首页|针刺联合桂枝汤泡洗治疗卒中恢复期肩手综合征患者的效果

针刺联合桂枝汤泡洗治疗卒中恢复期肩手综合征患者的效果

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目的:观察针刺联合桂枝汤泡洗治疗卒中恢复期肩手综合征患者的效果.方法:回顾性分析 2019-2022 年该院收治的84 例卒中恢复期肩手综合征患者的临床资料,按照治疗方法不同将其分为对照组和观察组各 42 例.两组均接受康复训练治疗,在此基础上,对照组采用桂枝汤泡洗治疗,观察组在对照组基础上联合针刺治疗,两组均连续治疗 2 周.比较两组临床疗效,治疗前后上肢运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、疼痛[视觉模拟评分法(VAS)]评分、血清学指标(内皮素-1、P物质)水平,以及不良反应发生率.结果:观察组治疗总有效率为97.62%(41/42),高于对照组的80.95%(34/42),差异有统计学意义(P<0.05);治疗后,观察组FMA评分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组内皮素-1、P物质水平均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:针刺联合桂枝汤泡洗治疗卒中恢复期肩手综合征患者可提高治疗总有效率和上肢运动功能评分,降低疼痛评分和血清学指标水平,效果优于单纯桂枝汤泡洗治疗.
Effects of acupuncture combined with Guizhi decoction soaking and washing in treatment of patients with shoulder-hand syndrome in stroke recovery period
Objective:To observe effects of acupuncture combined with Guizhi decoction soaking and washing in treatment of patients with shoulder-hand syndrome in stroke recovery period.Methods:The clinical data of 84 patients with shoulder-hand syndrome in stroke recovery period admitted to the hospital from 2019 to 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,42 cases in each group.Both groups received rehabilitation training.On this basis,the control group was treated with Guizhi decoction soaking and washing,while the observation group was treated with acupuncture on the basis of the control group.Both groups were treated for 2 weeks.The clinical efficacy,the upper limb motor function[Fugl-Meyer assessment(FMA)]score,the pain[visual analogue scale(VAS)]score,the serological index(endothelin-1,substance P)level before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.62%(41/42),which was higher than 80.95%(34/42)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the FMA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of endothelin-1 and substance P in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Acupuncture combined with Guizhi decoction soaking and washing can improve the total effective rate and the upper limb motor function scores,and reduce the pain scores and the serological index levels in the treatment of the patients with shoulder-hand syndrome in stroke recovery period.Moreover,it is superior to single Guizhi decoction soaking and washing.

Guizhi decoctionSoaking and washingAcupunctureStrokeShoulder-hand syndromeUpper limb motor functionPain

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林州市中医院康复科,河南 安阳 456550

桂枝汤 泡洗 针刺 卒中 肩手综合征 上肢运动功能 疼痛

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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