On the basis of routine rehabilitation training,modified Huangqi Guizhi Wuwu Decoction combined with acupuncture has a remarkable effect in the treatment of SHSAS patients,which can improve the shoulder joint motion and upper limb motor function of patients,and reduce the incidence of complications.

Shoulder-hand syndrome after strokeHuangqi Guizhi Wuwu DecoctionAcupunctureShoulder joint motionUpper limb motor function

宗成翠、张雪

展开 >

山东省沂水县人民医院康复科,山东 临沂 276000

山东省济南市第二妇幼保健院儿科急诊,山东 济南 250000

中风后肩手综合征 黄芪桂枝五物汤 针灸 肩关节活动度 上肢运动功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)