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疏血通脉汤辅治脑梗死后肩手综合征临床观察

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目的:观察疏血通脉汤辅治脑梗死后肩手综合征(SHS)的效果.方法:86例随机分为两组各43例,两组均给予红花化瘀汤熏洗治疗,观察组加用疏血通脉汤.结果:观察组总有效率高于对照组(P<0.05),治疗后观察组FMA评分高于对照组,而肿胀评分、SHSS、VAS评分低于对照组(P<0.05),治疗后两组肩关节各活动度均有所提升且观察组活动度大于对照组(P<0.05),治疗后观察组CGRP、FIM评分水平高于对照组而SP水平低于对照组(P<0.05).结论:疏血通脉汤辅治脑梗死后SHS可提高疗效.
Objective:To observe the effect of Promoting Blood Flow and Unblocking Meridians Decoction in the treatment of shoulder-hand syndrome(SHS)after cerebral infarction.Methods:Eighty-six cases were randomly divided into two groups,with 43 cases in each group.Both groups were treated by fumigation with Safflower Stasis-resolving Decoction,and the observation group were treated with Promoting Blood Flow and Unblocking Meridians Decoction.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the FMA score of the observation group was higher than that of the control group,while the swelling score,SHSS and VAS scores were lower than those of the control group(P<0.05).After treatment,the activity of the shoulder joints of the two groups was improved and the activity of the observation group was greater than that of the control group(P<0.05).After treatment,the CGRP and FIM scores of the observation group were higher than those of the control group and the SP level was lower than that of the control group(P<0.05).Conclusion:Promoting Blood Flow and Unblocking Meridians Decoction could improve the curative effect in adjuvant treatment of SHS after cerebral infarction.

Shoulder-hand syndrome after cerebral infarctionPromoting Blood Flow and Unblocking Meridians DecoctionControl treatment and observation

楚彩云、苟成钢、刘颍

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河南省郑州市中医院康复科,河南 郑州 450006

脑梗死后肩手综合征 疏血通脉汤 对照治疗观察

2024

实用中医药杂志
重庆医科大学中医药学院

实用中医药杂志

影响因子:0.546
ISSN:1004-2814
年,卷(期):2024.40(11)